TENS machine in labour... with love from a doula-to-be

 

Another blog in response to a message from a friend. Admittedly I know very little about this machine, and my midwife never suggested it, though I had read about its benefits. I just assumed it wasn't something people used much in SA for birth and I'd read that one couldn't use it with a water birth anyway. Nevertheless, my friend is a doula in training, so I guess she would know. Here's what she had to say about...

The TENS Machine

Courtesy of http://www.labourtensmachine.co.uk/

My dearest leila.
This is not the article we spoke of, but it is some amazing device I wish I had known about earlier so that I could have invested in it when I was pregnant...

A TENS Machine: Transcutaneous Electrical Nerve Stimulation (TENS) stimulates the release of endorphins & uses the gate theory of pain relief as researched by "Melzack & Wall". TENS machines have been in use since the 1960's and over the years have become smaller, portable and easier to use. The TENS unit is an advanced, small, battery powered device which sends a pulsed electrical stimulus via pads to the skin.

So these little machines assist the body in releasing natural pain killers (endorphins and encephalins) and blocking out pain messages to the brain. They provide a sense of control over labour pain and it gives you an alternative focus.

Why use TENS ?
1)It's a drug free system for pain control

2)Quick & effective pain relief

3)Easy to use, light weight and portable

4)Does not cause drowsiness

5)Can be used for as long as pain relief required

6)There are different pulse settings, you control it

7) Normal- boost mode controllable using light weight seperate boost button

8)Can be used in the comfort of your own home when contractions start or later at hospital

9)Can be used with other methods / prescribed drugs

10)Non invasive and gives you the freedom to move and walk about


What does TENS feel like ?

It is a pleasant tingling sensation on the skin where the pads are placed.

When do I start using the TENS machine?

Recommend you start using the TENS machines at home at the onset of contractions. Early use of TENS promotes the bodies production of endorphins and encephalins - the bodies natural pain killers.

How long should the TENS be used ?

The TENS machine can be worn as needed for as long as desired but a minimum 30 minute duration is recommended for childbirth.

Can I practice with the TENS machine?

It is recommend that you try the TENS machine beforehand so that you are familiar with the operation. You may place the pads on your lower back as you would during labour or you may place them on the inside of your forearm to test. If you are earlier than 36 weeks then limit the test to a short period (less than 1 minute). The pads are self adhesive and re-usable. Re-apply the plastic film to the sticky side of the pads when finished and store in the plastic bag.

When to Not use TENS?

Do not use over broken or desensitised skin. Do not use before 37 weeks unless approved by your doctor. Do not use if you have a pacemaker. Seek advice from doctor if you have epilepsy.

I would like a water birth - can I use TENS ?

Yes, but NOT while you are in the water. Use during the first stage of labour which may take several hours. The midwife will not usually ask you to enter the water after you are 5cm dilated. You need to REMOVE the TENS machine BEFORE you enter the water.

Can I use a Tens machine with other pain relief methods ?

You may continue using the TENS machine with other methods such as pethidine and gas and air.

Can I use the TENS machine after the birth ?

Yes, it is effective for reducing the pain of uterine contractions after birth. The TENS machine can even be used whilst breastfeeding after birth.


Can I take the Labour TENS unit into hospital with me ?

The midwives and doctors are usually very happy for women to use labour TENS. Check with your midwife or doctor if you are unsure. You may need to turn the labour TENS unit off temporarily whilst using electronic monitoring equipment.

Hope it helps

"Friend"

 

With that I hope that some of you encounter this seemingly miraculous machine on your preggi pain travels, and if you do, or if you already have, please share with us your experience....