Virtual Reality Versus Intravenous Dexmedetomidine on Maternal Anxiety, Stress, Hemodynamics, and Neonatal Outcomes During Cesarean Section

This study is comparing two methods to help reduce anxiety and stress in pregnant women having a planned C-section. One group will use a virtual reality headset during the procedure, and the other will receive a mild sedative medication (dexmedetomidine) given through an IV. Researchers also want to see how each method affects the mother's blood pressure and heart rate, and whether it has any impact on the baby. **You may be eligible if...** - You are over 18 years old - You are scheduled for a planned (elective) C-section - You are receiving spinal or epidural anesthesia for the procedure - You are willing to participate and sign consent **You may NOT be eligible if...** - You have a reason you cannot have spinal/epidural anesthesia (e.g., severe clotting disorder, local infection) - You have a psychiatric condition - You have vision or hearing impairment - You have epilepsy, cognitive impairment, or claustrophobia - You have signs of active labor, pregnancy complications, or fetal distress Talk to your doctor to see if this trial is right for you.