Evaluation of the effectiveness of transcutaneous nerve stimulation during labor in breech presentation: a case series.
Autor: Báez Suárez, Aníbal; Martín Castillo, Estela; García Andújar, Josué; García Hernández, José Ángel; Quintana Montesdeoca, M. Pino; Loro Ferrer, Juan Francisco
Publication year: 2021
The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians
issn:1476-4954
doi: 10.1080/14767058.2019.1572110
Abstract:
Objective: To analyze the effectiveness of pain relief with transcutaneous electrical nerve stimulation (TENS) dispositive during labor in breech vaginal delivery and also to describe its tolerance and satisfaction.Design: A randomized, double-blind, and placebo-controlled trial was conducted.Setting: Labor room of Complejo Hospitalario Universitario Insular-Materno Infantil (Spain).Participants: Ten women who met the inclusion criteria of the clinical trial and also had a fetus breech presentation were randomly assigned to three groups.Interventions: A portable TENS, Cefar Rehab 2pro(®), unit was used to apply the experimental intervention, with different doses in the three groups in women during labor. The device intensity (amplitude) was individually adjusted to each participant’s maximum sensory level. The pain was evaluated with visual analog scale (VAS). COMFORTS scale was used to measure women’s satisfaction.Results: A significant association of VAS was detected depending on the type of TENS over time. Active TENS2 was the only group that obtained an improvement with clinically significant results. In connection with women satisfaction, active TENS2 group was also the group that presented higher values.Conclusions: We can recommend the use of TENS dispositive to relieve pain during labor, also in those women with breech presentation.
Language: eng
Rights:
Pmid: 30654675
Tags: Humans; Female; Pregnancy; Pain Measurement; Spain; pain; Pain Management; *Transcutaneous Electric Nerve Stimulation; *Breech Presentation/therapy; breech presentation; Transcutaneous nerve stimulation
Link: https://pubmed.ncbi.nlm.nih.gov/30654675/
