Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial (original) (raw)
Related papers
Pain relief in labour by transcutaneous electrical nerve stimulation (TENS)
Archives of Gynecology and Obstetrics, 2000
For several years Transcutaneous Electrical Nerve Stimulation (TENS) has been used in the management of chronic and acute pain. The aim of this trial was to determine its effectiveness in providing pain relief during labour as well as its influence on the incidence of requests for epidural analgesia. The experimental group (receiving TENS by a burst -conventional obstetric TENS-apparatus) and the control population (not receiving TENS) consisted of 24 and 35 women respectively. In the experimental group the TENS application was switched off for a period of 15 min. The 24 women were asked to point out the intensity of their pain on a visual analogue scale before, during and after this temporary interruption. Two days postpartum the parturient's satisfaction was evaluated by two questions, a procedure which revealed that 96% degree of satisfaction. The incidence of epidural analgesia in the experimental group was compared to the control-group. During TENS application the pain scores were significantly lower (p<0.0001), but no statistically significant difference in incidence of epidural analgesia was found between the experimental group and the control group.
Analgesia with Transcutaneous Electrical Nerve Stimulation (TENS) During Labor
The objective of this study is to evaluate the Transcutaneous Nerve Stimulation (TENS) application in reducing the pain intensity during the labor. In the period between February 2011 to December 2011, 60 pregnant women who agreed to participate in the study by signing a consent form approved by the Ethics Committee of the Maternity of the Irmandade da Santa Casa de Misericórdia de Sao Paulo. Women were randomized into two groups: 30 women who used TENS, and Control group: 30 women without the TENS. All women answered the visual analog scale (VAS) of pain at the beginning and during the labor. To compare mean VAS between the groups it was used repeated measures of ANOVA with alpha risk of 5%. There was a reduction in the pain intensity with the TENS application when Intervention group was compared with Control group. The TENS use showed to be efficient in reducing pain intensity during labor
Pain, 1996
Ourobjectivewasto studythe efficacyof transcutaneous electricalnervestimulation(TENS)in reducingpainduringthe first stageof Iabour.Usinga prospectiverandomizedplacebo-controlled, doubleblindclinical trial, a patient-controlledanalgesiasystem wasusedto measuredifferencesin outcome.Trialstookplacein a labourunit at the St. AntoniusHospital,Nieuwegein, The Netherlands, duringa periodof 18months.Forty-sixpatients,duringthe firststageof labour,weretreatedwithTENS,and48 with a placeboapparatus. Main outcomemeasureswerepain relief, amountof administeredanalgesics,obstetricaland neonataloutcome,and side effects.No significantdifferencesoccurredbetweengroupsin the numberof requestsfor pethidine/promethazine. The foetaloutcomein both groupswas the same.TENS and placebowere consideredequallyeffectiveby both patientsand staff. In conclusion,TENS was not more effective thana placeboapparatusin relievingpainduringthe first stageof labour.Noadverseside-effectsoccurred.
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Background: TENS by neuro-physiological means seems to help in relieving labour pain. Most of the pregnant women are not aware of the coping strategies for labour pain. As a result they tend to be restless and stress themselves by shouting or screaming due to pain. By using TENS, women in labour can save their energy without stressing themselves and make use of the saved energy for pushing the fetus during the second stage of labour. The objective was to analyze the effect of TENS on relieving labour pain among the postnatal mothers who had used TENS to cope up with the labour pain.Methods: Data collected from 1041 women [Primipara (n=702) and Multipara (n=339)] who used TENS to cope up pain throughout the labour was used for this retrospective study.Results: 88% of women had vaginal delivery and only 12% of women had cesarean section. More than 50% of both primiparous and multiparous women who had normal and vacuum assisted vaginal delivery experienced excellent pain relief using T...
An Evaluation of Transcutaneous Electrical Nerve Stimulation for Pain Relief in Labour
The Australian and New Zealand Journal of Obstetrics and Gynaecology, 1988
Background: This study was designed to evaluate transcutaneous electrical nerve stimulation (TENS) as a treatment for neck pain due to musculoskeletal disorders within the context of a physiotherapy treatment. Methods: Thirty subjects with neck pain were randomly allocated to two groups, treated with either TENS (n = 15) or placebo (n = 15). Each subject received one session for one hour. All subjects were evaluated before, during treatment, after switch off and again a week after by using Myometer machine. All subjects completed the follow-up assessment. Subjects referred for out-subjects' physiotherapy department, fulfilling the inclusion and exclusion criteria, took part in the study. Results: The assessments were compared and used to measure outcome treatment. Improvement in their condition was measured in terms of a reduction in the individual's level of pain during the week after the end of the first session. At the end of the first session, the study showed that 11 subjects (73%) in the treatment and 7 subjects (43%) in the control groups had gained marked improvement. These results are statistically highly significant, (P = 0.01) at the end of the follow-up assessment. Conclusions: A conclusion could be drawn that a single intense TENS treatment is an effective treatment for neck pain due to musculoskeletal disorders. On the other hand, TENS showed an effective pain relief with subjects who have a mild neck pain rather than those with severe symptoms.
IOSR Journal of Nursing and Health Science , 2018
Background: Most of the pregnant women are not aware of the coping strategies for labour pain, they tend to be restless and stress themselves by shouting or screaming due to pain. By using TENS, women in labour can save their energy without stressing themselves and make use of the saved energy for pushing the fetus during the second stage of labour. The aim of this study was to examine the efficacy of Transcutaneous Electrical Nerve Stimulation on maternal satisfaction from labor pain sensation. Design: Quasi-experimental study utilized in this study. Setting: This study conducted at Prince Hussein Bin Abdullah Hospital. Sample: A simple random sample of 360nulliparous women was selected and divide into three equally divided groups; first group receiving TENS for pain relieving, 2nd receive analgesic and the 3rd not receiving any intervention (Control group). Instruments: 1-Interviewing questionnaire, to collect data about nulliparous woman; Socio demographic and medical data; which contains questions about complete medical, obstetric history and present pregnancy history.2-Visual Analog Pain Assessment Scale for initial assessment of pain threshold during the first stage of delivery before the using of TENS. 3. Post-partum Mothers Satisfactions Questionnaire:-to assess women satisfaction regarding using TENS, immediately after delivery to examine the effectiveness of TENS on relieving normal labor pain. Results: a positive correlation was found between degree of mother's satisfaction with their reported subjective pain and orientation from neonates rooming in for TENS cases, rather than control and anesthesia groups, while there was a negative correlation for subjective pain among control group between mothers used TENS and control group regarding their satisfaction from rooming in. Conclusions: TENS had good effect in satisfaction of the labour pain and could use it during the first and second stage of labour. TENS application reduce negative effects of severe pain on the labour experience of women and promote normal outcome. Recommendations:-1. Continuous educational instruction about uses of TENS and its benefits should be provided to increase their knowledge and skills about technological methods of pain relieving rather than the pharmacological methods. 2. Generalize the experience of TENS in all hospitals.
https://www.ijhsr.org/IJHSR\_Vol.10\_Issue.2\_Feb2020/IJHSR\_Abstract.013.html, 2020
Background: Childbearing is a creative process is a challenge that may place the body at risk. The pregnant woman undergoes tremendous hormonal and physical changes prior to birth. That leads to severe pain and discomfort. Labour pain and method to relieve it are major concerns of childbearing women and their families. Various pain relieving measures are available. The National Birthday Trust Survey was conducted in the UK suggested that Transcutaneous Electrical Nerve Stimulation (TENS) can be used for labour pain management. Material & Methods: A quasi experimental research (pre-test-post-test control group design) was used for this study. The sample consisted of 60 full-term primigravid women in a selected hospital at Mangalore, l were randomly assigned to experimental group and control group (N = 30 + 30 = 60). Tools used were structured observational checklist and visual analogue scale. Results: There was no significant difference in the pre-test behaviour response scores of primigravid women in both groups (t 58 = 0.66, p > 0.05) whereas significant difference was found in the pre-test and post-test behavioural responses scores of primigravid women in the experimental group (t 29 = 20.46, p < 0.05). Friedman's test computed showed significant difference among area-wise behaviour responses score of primigravid women in both groups ( 2 = 43.12, p < 0.05; 2 = 40.73, p < 0.05). There was no correlation between the degree of pain and behavioural responses pre-test score of primigravid women between the groups (r = 0.15, p > 0.05; r=0.13, p > 0.05). There was significant difference in the experimental group among the pre-test and post-test score of the degree of pain (t 29 = 10.14, p < 0.05). There was association between age and behavioural responses score of primigravid women in the experimental group ( 2 (3.84) = 5.208, p < 0.05) at 1 df. Interpretation The result shows that TENS is an effective non-pharmacological method for pain relieving during first stage of labour. Conclusion: TENS is a simple, non-invasive, non-pharmacological, cost-effective alternative method that can be used in labour without any adverse effect on the mother and newborn.
… ‐Oceania Journal of …, 1990
The use of transcutaneous electrical nerve stimulation (TENS) as non-pharmacological therapeutic modality is increasing. The types of TENS used clinically are conventional TENS, acupuncture TENS and intense TENS. Their working is believed to be based on gate control theory of pain and activation of endogenous opioids. TENS has been used in anaesthesia for treatment of post-operative analgesia, post-operative nausea vomiting and labour analgesia. Evidence to support analgesic efficacy of TENS is ambiguous. A systematic search of literature on PubMed and Cochrane Library from July 2012 to January 2014 identified a total of eight clinical trials investigating post-operative analgesic effects of TENS including a total of 442 patients. Most of the studies have demonstrated clinically significant reduction in pain intensity and supplemental analgesic requirement. However, these trials vary in TENS parameters used that is, duration, intensity, frequency of stimulation and location of electrodes. Further studies with adequate sample size and good methodological design are warranted to establish general recommendation for use of TENS for post-operative pain.
2024
Labour is a physiological process in which mechanical and hormonal events influence the foetus expulsion through uterine contraction. Labour is commonly divided into three different stages. The first stage, or dilatative stage, is the phase when the dilatation of the uterine cervix occurs. This study aims to find out the effect of transcutaneous electrical nerve stimulation (TENS) and maternal positioning on pain and satisfaction among women undergoing labour. This is a case series based on convenience sampling among 12 primigravida women in the labour department, Indira Gandhi Medical College and Research Institute, Puducherry. The participants were divided into two groups based on patient convenience. Group A received conventional treatment and Group B received TENS and maternal positioning during the first stage of labour in addition to conventional treatment. The post-interventional assessment is taken in both the groups and results are interpreted. There was a reduction in the pain intensity and improved maternal satisfaction in the intervention group than the control group. Transcutaneous electrical nerve stimulation (TENS) and maternal positioning are feasible, affordable methods of reducing pain and improving maternal satisfaction that can be used to lower the fear of pain among primigravida, increase maternal mobility during labour, enhance maternal care, have a positive experience in labour, and improve women's quality of life.