Relationship pain management and women´s satisfaction during labour. A Randomized Controlled Trial (original) (raw)
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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.
A Cross-Sectional Survey of Labor Pain Control and Women’s Satisfaction
International Journal of Environmental Research and Public Health
Introduction: Pain experienced during labor is a symptom of contractile activity and is a physiological feature of the uterus that occurs at the appropriate stages of labor. For the majority of women, labor pain is the most severe pain they will ever experience, and therefore should be relieved. Objective: (1) To evaluate labor pain intensity before and after using non-pharmacological and pharmacological interventions; (2) to assess women’s satisfaction of labor pain management. Methods: A multicenter cross-sectional survey study was performed on 500 women who gave birth in different reference level hospitals (i.e., I, II, III). Pain intensity was assessed according the Numeric Rating Scale (range 0–10), whereas women’s satisfaction was measured with a 5 point Likert scale. Results: The use of both non-pharmacological (median 6.7 (5; 8) vs. 4.5 (3.3; 5.5)) and pharmacological methods (median 8 (7; 9) vs. 5 (3; 6)) resulted in a significant reduction in pain (p < 0.01). Water imme...
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.
Journal of Physiotherapy, 2016
In the active phase of the first stage of labour, does transcutaneous electrical nerve stimulation (TENS) relieve pain or change its location? Does TENS delay the request for neuraxial analgesia during labour? Does TENS produce any harmful effects in the mother or the foetus? Are women in labour satisfied with the care provided? Design: Randomised trial with concealed allocation, assessor blinding for some outcomes, and intention-to-treat analysis. Participants: Forty-six low-risk, primigravida parturients with a gestational age > 37 weeks, cervical dilation of 4 cm, and without the use of any medications from hospital admission until randomisation. Intervention: The principal investigator applied TENS to the experimental group for 30 minutes starting at the beginning of the active phase of labour. A second investigator assessed the outcomes in both the control and experimental groups. Both groups received routine perinatal care. Outcome measures: The primary outcome was pain severity after the intervention period, which was assessed using the 100-mm visual analogue scale. Secondary outcomes included: pain location, duration of the active phase of labour, time to pharmacological labour analgesia, mode of birth, neonatal outcomes, and the participant's satisfaction with the care provided. Results: After the intervention, a significant mean difference in change in pain of 15 mm was observed
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.
Predictors of Childbirth Pain and Maternal Satisfaction
Journal of Behavioral Medicine, 2004
There is little multivariate, multiphasic research on childbirth pain and satisfaction. We explored the relationship of demographic, medical, psychological, and environmental variables at different times to multiple indices of pain and satisfaction in 70 primiparae and multiparae. Induced labor, desirability of pregnancy, and coach's helpfulness predicted sensory pain. Duration of labor, depression, and outcome expectancy that childbirth education would facilitate medication-free childbirth predicted affective pain. Physician-anticipated complications, induced labor, and motivation to be medication-free predicted pain intensity. Grade level predicted satisfaction. The results also demonstrated differences between primiparae and multiparae in the pattern of variables that explained pain and satisfaction as well as the temporal sensitivity of pain predictors. We discuss the implications of our findings for research and practice.
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
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...
Evaluation of pain relief and satisfaction in women using epidural analgesia in labour
International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 2019
Background: Pain during childbirth is the most severe pain women may experience in their lifetime. Epidural analgesia is an effective form of pain relief during labour.Methods: This retrospective study was carried out at Omega Hospital, Nagpur in 50 women in labour who demanded epidural analgesia for pain relief. It was carried out to determine extent of pain relief and overall satisfaction in women using epidural analgesia.Results: In present study, out of 50, 28 (56%) patients delivered by normal vaginal delivery, 14 (28%) patients delivered by cesarean section, 8 (16%) patients had vacuum delivery while in no patient forceps were applied. In first stage,36 (72%) patients had zero score (no pain), 13 (26%) patients had 1-3 score (mild pain) while 1 (2%) patient had 4-6 score (moderate pain) after epidural analgesia. That means epidural analgesia had very good effect in first stage in terms of pain scoring. In second stage, 13 (26%) patients had zero score (no pain), 31 (62%) had 1...