Transcutaneous electrical nerve stimulation (TENS) for pain management in labour

Dowswell, Therese; Bedwell, Carol; Lavender, Tina; Neilson, James P

doi:10.1002/14651858.cd007214.pub2

Cited by 172 publications

(129 citation statements)

References 52 publications

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“…The results of the present systematic review are similar to those of three other systematic reviews published in 1997 20 , 2009 21 and 2010 22 about TENS and pain relief during labor. Carroll et al 20 analyzed eight studies with a total of 712 women.…”

Section: Discussionsupporting

confidence: 88%

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Mello

Nóbrega²,

Lemos

2011

Rev. bras. fisioter.

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Background: Transcutaneous electrical stimulation (TENS) is a non-pharmacological pain relief method. It is an auxiliary method and not intended to replace other techniques. Objectives: To perform a systematic review assessing the effectiveness of TENS compared to no TENS treatment or placebo with the following outcomes: pain relief (primary outcome), analgesic requirements, duration of labor, the mother's satisfaction, type of delivery and fetal repercussions (secondary outcomes). Methods: The Pubmed, LILACS and Scielo databases were searched for randomized controlled trials and quasi-randomized trials published between 1966 and 2008 using the keywords 'TENS', 'Labor', 'Labor pain' and 'obstetric labor'. The selection of eligible items and assessment of methodological quality were performed independently by two researchers. Random effects meta-analysis was performed for studies that were sufficiently homogeneous. Results: Nine studies involving a total of 1076 pregnant women were included. There was no statistically significant difference between groups in pain relief during labor (pooled RR = 1.09, 95% CI = 0.72 to 1.65) or the need of additional analgesia (pooled RR = 0.89, 95% CI = 0.74 to 1.08). There was no evidence that TENS interfered in any of the outcomes except the mothers' desire to use TENS in future deliveries. Conclusions: The use of TENS had no impact on mother or child and no influence on labor.According to the results of this review, there is no evidence that TENS reduces the use of additional analgesia.Keywords: Transcutaneous Electrical Nerve stimulation; labor pain; obstetric analgesia; labor, obstetric. ResumoContextualização: A estimulação elétrica transcutânea (EET) é um método não farmacológico utilizado no alívio da dor do trabalho de parto. Sua aplicação representa um método adjuvante que não se propõe a substituir outras técnicas. Objetivos: Desenvolver uma revisão sistemática para avaliar a eficácia da EET comparada à ausência de EET ou placebo, segundo os desfechos: alívio da dor do trabalho de parto (desfecho primário), uso de analgesia complementar, duração do trabalho de parto, satisfação da parturiente, tipo de parto e repercussões fetais (desfechos secundários). Métodos: Realizou-se uma busca sistemática nas bases de dados PubMed, LILACS e SCIELO por ensaios clínicos randomizados e quasi-randomizados, publicados entre 1966 e 2008. As palavras-chave utilizadas foram 'TENS', 'labor', 'labor pain' e 'labor obstetric'. A seleção de artigos elegíveis e a avaliação de sua qualidade metodológica foram feitas independentemente por dois revisores. Meta-análises de efeitos randômicos foram realizadas quando estudos que investigavam um mesmo desfecho eram suficientemente homogêneos. Resultados: Nove estudos, incluindo 1076 gestantes, foram selecionados. Não houve diferença significativa entre os grupos no alívio da dor do parto (pooled RR=1,09; 95%IC=0,72-1,65) ou na necessidade de analgesia complementar (pooled RR=0,89; 95%IC=0,74-1,08). Não se observou evidência da interferência...

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Section: Discussionsupporting

confidence: 88%

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Mello

Nóbrega²,

Lemos

2011

Rev. bras. fisioter.

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“…The efficacy of acupressure, aromatherapy, audio analgesia, relaxation or massage has not been established Level I). TENS reduced reports of severe pain during labour, but a consistent reduction in pain scores or in requirements for other analgesia could not be confirmed (Dowswell et al, 2009 Level I). Few complementary therapies have been carefully studied in well-designed trials with clinically relevant outcomes, and sample sizes have been small Level I).…”

Section: Complementary and Other Methods Of Pain Relief In Labourmentioning

confidence: 90%

“…Overall, there appeared to be no good evidence for any analgesic effect of TENS during labour although severe pain was less likely to be reported in women receiving TENS to acupuncture points (Dowswell et al, 2009 Level I).…”

Section: Tens Was Of Value In the Treatment Of Primary Dysmenorrhoea mentioning

confidence: 94%

Safety of opioid patch initiation in Australian residential aged care

Gadzhanova

Roughead

Pont

2015

Medical Journal of Australia

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Objective: To explore opioid use by aged care facility residents before and after initiation of transdermal opioid patches. Design: A cross‐sectional cohort study, analysing pharmacy data on individual patient supply between 1 July 2008 and 30 September 2013. Setting: Sixty residential aged care facilities in New South Wales. Participants: Residents receiving an initial opioid patch during the study period. Main outcome measure: The proportion of residents who were opioid‐naive in the 4 weeks prior to patch initiation was determined. In addition, the patch strength at initiation and the daily dose of transdermal patches and of additional opioids 1 month after initiation were determined. Results: An opioid patch was initiated in 596 of 5297 residents (11.3%: 2.6% fentanyl, 8.7% buprenorphine) in the 60 residential aged care facilities. The mean age at initiation was 87 years, and 74% of the recipients were women. The proportion of recipients who were opioid‐naive before patch initiation was 34% for fentanyl and 49% for buprenorphine. Most were initiated at the lowest available patch strength, and the dose was up‐titrated after initiation. Around 15% of fentanyl users and 10% of buprenorphine users needed additional regular opioids after patch initiation. Conclusions: The results suggest some inappropriate initiation of opioid patches in Australian residential aged care facilities. Contrary to best practice, a third of residents initiated on fentanyl patches were opioid‐naive in the 4 weeks before initiation.

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“…For the first time this technique was suggested by Melzack and Wall expressing its effect mechanism according to gate control theory [19,20]. Moreover, TENS relieves and makes active the internal narcotic system of the body [21,22].…”

Section: Translational Biomedicine Issn 2172-0479mentioning

confidence: 99%

The Effectiveness of Tens (Transcutaneous Electrical Nerve Stimulation) in Reducing Pain during Replacing the Dressing in Hospitalized Patients in Burn Center of Sabzevar

Moghaddam¹,

Bordbar²,

Av³

et al. 2018

Transl Biomed

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Background and aim: A burning pain is considered among the most painful conditions experienced by burn patients, specifically, during changing the wound dressing. By using complementary therapies such as aromatherapy, hypnosis, music therapy, acupressure, TENS is considered as nurses' serious tasks and has special importance in pain controlling of patients. This study was accomplished to consider the effect of electrical nerve stimulation (TENS) through skin during replacing the wound dressing in hospitalized burn patients in burn ward of Sabzevar Vasee hospital.

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Transcutaneous electrical nerve stimulation (TENS) for pain management in labour

Cited by 172 publications

References 52 publications

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Estimulação elétrica transcutânea no alívio da dor do trabalho de parto: revisão sistemática e meta-análise

Safety of opioid patch initiation in Australian residential aged care

The Effectiveness of Tens (Transcutaneous Electrical Nerve Stimulation) in Reducing Pain during Replacing the Dressing in Hospitalized Patients in Burn Center of Sabzevar

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