Effect of transcutaneous electrical nerve stimulation and maternal positioning on pain and satisfaction of labour among primigravida women during the first stage of labour: an analytical case series

Authors

  • S. Christy Sopna Department of Physiotherapy, College of Allied Health Sciences, East Coast Institute of Medical Sciences, Puducherry, India
  • Beulah D. Jebakani Department of Physiotherapy, Mother Theresa Postgraduate and Research Institute of Health Sciences, Government of Puducherry Institution, Puducherry, India
  • Sabita P. Department of Obstetrics and Gynaecology, Indira Gandhi Medical College and Research Institute, Government of Puducherry, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20242829

Keywords:

Non-pharmacological treatment, Maternal mobility, Physiotherapy, Maternal care

Abstract

Labour is a physiological process in which mechanical and hormonal events influence the foetus expulsion through uterine contraction. Labour is commonly divided into three different stages. The first stage, or dilatative stage, is the phase when the dilatation of the uterine cervix occurs. This study aims to find out the effect of transcutaneous electrical nerve stimulation (TENS) and maternal positioning on pain and satisfaction among women undergoing labour. This is a case series based on convenience sampling among 12 primigravida women in the labour department, Indira Gandhi Medical College and Research Institute, Puducherry. The participants were divided into two groups based on patient convenience. Group A received conventional treatment and Group B received TENS and maternal positioning during the first stage of labour in addition to conventional treatment. The post-interventional assessment is taken in both the groups and results are interpreted. There was a reduction in the pain intensity and improved maternal satisfaction in the intervention group than the control group. Transcutaneous electrical nerve stimulation (TENS) and maternal positioning are feasible, affordable methods of reducing pain and improving maternal satisfaction that can be used to lower the fear of pain among primigravida, increase maternal mobility during labour, enhance maternal care, have a positive experience in labour, and improve women's quality of life.

Metrics

Metrics Loading ...

References

Santana LS, Gallo RB, Ferreira CH, Duarte G, Quintana SM, Marcolin AC. Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial. J Physiother. 2016;62(1):29-34.

Zhang J, Landy HJ, Ware Branch D, Burkman R, Haberman S, Gregory KD, et al. Consortium on Safe Labor. Contemporary patterns of spontaneous labor with normal neonatal outcomes. Obstet Gynecol. 2010;116(6):1281-7.

Farnham T. Reviewing pain management options for patients in active labor. Nursing. 2020;50(6):24-30.

Wong C. Advances in labor analgesia. Int J Womens Health. 2010;1:139-54.

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(3):251-5.

Lawrence A, Lewis L, Hofmeyr GJ, Styles C. Maternal positions and mobility during first stage labour. Cochrane Database Systematic Rev. 2013;8:CD003934.

Polden M, Mantle J. Physiotherapy in Obstetrics and Gynaecology. Butterworth-Heinemann Ltd. 1990.

Saxena KN, Shokeen S, Taneja B. Comparative evaluation of efficacy of transcutaneous electrical nerve stimulation administered by dermatomal stimulation versus acupuncture points stimulation. Northern J ISA. 2016;29-34.

Santana LS, Gallo RB, Ferreira CH, Duarte G, Quintana SM, Marcolin AC. Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial. J Physiother. 2016;62(1):29-34.

Lowe NK. The nature of labor pain. Am J Obstet Gynecol. 2002;186(5):S16-24.

Báez-Suárez A, Martín-Castillo E, García-Andújar J, García-Hernández JÁ, Quintana-Montesdeoca MP, Loro-Ferrer JF. Evaluation of different doses of transcutaneous nerve stimulation for pain relief during labour: a randomized controlled trial. Trials. 2018;19(1):1-10.

Comparative Obstetric Mobile Epidural Trial (COMET) Study Group UK. Effect of low-dose mobile versus traditional epidural techniques on mode of delivery: a randomised controlled trial. Lancet. 2001;358(9275):19-23.

Wilson MJA, MacArthur C, Cooper GM, Shennan A. Ambulation in labour and delivery mode: A randomized controlled trial of high-dose vs mobile epidural analgesia. Anaesthesia. 2009;64(3):266-72.

Regaya LB, Fatnassi R, Khlifi A, Fekih, Kebaili S, Soltan K, et al. Role of deambulation during labour: A prospective randomized study of 200 cases. J Obstet Gynecol Reprod Biol. 2010;39(8):656-62.

Lawrence A, Lewis L, Hofmeyr GJ, Dowswell T, Styles C. Maternal positions and mobility during first stage labour. Cochrane Database Syst Rev. 2013;10:CD003934.

Gupta JK, Sood A, Hofmeyr GJ, Vogel JP. Position in the second stage of labour for women without epidural anaesthesia. Cochrane Database Syst Rev. 2017;5(5):CD002006.

Uvnäs-Moberg K, Ekström-Bergström A, Berg M, Buckley S, Pajalic Z, Hadjigeorgiou E, et al. Maternal plasma levels of oxytocin during physiological childbirth - a systematic review with implications for uterine contractions and central actions of oxytocin. BMC Pregnancy Childbirth. 2019;19(1):285.

Gruss LT, Gruss R, Schmitt D. Pelvic breadth and locomotor kinematics in human evolution. Anatomical Record. 2017;300(4):739-51.

World Health Organization. WHO recommendations on intrapartum care for a positive childbirth experience. 2018. Available at: https://www.who.int/ publications/i/item/9789241550215. Accessed on 01 July 2024.

Downloads

Published

2024-09-26

How to Cite

Sopna, S. C., Jebakani, B. D., & P., S. (2024). Effect of transcutaneous electrical nerve stimulation and maternal positioning on pain and satisfaction of labour among primigravida women during the first stage of labour: an analytical case series. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 13(10), 2900–2904. https://doi.org/10.18203/2320-1770.ijrcog20242829

Issue

Section

Case Series