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
·
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

Page views

1804

Article views/downloads

1396

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

References (16)
  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.

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