Pain relief in labour by transcutaneous electrical nerve stimulation (TENS) (original) (raw)
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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
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
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.
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...
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.
SSRN Electronic Journal, 2022
To investigate the effects of transcutaneous electrical nerve stimulation (TENS) on pain in patients with spinal cord injury. [Subjects and Methods] Fifty-two spinal cord injury patients with central pain were randomly allocated into two groups TENS and control with 26 subjects per group. The patients in TENS and control groups were treated with TENS and sham TENS for 20 min (three times a week) for 12 consecutive weeks, respectively. The two group's pain was assessed using visual analog scale (VAS) and the McGill Pain Questionnaire (including pain rating index-total, pain rating index-affective, pain rating index-sensory, present pain intensity, and number of words chosen) before and after the treatment. [Results] After the intervention, we found significant differences in VAS, pain rating index-total, pain rating index-affective, pain rating index-sensory, present pain intensity, and number of words chosen between the TENS group and the control group. [Conclusion] Our results suggest that TENS effectively decreases pain in patients with spinal cord injury.
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.