Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: A randomized double-blind placebo-controlled trial
Transcutaneous electrical nerve stimulation (TENS) is one of the non-pharmacological means of pain relief for labor and delivery. We aimed to investigate the efficacy and safety of TENS on specific acupuncture points for reducing pain in the first stage of labor. In this double-blind, placebo-contro...
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| Veröffentlicht in: | Pain (Amsterdam) 2007-02, Vol.127 (3), p.214-220 |
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| creator | Chao, An-Shine Chao, Angel Wang, Tzu-Hao Chang, Yu-Cheng Peng, Hsiu-Huei Chang, Shuenn-Dyh Chao, Anne Chang, Chee-Jen Lai, Chyong-Huey Wong, Alice M.K. |
| description | Transcutaneous electrical nerve stimulation (TENS) is one of the non-pharmacological means of pain relief for labor and delivery. We aimed to investigate the efficacy and safety of TENS on specific acupuncture points for reducing pain in the first stage of labor. In this double-blind, placebo-controlled trial, we randomly assigned healthy full-term parturients in active phase of first-stage labor to either TENS on four acupuncture points (Hegu [Li 4] and Sanyinjiao [Sp 6]) (
n
=
52) or the TENS placebo (
n
=
53). Visual analogue scale (VAS) was used to assess pain before and 30 and 60
min after treatment. The primary outcome was the rate of VAS score decrease ⩾3 in each group. A questionnaire was given at 24
h post-partum to evaluate the satisfaction of pain relieving method and the willingness to have the same treatment again. Mode of delivery and neonatal effect were measured as secondary outcome. One hundred women were eligible for analysis. TENS group experienced VAS score reduction ⩾3 significantly more common than the TENS placebo group (31/50 [62%] vs 7/50 [14%],
P
<
0.001). Willingness of using the same analgesic method for a future childbirth was also significantly different (TENS: 48/50 [96%] vs TENS placebo: 33/50 [66%],
P
<
0.001). Operative delivery was increased in the TENS group (12/50 [24%] vs 4/50 [8%],
P
=
0.05), but the neonatal outcomes were not different. The application of TENS on specific acupuncture points could be a non-invasive adjunct for pain relief in the first stage of labor. |
| doi_str_mv | 10.1016/j.pain.2006.08.016 |
| format | Article |
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n
=
52) or the TENS placebo (
n
=
53). Visual analogue scale (VAS) was used to assess pain before and 30 and 60
min after treatment. The primary outcome was the rate of VAS score decrease ⩾3 in each group. A questionnaire was given at 24
h post-partum to evaluate the satisfaction of pain relieving method and the willingness to have the same treatment again. Mode of delivery and neonatal effect were measured as secondary outcome. One hundred women were eligible for analysis. TENS group experienced VAS score reduction ⩾3 significantly more common than the TENS placebo group (31/50 [62%] vs 7/50 [14%],
P
<
0.001). Willingness of using the same analgesic method for a future childbirth was also significantly different (TENS: 48/50 [96%] vs TENS placebo: 33/50 [66%],
P
<
0.001). Operative delivery was increased in the TENS group (12/50 [24%] vs 4/50 [8%],
P
=
0.05), but the neonatal outcomes were not different. The application of TENS on specific acupuncture points could be a non-invasive adjunct for pain relief in the first stage of labor.</description><identifier>ISSN: 0304-3959</identifier><identifier>EISSN: 1872-6623</identifier><identifier>DOI: 10.1016/j.pain.2006.08.016</identifier><identifier>PMID: 17030438</identifier><identifier>CODEN: PAINDB</identifier><language>eng</language><publisher>Amsterdam: Elsevier B.V</publisher><subject>Acupuncture Analgesia - methods ; Acupuncture Points ; Adult ; Analgesia, Obstetrical - methods ; Analgesics ; Biological and medical sciences ; Double-Blind Method ; Electroacupuncture - methods ; Female ; Humans ; Labor Pain - diagnosis ; Labor Pain - therapy ; Medical sciences ; Miscellaneous ; Neuropharmacology ; Pain ; Pain Measurement ; Pharmacology. Drug treatments ; Placebo Effect ; Pregnancy ; Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) ; Randomized control trial ; Transcutaneous electrical stimulus ; Treatment Outcome</subject><ispartof>Pain (Amsterdam), 2007-02, Vol.127 (3), p.214-220</ispartof><rights>2007</rights><rights>Lippincott Williams & Wilkins, Inc.</rights><rights>2007 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5204-fc5510d5ecbd5b0e23e87608c79849a79be75419f8cc755238029f42b940a2443</citedby><cites>FETCH-LOGICAL-c5204-fc5510d5ecbd5b0e23e87608c79849a79be75419f8cc755238029f42b940a2443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=18460924$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17030438$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chao, An-Shine</creatorcontrib><creatorcontrib>Chao, Angel</creatorcontrib><creatorcontrib>Wang, Tzu-Hao</creatorcontrib><creatorcontrib>Chang, Yu-Cheng</creatorcontrib><creatorcontrib>Peng, Hsiu-Huei</creatorcontrib><creatorcontrib>Chang, Shuenn-Dyh</creatorcontrib><creatorcontrib>Chao, Anne</creatorcontrib><creatorcontrib>Chang, Chee-Jen</creatorcontrib><creatorcontrib>Lai, Chyong-Huey</creatorcontrib><creatorcontrib>Wong, Alice M.K.</creatorcontrib><title>Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: A randomized double-blind placebo-controlled trial</title><title>Pain (Amsterdam)</title><addtitle>Pain</addtitle><description>Transcutaneous electrical nerve stimulation (TENS) is one of the non-pharmacological means of pain relief for labor and delivery. We aimed to investigate the efficacy and safety of TENS on specific acupuncture points for reducing pain in the first stage of labor. In this double-blind, placebo-controlled trial, we randomly assigned healthy full-term parturients in active phase of first-stage labor to either TENS on four acupuncture points (Hegu [Li 4] and Sanyinjiao [Sp 6]) (
n
=
52) or the TENS placebo (
n
=
53). Visual analogue scale (VAS) was used to assess pain before and 30 and 60
min after treatment. The primary outcome was the rate of VAS score decrease ⩾3 in each group. A questionnaire was given at 24
h post-partum to evaluate the satisfaction of pain relieving method and the willingness to have the same treatment again. Mode of delivery and neonatal effect were measured as secondary outcome. One hundred women were eligible for analysis. TENS group experienced VAS score reduction ⩾3 significantly more common than the TENS placebo group (31/50 [62%] vs 7/50 [14%],
P
<
0.001). Willingness of using the same analgesic method for a future childbirth was also significantly different (TENS: 48/50 [96%] vs TENS placebo: 33/50 [66%],
P
<
0.001). Operative delivery was increased in the TENS group (12/50 [24%] vs 4/50 [8%],
P
=
0.05), but the neonatal outcomes were not different. The application of TENS on specific acupuncture points could be a non-invasive adjunct for pain relief in the first stage of labor.</description><subject>Acupuncture Analgesia - methods</subject><subject>Acupuncture Points</subject><subject>Adult</subject><subject>Analgesia, Obstetrical - methods</subject><subject>Analgesics</subject><subject>Biological and medical sciences</subject><subject>Double-Blind Method</subject><subject>Electroacupuncture - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Labor Pain - diagnosis</subject><subject>Labor Pain - therapy</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Neuropharmacology</subject><subject>Pain</subject><subject>Pain Measurement</subject><subject>Pharmacology. Drug treatments</subject><subject>Placebo Effect</subject><subject>Pregnancy</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Randomized control trial</subject><subject>Transcutaneous electrical stimulus</subject><subject>Treatment Outcome</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UctuFDEQHCEQWQI_wAH5AoLDLD2el424RFECSBEgEc6Wx9OT9eK1Bz8Sbb6LD8TDrpQbF9vqrqpuVxXFywrWFVTd--16ltquKUC3BrbOpUfFqmI9LbuO1o-LFdTQlDVv-UnxLIQtAFBK-dPipOqXVs1WxZ_vWYJ4NBonMuyJnGez1_aGRC9tUClKiy4FggZV9FpJQyz6WyQh6l0yMmpnydvri68_3pH8kirNyaqYPJLZaRsDGZP_p7dBMmkfYmbKGyRuIkYOzn8gZySPGt1O3-NIRpcGg-VgtB3JbKTCwZXK2eidMbmfd5DmefFkkibgi-N9Wvy8vLg-_1xeffv05fzsqlQtzT-fVNtWMLaohrEdAGmNrO-AqZ6zhsueD9i3TcUnplTftrRmQPnU0IE3IGnT1KfFm4Pu7N3vhCGKnQ4KjTmYIjrGKe0ZZCA9AJV3IXicxOz1Tvq9qEAsWYmtWLISS1YCmMilTHp1VE_DDscHyjGcDHh9BMiQjZ-yTUqHBxxrOuB0WbM54O6ciejDL5Pu0IsNShM3IqcOXc27Ms_uIR9QLqWF9vFAw2zhrc6MoDRahaP2OWwxOv2_9f8C4U_FNw</recordid><startdate>20070201</startdate><enddate>20070201</enddate><creator>Chao, An-Shine</creator><creator>Chao, Angel</creator><creator>Wang, Tzu-Hao</creator><creator>Chang, Yu-Cheng</creator><creator>Peng, Hsiu-Huei</creator><creator>Chang, Shuenn-Dyh</creator><creator>Chao, Anne</creator><creator>Chang, Chee-Jen</creator><creator>Lai, Chyong-Huey</creator><creator>Wong, Alice M.K.</creator><general>Elsevier B.V</general><general>Lippincott Williams & Wilkins, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20070201</creationdate><title>Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: A randomized double-blind placebo-controlled trial</title><author>Chao, An-Shine ; Chao, Angel ; Wang, Tzu-Hao ; Chang, Yu-Cheng ; Peng, Hsiu-Huei ; Chang, Shuenn-Dyh ; Chao, Anne ; Chang, Chee-Jen ; Lai, Chyong-Huey ; Wong, Alice M.K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5204-fc5510d5ecbd5b0e23e87608c79849a79be75419f8cc755238029f42b940a2443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Acupuncture Analgesia - methods</topic><topic>Acupuncture Points</topic><topic>Adult</topic><topic>Analgesia, Obstetrical - methods</topic><topic>Analgesics</topic><topic>Biological and medical sciences</topic><topic>Double-Blind Method</topic><topic>Electroacupuncture - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Labor Pain - diagnosis</topic><topic>Labor Pain - therapy</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Neuropharmacology</topic><topic>Pain</topic><topic>Pain Measurement</topic><topic>Pharmacology. Drug treatments</topic><topic>Placebo Effect</topic><topic>Pregnancy</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Randomized control trial</topic><topic>Transcutaneous electrical stimulus</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chao, An-Shine</creatorcontrib><creatorcontrib>Chao, Angel</creatorcontrib><creatorcontrib>Wang, Tzu-Hao</creatorcontrib><creatorcontrib>Chang, Yu-Cheng</creatorcontrib><creatorcontrib>Peng, Hsiu-Huei</creatorcontrib><creatorcontrib>Chang, Shuenn-Dyh</creatorcontrib><creatorcontrib>Chao, Anne</creatorcontrib><creatorcontrib>Chang, Chee-Jen</creatorcontrib><creatorcontrib>Lai, Chyong-Huey</creatorcontrib><creatorcontrib>Wong, Alice M.K.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chao, An-Shine</au><au>Chao, Angel</au><au>Wang, Tzu-Hao</au><au>Chang, Yu-Cheng</au><au>Peng, Hsiu-Huei</au><au>Chang, Shuenn-Dyh</au><au>Chao, Anne</au><au>Chang, Chee-Jen</au><au>Lai, Chyong-Huey</au><au>Wong, Alice M.K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: A randomized double-blind placebo-controlled trial</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2007-02-01</date><risdate>2007</risdate><volume>127</volume><issue>3</issue><spage>214</spage><epage>220</epage><pages>214-220</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>Transcutaneous electrical nerve stimulation (TENS) is one of the non-pharmacological means of pain relief for labor and delivery. We aimed to investigate the efficacy and safety of TENS on specific acupuncture points for reducing pain in the first stage of labor. In this double-blind, placebo-controlled trial, we randomly assigned healthy full-term parturients in active phase of first-stage labor to either TENS on four acupuncture points (Hegu [Li 4] and Sanyinjiao [Sp 6]) (
n
=
52) or the TENS placebo (
n
=
53). Visual analogue scale (VAS) was used to assess pain before and 30 and 60
min after treatment. The primary outcome was the rate of VAS score decrease ⩾3 in each group. A questionnaire was given at 24
h post-partum to evaluate the satisfaction of pain relieving method and the willingness to have the same treatment again. Mode of delivery and neonatal effect were measured as secondary outcome. One hundred women were eligible for analysis. TENS group experienced VAS score reduction ⩾3 significantly more common than the TENS placebo group (31/50 [62%] vs 7/50 [14%],
P
<
0.001). Willingness of using the same analgesic method for a future childbirth was also significantly different (TENS: 48/50 [96%] vs TENS placebo: 33/50 [66%],
P
<
0.001). Operative delivery was increased in the TENS group (12/50 [24%] vs 4/50 [8%],
P
=
0.05), but the neonatal outcomes were not different. The application of TENS on specific acupuncture points could be a non-invasive adjunct for pain relief in the first stage of labor.</abstract><cop>Amsterdam</cop><pub>Elsevier B.V</pub><pmid>17030438</pmid><doi>10.1016/j.pain.2006.08.016</doi><tpages>7</tpages></addata></record> |
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| ispartof | Pain (Amsterdam), 2007-02, Vol.127 (3), p.214-220 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Acupuncture Analgesia - methods Acupuncture Points Adult Analgesia, Obstetrical - methods Analgesics Biological and medical sciences Double-Blind Method Electroacupuncture - methods Female Humans Labor Pain - diagnosis Labor Pain - therapy Medical sciences Miscellaneous Neuropharmacology Pain Pain Measurement Pharmacology. Drug treatments Placebo Effect Pregnancy Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Randomized control trial Transcutaneous electrical stimulus Treatment Outcome |
| title | Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: A randomized double-blind placebo-controlled trial |
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