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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-Kulesza, Katarzyna M. Pawlowska, Jakub Pawlowski, Agnieszka Grochulska, Marcelina Belkius, Izabela Jerzak
DOI: 10.5603/GP.a2021.0026
·
Pubmed: 33844262

open access

Ahead of Print
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.

Get Citation

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

Ahead of Print

Article type

Research paper

Published online

2021-04-08

DOI

10.5603/GP.a2021.0026

Pubmed

33844262

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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