The Effect of Transcutaneous Electrical Nerve Stimulation on Pain Intensity and Analgesic Consumption after Cesarean Section
Student Research in Translational Medicine,
Vol. 7 (2025),
1 March 2025
,
Page 1-6
https://doi.org/10.22037/srtm.v7.47107
Abstract
Background and Aim: Different approaches have been investigated to reduce pain after cesarean section. Among these measures is the use of non- pharmacological methods. Since the results of previous studies on the effect of Transcutaneous Electrical Nerve Stimulation (TENS) on reducing pain after cesarean section are of low certainty, this study was conducted with the aim of investigating the effect of TENS on pain intensity and consumption of analgesics after cesarean section.
Methods: In this clinical trial that was conducted in 2023 and 2024, for 40 women who underwent cesarean section under spinal anesthesia, pethidine and diclofenac or pethidine and diclofenac and TENS was administered with a frequency of 80 Hz and an intensity between 0 and 80 mA. The number of prescribed analgesics and pain intensity and patient satisfaction were investigated. Data analysis was done using SPSS version 16 statistical software and independent student t test, Mann- Whitney, Chi- squared and Repeated measures ANOVA statistical tests. P value less than 0.05 was considered significant.
Results: The data showed that the two groups had a significant difference only in the pain score in the second hour and the patients' satisfaction with the analgesia process, and the pain intensity in the other hours and the number of analgesics consumed in the two groups did not differ significantly.
Conclusion: The use of TENS after cesarean section reduces the pain in the second hour after the surgery, but it does not reduce the pain in the following hours and the use of analgesics after the cesarean section.
- Cesarean Section
- Pain Management
- Transcutaneous Electric Nerve Stimulation
- Analgesic
How to Cite
References
Betrán AP, Ye J, Moller AB, Zhang J, Gülmezoglu AM, Torloni MR. The Increasing Trend in Caesarean Section Rates: Global, Regional and National Estimates: 1990-2014. PLoS ONE 2016; 11 (2): e0148343.
Rafiei M, Saei Ghare Naz M, Akbari M, Kiani F, Sayehmiri F, Sayehmiri K. Prevalence, causes, and complications of cesarean delivery in Iran: A systematic review and meta analysis. Int J Reprod BioMed 2018; 16 (4): 221-234.
Shirzad M, Shakibazadeh E, Hajimiri Kh, Betran AP, Jahanfar Sh, Bohren MA. Prevalence of and reasons for women’s, family members’, and health professionals’ preferences for cesarean section in Iran: a mixed‑methods systematic review. Reprod Health 2021; 18:3.
Pharmacologic Stepwise Multimodal Approach for Postpartum Pain Management. Clinical Consensus No. 1. American College of Obstetricians and Gynecologists. Obstet Gynecol 2021; 138:507–17.
Kasapoğlu I, Kasapoğlu Aksoy M, Çetinkaya Demir B, Altan L. The efficacy of transcutaneous electrical nerve stimulation therapy in pain control after cesarean section delivery associated with uterine contractions and abdominal incision. Turk J Phys Med Rehab 2020;66(2):169-175.
Viderman D, Nabidollayeva F, Aubakirova M, Sadir N, Tapinova K, Tankacheyev R. The Impact of Transcutaneous Electrical Nerve Stimulation (TENS) on Acute Pain and Other Postoperative Outcomes: A Systematic Review with Meta-Analysis. J. Clin. Med. 2024;13: 427.
Ritter PL, González VM, Laurent DD, Lorig KR. Measurement of pain using the visual numeric scale. J Rheumatol 2006;33:574-80.
Reynolds RA, Gladstone N, Ansari AH. Transcutaneous electrical nerve stimulation for reducing narcotic use after cesarean section. J Reprod Med 1987; 32:843-6.
Johnson MI, Paley CA, Wittkopf PG, Mulvey MR, Jones G. Characterising the Features of 381 Clinical Studies Evaluating Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Relief: A Secondary Analysis of the Meta-TENS Study to Improve Future Research. Medicina 2022, 58, 803.
Zimpel SA, Torloni MR, Porfírio GJM, Flumignan RLG, da Silva EMK. Complementary and alternative therapies for post-caesarean pain. Cochrane Database of Systematic Reviews 2020, Issue 9. Art. No.: CD011216.
Bjordal JM, Johnson MI, Ljunggreen AE. Transcutaneous electrical nerve stimulation (TENS) can reduce postoperative analgesic consumption. A meta-analysis with assessment of optimal treatment parameters for postoperative pain. Eur J Pain 2003;7(2): 181-8.
Kurata NB, Ghatnekar RJ, Mercer E, Chin JM, Kaneshiro B, Yamasato KS. Transcutaneous Electrical Nerve Stimulation for Post–Cesarean Birth Pain Control. Obstet Gynecol 2022; 140:174–80.
Binder P, Gustafsson A, Uvnäs-Moberg K, Nissen E. Hi-TENS combined with PCA-morphine as post caesarean pain relief. Midwifery 2011;27(4):547-52.
Kayman-Kose S, Arioz DT, Toktas H, Koken G, Kanat-Pektas M, Kose M, Yilmazer M. Transcutaneous electrical nerve stimulation (TENS) for pain control after vaginal delivery and cesarean section. J Matern Fetal Neonatal Med 2014 Oct;27(15):1572-5.
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