Transcutaneous Electrical Nerve Stimulation As A Pain-Relieving Approach in Labor Pain: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Neuromodulation : Journal of the International Neuromodulation Society
Kenoja ThuvarakanParisa Gazerani

Abstract

Transcutaneous electrical nerve stimulation (TENS) is a non-invasive electrophysical pain-relieving modality that also can be used in labor pain. Compared to other methods, TENS is not commonly practiced in intrapartum care due to a lack of knowledge about its clinical efficacy. Hence, a comprehensive overview of all types of randomized controlled trials (RCTs) on TENS can provide a better insight into this method and its efficacy in labor pain. To perform a systematic review to assess the efficacy of TENS for labor pain control compared to other treatments. PubMed, Cochrane Library, Embase, and Web of Science databases were searched for studies using keywords "TENS" combined with "labor pain" and "labor." Eligible criteria included RCTs, full-text studies, English, and Danish literature, whereas exclusion criteria included animal studies and abstracts. The selection of eligible items and assessment of methodological quality were performed independently by two researchers (KT and PG). A meta-analysis was performed to analyze the treatment effects on pain intensity reduction, additional analgesia, and satisfaction of TENS. Twenty-six RCTs were included in this review involving a total of 3348 parturients. TENS showed significant...Continue Reading

References

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