Comparison of Entonox and Transcutaneous Electrical Nerve Stimulation (TENS) in Labor Pain

Abstract

One of the concerns among mothers for delivery is labor pain. There are various methods to decrease labor pain, of which epidural anesthesia is an effective one, but not all mothers agree to receive this invasive intervention. Transcutaneous electrical nerve stimulation (TENS) is an inexpensive, safe, and easily applicable method which can be used in patient control mode. To find proper non-invasive methods to pain relief during labor this study was conducted to compare TENS, Entonox and combination of them during the first phase of labor. In this RCT study, 120 pregnant women in the age range of 20-40 years, singleton pregnancy, at 37-42 weeks’ gestation, at cervical dilatation of less than 4 cm in phase one of labor were selected and randomly divided into three groups including TENS, Entonox and combination group. Pain severity was recorded based on VAS at the time of presentation to the maternity unit, cervical dilatations of 4-6cm, 6-8cm, and 8-10cm and demographic characterizations. There were no significant differences regarding to age, parity, and BMI between the three groups. Pain was less severe in combination group compared to other two groups at cervical dilations of 4-6cm and 6-8cm. At cervical dilation of 8-10cm, VAS score was higher in Entonox group than in other two groups, but no significant difference existed between TENS and combination group. Duration of the first phase of labor was longer in TENS group than the other two groups. TENS is a non-invasive, safe, easy applicable and self-administered method with low rate of complications which can be used alone or in combination with other methods in relieving labor pain.

Journal of Medical and Biomedical Sciences (2017) 6(2), 11-16