Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial

Santana, Lícia Santos; Gallo, Rubneide Barreto Silva; Ferreira, Cristine Homsi Jorge; Duarte, Geraldo; Quintana, Silvana Maria; Marcolin, Alessandra Cristina

doi:10.1016/j.jphys.2015.11.002

Cited by 74 publications

(87 citation statements)

References 21 publications

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“…However, approximately two-thirds of women who had received TENS reported that they would prefer to use it again for future labour and one another study states that 74% of the parturient in their experimental group reported being satisfied with TENS, and 100% of them would prefer to use this method again for future childbirths. 4,5 The findings of the present study are similar to the previous studies with respect to the mode of delivery for the women who had used TENS during labour. In present study about 88% had vaginal delivery (including NVD, FD and VAVD) and 12 % had emergency caesarean.…”

Section: Discussionsupporting

confidence: 90%

Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers

Veyilmuthu

Govindan

Venugopalan³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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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 TENS. Almost 40 % of both primiparous and multiparous women who had forceps delivery and lower segment cesarean section experienced excellent pain relief using TENS. Except 2% of women with normal vaginal delivery, none of them stated that there was no relief of pain using TENS.Conclusions: TENS had a very good effect in coping up the labour pain and could be used during the first and second stages of labour.

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Section: Discussionsupporting

confidence: 90%

Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers

Veyilmuthu

Govindan

Venugopalan³

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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“…Moreover, it is safe with no major side effects, although studies have shown that it has no risky effects on either the mother or the fetus. TENS can be self-administered by patients following simple training because there is no potential for toxicity [9,10].…”

Section: Introductionmentioning

confidence: 99%

Effect of Acupuncture TENS on Sciatic pain During Pregnancy

Embaby¹,

Aboeleneen²,

Hegazy³

et al. 2018

IJCTR

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: Sciatica is a common discomfort of pregnancy experienced in the lower extremity, affecting quality of life and minimizing social and economic efficacy and it is a major cause of work absenteeism and a financial burden to society. Objective: This study is carried out to determine the effect of Acupuncture TENS on sciatic pain during pregnancy. Methods: Twenty pregnant women with an exclusive diagnosis of sciatic pain with age ranged from 20-40 years ,at the 2 nd or 3 rd trimester of pregnancy and their body mass index not exceeding 32 kg/m 2 . Assessment for all participants was performed through analysis of plasma serotonin level, visual analogue scale (VAS) ,Straight leg raising test (SLR) and slump test before and after intervention. Results: The results showed improvement in pain level in both groups. However, the study group consistently demonstrated greater improvement in the outcome measures than the control group. Conclusion: Acupuncture TENS can be used safely and effectively in reducing sciatic pain in pregnant women.

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“…Mechanizm "bramki bólowej" pozostaje przez cały czas pod kontrolą układów zstępujących z wyższych pięter poprzez aktywację interneuronuenkefalinergicznego rogów tylnych rdzenia a także noradrenergicznego komponentu zstępującego układu antynocyceptywnego [8][9][10][11]. Dowodem istnienia tego dodatkowego działania jest m.in.…”

unclassified

“…W elektroakupunkturowej terapii TENS stosuje się elektrostymulację prądem impulsowym o niskiej częstotli-wości i stosunkowo wysokim natężeniu a takie parametry aktywują zstępujący układ antynocyceptywny oraz wzmagają wydzielanie endogennych opioidów, które łączą się ze swoistymi receptorami i wywołują poststymulacyjny efekt analgetyczny. Autorzy zaobserwowali również, że podanie antagonisty endorfin i selektywnie blokujących receptorów opioidowych znosi analgezję uzyskaną za pomocą tej stymulacji [10,11]. Elektrostymulacja powoduje również zwiększenie miejscowego przepływu i przyczynia się do wspomagania procesu gojenia.…”

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“…Przeciwskazaniami do zastosowania przezskórnej stymulacji elektrycznej TENS jest niewydolność krążenia oraz wszczepiony stymulator serca. Urządzenia TENS nie można także stosować w celu niwelowania dolegliwości bólowych związanych z zagrażającym poronieniem lub porodem przedwczesnym [4][5][6]11]. Istnieje wiele doniesień naukowych na temat pozytywnego wpływu TENS podczas porodu.…”

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Zastosowanie elektroterapii TENS w łagodzeniu bólu porodowego / Application of TENS electrotherapy in alleviating labour pain

Sowa

Ciechanowska

Głowacka

2016

Pielegniarstwo XXI Wieku / Nursing in the 21st Century

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Introduction. Easing labour pain is an extremely important issue in obstetric practice. Various physiotherapy methods are increasingly often applied in obstetric practice. Transcutaneous electric nerve stimulation (TENS) aiming at central and peripheral modulation of pain sensation is one of them.Aim. The aim of the study was to analyse the impact of transcutaneous electrical stimulation (TENS) on easing labour pain.Summary. The TENS method is regarded as effective since it increases both the pain threshold and secretion of endogenous opioids. Non-pharmacological methods of pain management during labour, including electrotherapy TENS methods are safe and can be used in most patients.

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Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial

Abstract: NCT01600495.

Cited by 74 publications

References 21 publications

Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers

Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers

Effect of Acupuncture TENS on Sciatic pain During Pregnancy

Zastosowanie elektroterapii TENS w łagodzeniu bólu porodowego / Application of TENS electrotherapy in alleviating labour pain

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