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Re: TENS in laborFrom: Malcolm Griffiths (Malcolm@MGRIFF22.demon.co.uk)Sat Mar 28 05:07:43 1998
In message <351f5ba5.32479178@pop.fast.net>, Paul Prior MD <pprior@fast.net> writes >On Fri, 27 Mar 1998 15:52:42 -0600, you wrote: > >>Was wondering if anyone on the list has had experience with the use of >>TENS (either alone or to augment an epidural) for patients in labor >>with complaints of severe low back pain, presumed secondary to OP >>presentation? > >Have had 3 patient experiences. None of them worked to a significant >degree. 2 eventually got epidurals.... > >Just my anecdotal experience.... > >-- Just like N2O2/O2 (which we use and you guys don't have), we see lots of women using TENS. We probably have more TENS use in a day than other correspondents have seen in a life-times practise (typically 4-5 /day). They seem to offer some help. The scientific basis is slightly dubious. Anaestetic colleagues with particular expertise in pain management tell me that TENS is effecitve against low level chronic pain - whereas labour is high level and intermittent, acute pain. I too have seen many women who use them and end up with epidurals. Typically they are using TENS before they are even in established labour - once the contractions then start they need more effective relief - this is probably a threshold problem. In our unit women can buy their own TENS machine (rare), hire one from outside providers (need to do this for home births or if they wish to use for early labour prior to coming into hospital) or we have a few on L&D for hospital use. My wife decided to hire one when she was pregnant with our first. She found it completely useless - however she hired it from 37 weeks and it arrived one day late (37+1) in post. Unfortunately David had arrived at 36+6! Malcolm Griffiths MD,MRCOG,MFFP,Cert.Mgmnt Obstetrician & Gynaecologist Luton & Dunstable Hosp.,UK. Tel: 01582-497459 (office) Fax: 01582-497376 01525-222849 (home) email: Malcolm@mgriff22.demon.co.uk http://www.obgyn.net/board/griffith.htm "CLINICAL FREEDOM IS THE LAST REFUGE OF THE CLINICALLY INCOMPETENT!" (Someone [1997])
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