Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: A non-randomized controlled study
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To investigate the efficacy of transcutaneous electrical nerve stimulation (TENS) on four specific acupuncture points Hegu (LI4), Neiguan (PC6), Danshu (BL19) and Weishu (BL21) for reducing pain in labor.
A total of 160 voluntary nulliparous women who were willing to receive TENS for analgesia were assigned to the treatment group after cervical dilation of more than 2 cm. Another 145 matched nullipara were recruited as the control group. Visual analogue scale (VAS) was used to assess the pain before and 0.5 h after the application of TENS. Then, VAS was assessed every one hour until delivery. Percentage of VAS score decreased by > 25% was the primary outcome, the delivery mode and neonatal outcome were measured as secondary outcomes. Adverse reactions were also recorded during TENS.
The percentage of VAS score decreased by > 25% was 68.6% in the TENS treatment group. Maternal delivery mode and neonatal outcomes were not significantly different between the two groups. In addition, the incidence of postpartum hemorrhage in the TENS treatment group was less than the control group (P<0.05). There was no adverse reaction recorded with TENS on acupoints.
As a novel and non-invasive approach, TENS on specific acupoints including Hegu (LI4), Neiguan (PC6), Danshu (BL19) and Weishu (BL21) was an effective method for analgesia in labor.
- Ramnero A, Hanson U, Kihlgren M. Acupuncture treatment during labor—a randomised controlled trial. BJOG 2002;109:637–644.
- Skilnand E, Fossen D, Heiberg E. Acupuncture in the management of pain in labor. Acta Obstet Gynecol Scand 2002;81:943–948.
- Nesheim B, Kinge R, Berg B, Alfredsson B, Allgot E, Hove G, et al. Acupuncture during labor can reduce the use of meperidine: a controlled clinical study. Clin J Pain 2003;19: 187–191. CrossRef
- Nesheim BI, Kinge R. Performance of acupuncture as labor analgesia in the clinical setting. Acta Obstet Gynecol Scand 2006;85:441–443. CrossRef
- Lee H, Ernst E. Acupuncture for labor pain management: A systematic review. Am J Obstet Gynecol 2004;191:1573–1579. CrossRef
- Miller Jones CM. Transcutaneous nerve stimulation in Labor. Anaesthesia 1980;35:372–375. CrossRef
- Grim LC, Morey SH. Transcutaneous electrical nerve stimulation for relief of parturition pain: a clinical report. Phys Ther 1985;65:337–340.
- Keenan DL, Simonsen L, McCrann DJ. Transcutaneous electrical nerve stimulation for pain control during labor and delivery: a case report. Phys Ther 1985;65:1363–1364.
- van der Spank JT, Cambier DC, De Paepe HM, Danneels LA, Witvrouw EE, Beerens L. Pain relief in labor by transcutaneous electrical nerve stimulation (TENS). Arch Obstet Gynecol 2000;264:131–136. CrossRef
- Carroll D, Tramer M, McQuay H, Nye B, Moore A. Transcutaneous electrical nerve stimulation in labor pain: a systematic review. Br J Obstet Gynecol 1997;104:169–175.
- Kaplan B, Rabinerson D, Lurie S, Bar J, Krieser UR, Neri A. Transcutaneous electrical nerve stimulation (TENS) for adjuvant pain-relief during labor and delivery. Int J Gynecol Obstet 1998;60:251–255. CrossRef
- van der Ploeg JM, Vervest HA, Liem AL, Schagen van Leeuwen JH. Transcutaneous nerve stimulation (TENS) during the first stage of labor: a randomized clinical trial. Pain 1996;68:75–78. CrossRef
- Fox EJ, Melzack R. Transcutaneous electrical stimulation and acupuncture: comparison of treatment for low-back pain. Pain 1976;2:141–148. CrossRef
- Cabrera MC, Schmied S, Derderian T, White PF, Vega R, Santelices E, et al. Efficacy of electroacupuncture and TENS in the rehabilitation of chronic low back pain patients. Pain 1986;26:277–290. CrossRef
- Bo QX, Zhang JX. Observation on therapeutic effect of scalp acupuncture analgesia on labor. Chin Acupunct Moxib (Chin) 2006;26:659–661.
- Robson JE. Transcutaneous nerve stimulation for pain relief in labor. Anaesthesia 1979;34:357–360. CrossRef
- Chao AS, Chao A, Wang TH, Chang YC, Peng HH, Chang SD, et al. Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: a randomized double-blind placebo-controlled trial. Pain 2007;127:214–220. CrossRef
- Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971–979. CrossRef
- Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-acupuncture. Acta Physiol Scand 1977;100:382–384. CrossRef
- Cabrera MC, Schmied S, Derderian T, White PF, Vega R, Santelices E, et al. Efficacy of oral rofecoxib versus intravenous ketoprofen as an adjuvant to PCA morphine after urologic surgery. Acta Anaesthesiol Scand 2004;48:1190–1193. CrossRef
- Han JS. Acupuncture and endorphins. Neurosci Lett 2004;361:258–261. CrossRef
- Maeda Y, Lisi TL, Vance CG, Sluka KA. Release of GABA and activation of GABA(A) in the spinal cord mediates the effects of TENS in rats. Brain Res 2007;1136:43–50. CrossRef
- Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: A non-randomized controlled study
Chinese Journal of Integrative Medicine
Volume 16, Issue 3 , pp 234-238
- Cover Date
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- Online ISSN
- Chinese Association of Traditional and Western Medicine
- Additional Links
- transcutaneous electrical nerve stimulation
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- Author Affiliations
- 1. Obstetrics and Gynecology Hospital of Fudan University, Shanghai, 200011, China
- 2. Queensland College of Life Science and Technology University, Queensland, Australia