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Chinese Journal of Integrative Medicine

, Volume 16, Issue 3, pp 234–238 | Cite as

Transcutaneous electrical nerve stimulation on acupoints relieves labor pain: A non-randomized controlled study

  • Ting Peng (彭 婷)
  • Xiao-tian Li (李笑天)
  • Shu-feng Zhou (周树峰)
  • Yu Xiong (熊 钰)
  • Yuan Kang (康 媛)
  • Hai-dong Cheng (程海东)
Original Article

Abstract

Objective

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.

Methods

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.

Results

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.

Conclusion

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.

Keywords

labor pain transcutaneous electrical nerve stimulation acupoint 

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References

  1. 1.
    Ramnero A, Hanson U, Kihlgren M. Acupuncture treatment during labor—a randomised controlled trial. BJOG 2002;109:637–644.PubMedGoogle Scholar
  2. 2.
    Skilnand E, Fossen D, Heiberg E. Acupuncture in the management of pain in labor. Acta Obstet Gynecol Scand 2002;81:943–948.PubMedGoogle Scholar
  3. 3.
    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.CrossRefPubMedGoogle Scholar
  4. 4.
    Nesheim BI, Kinge R. Performance of acupuncture as labor analgesia in the clinical setting. Acta Obstet Gynecol Scand 2006;85:441–443.CrossRefPubMedGoogle Scholar
  5. 5.
    Lee H, Ernst E. Acupuncture for labor pain management: A systematic review. Am J Obstet Gynecol 2004;191:1573–1579.CrossRefPubMedGoogle Scholar
  6. 6.
    Miller Jones CM. Transcutaneous nerve stimulation in Labor. Anaesthesia 1980;35:372–375.CrossRefPubMedGoogle Scholar
  7. 7.
    Grim LC, Morey SH. Transcutaneous electrical nerve stimulation for relief of parturition pain: a clinical report. Phys Ther 1985;65:337–340.PubMedGoogle Scholar
  8. 8.
    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.PubMedGoogle Scholar
  9. 9.
    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.CrossRefGoogle Scholar
  10. 10.
    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.Google Scholar
  11. 11.
    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.CrossRefGoogle Scholar
  12. 12.
    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.CrossRefPubMedGoogle Scholar
  13. 13.
    Fox EJ, Melzack R. Transcutaneous electrical stimulation and acupuncture: comparison of treatment for low-back pain. Pain 1976;2:141–148.CrossRefPubMedGoogle Scholar
  14. 14.
    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.CrossRefGoogle Scholar
  15. 15.
    Bo QX, Zhang JX. Observation on therapeutic effect of scalp acupuncture analgesia on labor. Chin Acupunct Moxib (Chin) 2006;26:659–661.Google Scholar
  16. 16.
    Robson JE. Transcutaneous nerve stimulation for pain relief in labor. Anaesthesia 1979;34:357–360.CrossRefPubMedGoogle Scholar
  17. 17.
    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.CrossRefPubMedGoogle Scholar
  18. 18.
    Melzack R, Wall PD. Pain mechanisms: a new theory. Science 1965;150:971–979.CrossRefPubMedGoogle Scholar
  19. 19.
    Sjolund B, Terenius L, Eriksson M. Increased cerebrospinal fluid levels of endorphins after electro-acupuncture. Acta Physiol Scand 1977;100:382–384.CrossRefPubMedGoogle Scholar
  20. 20.
    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.CrossRefPubMedGoogle Scholar
  21. 21.
    Han JS. Acupuncture and endorphins. Neurosci Lett 2004;361:258–261.CrossRefPubMedGoogle Scholar
  22. 22.
    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.CrossRefPubMedGoogle Scholar

Copyright information

© Chinese Association of the Integration of Traditional and Western Medicine and Springer-Verlag Berlin Heidelberg 2010

Authors and Affiliations

  • Ting Peng (彭 婷)
    • 1
  • Xiao-tian Li (李笑天)
    • 1
  • Shu-feng Zhou (周树峰)
    • 2
  • Yu Xiong (熊 钰)
    • 1
  • Yuan Kang (康 媛)
    • 1
  • Hai-dong Cheng (程海东)
    • 1
  1. 1.Obstetrics and Gynecology Hospital of Fudan UniversityShanghaiChina
  2. 2.Queensland College of Life Science and Technology UniversityQueenslandAustralia

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