The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

Mothers’ satisfaction with transcutaneous electrical nerve stimulation (TENS) in relieving post-episiotomy pain: A clinical trial study

Document Type : Original Article

Authors
Roonak Shahoei 1
Shahnaz Salavati Ghasemi 2
Neda Sheikh zakaryaee 3
Seyedeh Soma Zakariaee 4
1 Associate Professor, Department of Midwifery, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
2 Instructor, Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
3 Assistant Professor, Department of Nursing, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
4 Instructor, Department of Midwifery, School of Nursing and Midwifery, Kurdistan University of Medical Sciences, Sanandaj, Iran.
10.22038/ijogi.2022.21367
Abstract
Introduction: The goal of developing midwifery and maternal care is to create a safe delivery and increase maternal satisfaction from birth process. The present study was conducted aimed to evaluate mothers’ satisfaction with transcutaneous electrical nerve stimulation (TENS) in relieving post-episiotomy pain.
Methods: This randomized clinical trial was performed on 80 primiparous women referred to Sanandaj Besat Hospital in 2018. Patients were randomly divided into two groups: intervention (TENS-On) and placebo (TENS-Off) groups. TENS electrodes were located in the genitofemoral and pudendal nerves. The satisfaction from TENS was assessed by a researcher-made questionnaire. Data were analyzed using SPSS (version 20.0) and Pearson correlation, Independent t-test, Kruskal-Wallis, variance analysis, and Mann-Whitney tests. P<0.05 was considered statistically significant.
Results: The intervention and placebo groups had a high level of satisfaction. However, the mean satisfaction in the intervention group (17.35±1.96) was significantly higher than the placebo group (13.45±2.02) (p<0.001). There was no significant relationship between demographic variable and satisfaction level (p˃0.05).
Conclusion: TENS can have a noticeable effect on the level of maternal satisfaction. Therefore, it is suggested to implement TENS to reduce post-episiotomy pain in all maternity units in order to increase the level of satisfaction of patients and improve the level of mental health of mothers.
Keywords
Episiotomy
Pain
Satisfaction
Transcutaneous Electrical Nerve Stimulation
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 25, Issue 9
November 2022
Pages 11-21