Transcutaneous nerve stimulation in labour

Jones, C. M.

doi:10.1111/j.1365-2044.1980.tb05121.x

Cited by 22 publications

(13 citation statements)

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“…The five studies 4,14,16,18,19 involving placebo TENS used an inoperative unit otherwise identical to that of the experimental group whose power light came on. The studies by Erkkola, Pikkola and Kanto 15 , Miller Jones 5 and Van der Spank et al 17 used a control group without TENS. Lee et al 3 used two groups (placebo and control without TENS), although information on the inoperative unit was not provided.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding other aspects of methodological quality, there was no blinding in only three studies 5,15,17 and no study performed an intention-to-treat analysis. Allocation was adequately concealed in four studies 4,14,16,18 (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…In the study by Knobel, Radunz and Carraro 18 , a limited interaction strategy was used (researchers avoided questions or comments that allowed patients to notice whether the treatment was real or not). Other studies 3,5,[14][15][16][17]19 did not specify what information was given to the mothers in the group without TENS and/or the placebo group.…”

Section: Resultsmentioning

confidence: 99%

“…A total of nine studies from different countries were included. Two of them were randomized controlled trials 4,14 , four were quasirandomized controlled trials [15][16][17][18] and three studies 3,5,19 did not report the method of randomization.…”

Section: Resultsmentioning

confidence: 99%

“…Drugs, epidural analgesia, local anesthetic blockades, acupuncture, psychoprophylactic methods and transcutaneous electrical nerve stimulation (TENS) are among the alternatives for reducing pain during labor 2,3 . TENS is widely used for chronic or postoperative pain control, either replacing or complementing analgesic drugs 4,5 , and is based on the Gate Theory of Pain proposed by Melzack and Wall 6 in 1965. According to this theory, the modulation of pain perception induced by TENS is attributed to the recruitment of Aβ-afferent fibers in the posterior horn of the spinal cord, which would prevent or hamper the activation of the pain-conducting thin fibers 7. It is postulated that electrical stimulation through the skin would both inhibit the transmission of painful impulses through the spinal cord and stimulate the liberation of endogenous opioids by the brain 8 .…”

Section: Introductionmentioning

confidence: 99%

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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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

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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Pain relief in labour by transcutaneous electrical nerve stimulation (TENS)

Spank

Cambier

Paepe

et al. 2000

Archives of Gynecology and Obstetrics

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For several years Transcutaneous Electrical Nerve Stimulation (TENS) has been used in the management of chronic and acute pain. The aim of this trial was to determine its effectiveness in providing pain relief during labour as well as its influence on the incidence of requests for epidural analgesia. The experimental group (receiving TENS by a burst - conventional obstetric TENS-apparatus) and the control population (not receiving TENS) consisted of 24 and 35 women respectively. In the experimental group the TENS application was switched off for a period of 15 min. The 24 women were asked to point out the intensity of their pain on a visual analogue scale before, during and after this temporary interruption. Two days postpartum the parturient's satisfaction was evaluated by two questions, a procedure which revealed that 96% degree of satisfaction. The incidence of epidural analgesia in the experimental group was compared to the control-group. During TENS application the pain scores were significantly lower (p<0.0001), but no statistically significant difference in incidence of epidural analgesia was found between the experimental group and the control group.

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