Effect of transcutaneous electrical nerve stimulation on labour pain relief among primigravida and multigravida mothers

Ramamoorthy Veyilmuthu, Sumathi Govindan, Mahalakshmi Venugopalan, Seetha Panicker


Background: TENS by neuro-physiological means seems to help in relieving labour pain. Most of the pregnant women are not aware of the coping strategies for labour pain. As a result they tend to be restless and stress themselves by shouting or screaming due to pain. By using TENS, women in labour can save their energy without stressing themselves and make use of the saved energy for pushing the fetus during the second stage of labour. The objective was to analyze the effect of TENS on relieving labour pain among the postnatal mothers who had used TENS to cope up with the labour pain.

Methods: Data collected from 1041 women [Primipara (n=702) and Multipara (n=339)] who used TENS to cope up pain throughout the labour was used for this retrospective study.

Results: 88% of women had vaginal delivery and only 12% of women had cesarean section. More than 50% of both primiparous and multiparous women who had normal and vacuum assisted vaginal delivery experienced excellent pain relief using TENS. Almost 40 % of both primiparous and multiparous women who had forceps delivery and lower segment cesarean section experienced excellent pain relief using TENS. Except 2% of women with normal vaginal delivery, none of them stated that there was no relief of pain using TENS.

Conclusions: TENS had a very good effect in coping up the labour pain and could be used during the first and second stages of labour.


Labour pain, Pain gate theory, TENS

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Mello LFD, Nobrega LF, Lemos A. Transcutaneous electrical stimulation for pain relief during labor: a systematic review and meta-analysis. Rev Bras Fisioter. 2011;15(3);175-84.

Padma, Prasanna A, Urala. Transcutaneous electrical nerve stimulation and labour pain. Bahrain Med Bull 2000;22(1):1-8.

Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database of Systematic Reviews. 2012;3:CD009234.

Bedwell C, Dowswell T, Neilson JP, Lavender T. The use of transcutaneous electrical nerve stimulation (TENS) for pain relief in labour: a review of the evidence. Midwifery. 2011;27(5):e149-8.

Santana LS, Gallo RBS, Ferreira CHJ, 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 Physiotherapy. 2016;62:29-34.

Thakur R, Patidar R. Comparative study of transcutaneous electrical nerve stimulation (TENS) and tramadol hydrochloride for pain relief in labor. J Obstet Gynecol Ind. 2004;54(4):346-50.

Ho LF, Lee ILY, Gy Ma G, “Intrapartum transcutaneous electrical nerve stimulation for pain relief and outcome of labour”, Hong Kong J Gynaecol Obstet Midwifery. 2011;11:54-8.

El-shamy FF, Saleh AG. Effect of electroacupoint in treatment of pain during first stage of labour. J Adv Biol. 2014;4(1):328-32.

Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Wom Health. 2004;49(6).

Alden KR, Lowdermilk DL, Cashion MC, Perry SE. Maternity and women’s health care. 10th Ed. Elsevier Health Sciences: 2013.

Pillitteri A. Maternal and child health nursing: care of the childbearing and childrearing family. Lippincott Williams and Wilkins: 2013.