Vol 92, No 7 (2021)
Research paper
Published online: 2021-04-08

open access

Page views 1883
Article views/downloads 1474
Get Citation

Connect on Social Media

Connect on Social Media

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
Pubmed: 33844262
Ginekol Pol 2021;92(7):512-517.

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.

Article available in PDF format

View PDF Download PDF file

References

  1. Cowan E, Heale R, Horrigan J, et al. Hydrotherapy as a Nursing Intervention for Labour Pain. Diversity of Research in Health Journal. 2017; 1: 121–132.
  2. Brooks EJ. Water birth: using water as a comfort measure in labor. Int J Childbirth Educ. 2018; 3(1): 30–34.
  3. Rusthon DN. Electrical stimulation in the treatment of pain. Disabil Rehabil. 2002; 24(8): 407–416.
  4. Melzack R, Wall P. Tajemnica bólu. Kraków (PL) Wydawnictwo WAM. ; 2006.
  5. Woldriczek J. Patofizjologia bólu receptorowego. Nowa Klin. 2000; 7(9): 917–923.
  6. Woodward J, Kelly SM. A pilot study for a randomised controlled trial of waterbirth versus land birth. BJOG. 2004; 111(6): 537–545.
  7. Bączyk G, Cybulska V, Koźlak V, et al. Poziom lęku przedporodowego u kobiet w ciąży. Probl Hig Epidemiol. 2011; 92(4): 774–777.
  8. Poręba R, Sioma – Markowska U, Poręba A. Poród w ujęciu interdyscyplinarnym. Perina-tol Neonatol Ginekol. 2008; 1(2): 149–151.
  9. Kaplan B, Rabinerson D, Lurie S, et al. Transcutaneous electrical nerve stimulation (TENS) for adjuvant pain-relief during labor and delivery. Int J Gynaecol Obstet. 1998; 60(3): 251–255.
  10. Spank JTv, Cambier DC, Paepe HDe, et al. Pain relief in labour by transcutaneous electrical nerve stimulation (TENS). Archives of Gynecology and Obstetrics. 2000; 264(3): 131–136.
  11. Báez-Suárez A, Martín-Castillo E, García-Andújar J, et al. Evaluation of different doses of transcutaneous nerve stimulation for pain relief during labour: a randomized controlled trial. Trials. 2018; 19(1): 652.
  12. Suárez AB, Castillo EM, Andujar JG, et al. Satisfaction in the management of pain during labour with the use of transcutaneous nerve stimulation. Annals of Physical and Rehabilitation Medicine. 2018; 61: e476.
  13. Czech I, Fuchs P, Fuchs A, et al. Pharmacological and Non-Pharmacological Methods of Labour Pain Relief-Establishment of Effectiveness and Comparison. Int J Environ Res Public Health. 2018; 15(12).
  14. Shahoei R, Shahghebi S, Rezaei M, et al. The effect of transcutaneous electrical nerve stimulation on the severity of labor pain among nulliparous women: A clinical trial. Complement Ther Clin Pract. 2017; 28: 176–180.
  15. Augustinsson LE, Bohlin P, Bundsen P, et al. Pain relief during delivery by transcutaneous electrical nerve stimulation. Pain. 1977; 4(1): 59–65.
  16. Santana LS, Gallo RB, Ferreira CH, et al. Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial. J Physiother. 2016; 62(1): 29–34.