open access

Vol 92, No 7 (2021)
Research paper
Published online: 2021-04-08
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Comparison of the effects of TENS stimulation and water immersion on relieving labour pain suffered byprimiparas

Ewa Grymel-Kulesza1, Katarzyna M. Pawlowska2, Jakub Pawlowski2, Agnieszka Grochulska2, Marcelina Belkius3, Izabela Jerzak4
DOI: 10.5603/GP.a2021.0026
·
Pubmed: 33844262
·
Ginekol Pol 2021;92(7):512-517.
Affiliations
  1. Gdansk Collage of Health, Poland
  2. Department of Physiotherapy and Wellness, Institute of Health Sciences, Pomeranian University in Slupsk, Poland
  3. Praxis Physiotherapie Jeske, Berlin, Germany
  4. Department of Pharmacology and Toxicology, University of Zielona Gora, Collegium Medicum, Poland

open access

Vol 92, No 7 (2021)
ORIGINAL PAPERS Obstetrics
Published online: 2021-04-08

Abstract

Objectives: The aim of this study was to compare pain suffered by primiparas when delivering a child in a traditional way with deliveries where either TENS stimulation or water immersion was used.
Material and methods: Primiparas were divided into 3 groups. In group 1 there were 45 women for whom TENS stimulation was applied during delivery. Group 2 consisted of 38 women who remained in the water during the actual birth of the baby. Group 3 served as the control group and was composed of 32 women. The intensity of pain during delivery was assessed by means of a numerical scale. During the first delivery period, pain was assessed three times at cervical dilation of 2, 3 and 4 fingers.
Results: The analysis of pain suffered by primiparas at 2-finger widening showed no statistically significant differences between the groups. However, the analysis of pain experienced at 3-finger opening showed significant differences between the group of women using TENS stimulation in comparison with the control group. When comparing pain at 4-finger opening, statistically significant differences were found between the group of women who delivered in water in comparison to both the control group and the group using TENS stimulation.
Conclusions: TENS stimulation and water immersion are good methods to relieve labour pain; particularly helpful in the first period of labour. They are also safe, alternative, non-pharmacological methods of reducing labour pain.

Abstract

Objectives: The aim of this study was to compare pain suffered by primiparas when delivering a child in a traditional way with deliveries where either TENS stimulation or water immersion was used.
Material and methods: Primiparas were divided into 3 groups. In group 1 there were 45 women for whom TENS stimulation was applied during delivery. Group 2 consisted of 38 women who remained in the water during the actual birth of the baby. Group 3 served as the control group and was composed of 32 women. The intensity of pain during delivery was assessed by means of a numerical scale. During the first delivery period, pain was assessed three times at cervical dilation of 2, 3 and 4 fingers.
Results: The analysis of pain suffered by primiparas at 2-finger widening showed no statistically significant differences between the groups. However, the analysis of pain experienced at 3-finger opening showed significant differences between the group of women using TENS stimulation in comparison with the control group. When comparing pain at 4-finger opening, statistically significant differences were found between the group of women who delivered in water in comparison to both the control group and the group using TENS stimulation.
Conclusions: TENS stimulation and water immersion are good methods to relieve labour pain; particularly helpful in the first period of labour. They are also safe, alternative, non-pharmacological methods of reducing labour pain.

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Keywords

TENS; water immersion; delivery pain; physiological delivery

About this article
Title

Comparison of the effects of TENS stimulation and water immersion on relieving labour pain suffered byprimiparas

Journal

Ginekologia Polska

Issue

Vol 92, No 7 (2021)

Article type

Research paper

Pages

512-517

Published online

2021-04-08

DOI

10.5603/GP.a2021.0026

Pubmed

33844262

Bibliographic record

Ginekol Pol 2021;92(7):512-517.

Keywords

TENS
water immersion
delivery pain
physiological delivery

Authors

Ewa Grymel-Kulesza
Katarzyna M. Pawlowska
Jakub Pawlowski
Agnieszka Grochulska
Marcelina Belkius
Izabela Jerzak

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