scholarly journals Efektivitas Terapi Intervensi Non Farmakologis pada Persalinan Parturien Pervaginam

e-CliniC ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. 318
Author(s):  
Ravenska Salawati ◽  
Barry Kambey ◽  
Harold Tanbajong
Keyword(s):  
Pain Management ◽  
Literature Review ◽  
Vaginal Delivery ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Negative Impact ◽  
Active Phase ◽  
Labor Pain ◽  
Electrical Nerve Stimulation ◽  
Review Study

Abstract: Pain during labor is common. Albeit, if it is untreated, it could have a negative impact on the mother and fetus. Non-pharmacological managements such as acupressure and transcutaneous electrical nerve stimulation (TENS) are expected to reduce vaginal delivery pain. This study was aimed to determine the effect of acupressure and TENS on the intensity of delivery pain. This was a literature review study using three databases, namely clinical key, pubmed, and google scholars. The keywords used were non Pharmacology, childbirth, pain labor, pain management, non-pharmacology.  Based on inclusion and exclusion criteria, 10 literatures were selected. The results showed significant changes in pain intensity after giving acupressure therapy and TENS in mothers who were in the first phase of the labor active phase. In conclusion, acupressure and TENS could reduce the intensity of vaginal delivery pain.Keywords: vaginal delivery, acupressure, transcutaneous electrical nerve stimulation (TENS)  Abstrak: Nyeri pada persalinan merupakan hal yang lumrah terjadi namun jika tidak ditangani dapat berdampak buruk bagi kesehatan ibu dan janin. Manajemen non-farmakologis akupresur dan transcutaneous electrical nerve stimulation (TENS) diharapkan dapat mengurangi nyeri persalinan pervaginam. Penelitian ini bertujuan untuk mengetahui pengaruh akupresur dan TENS terhadap intensitas nyeri persalinan. Jenis penelitian ialah literature review. Pencarian data menggunakan tiga database yaitu ClinicalKey, Pubmed, dan Google Scholar. Kata kunci yang digunakan yaitu Non Farmakologi”, “Persalinan”, “Pain Labor”, “Pain management”, “Non Pharmacology”. Setelah diseleksi berdasarkan kriteria inklusi dan ekslusi didapatkan 10 literatur. Hasil penelitian ini mendapatkan perubahan bermakna setelah pemberian terapi akupresur maupun TENS pada ibu bersalin kala I fase aktif. Simpulan penelitian ini ialah penggunaan akupresur dan TENS berpengaruh dalam menurunkan intensitas nyeri persalinan pervaginam.Kata kunci: persalinan pervaginam, akupresur, transcutaneous electrical nerve stimulation (TENS)

Acute pain

2021 ◽  
pp. 1151-1180
Author(s):  
Adrian Dashfield ◽  
David Kibblewhite
Keyword(s):  
Pain Management ◽  
Epidural Analgesia ◽  
Peripheral Nerve ◽  
Acute Pain ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation ◽  
Analgesic Drugs ◽  
Peripheral Nerve Blockade ◽  
Inflammatory Drugs

This chapter discusses the management of acute pain. It begins with an introduction which describes the benefits of acute pain management and the measurement of pain. Analgesic drugs are then described, including paracetamol; non-steroidal anti-inflammatory drugs (NSAIDs), and opioids (including their comparative efficacy). Patient-controlled analgesia (PCA), epidural analgesia, and continuous peripheral nerve blockade are described. Transcutaneous electrical nerve stimulation (TENS) and acupuncture are discussed. The management of the patient with persistent pain and a substance misuse disorder is also discussed. The chapter concludes with a discussion of non-opioid adjuvant analgesics.

Low Level Continuous Heat Wraps can Increase the Efficiency of Transcutaneous Electrical Nerve Stimulation for Pain Management

2020 ◽  
Vol 30 (05) ◽  
pp. 290-298
Author(s):  
Jerrold Petrofsky ◽  
Michael Laymon ◽  
Haneul Lee
Keyword(s):  
Blood Flow ◽  
Pain Management ◽  
Range Of Motion ◽  
Skin Blood Flow ◽  
Nerve Stimulation ◽  
Transcutaneous Electrical Nerve Stimulation ◽  
Electrical Nerve Stimulation ◽  
Low Level ◽  
Significant Difference ◽  
Continuous Heat

AbstractBoth transcutaneous electrical nerve stimulation and superficial heat have been used for pain management. While heat has been shown to have a beneficial effect on pain, transcutaneous electrical nerve stimulation remains controversial. The purpose of the present study was to see if heat, when added to transcutaneous electrical nerve stimulation, would provide more consistent relief. A total of 180 subjects participated in this study and were randomly divided into 12 groups. Low level continuous heat was applied while electrical stimulation was applied at 2 intensities, 2 frequencies and with 2 waveforms for 4 h. Outcome measures were subjective pain scale, range of motion of the back and skin blood flow of the back. The control groups had no significant difference in pain, range of motion or skin blood flow comparing the data at the beginning and 4 h after (p> 0.05). There was a small reduction in pain with transcutaneous electrical nerve stimulation alone while all other groups had a significant improvement in range of motion free of pain, reduction in pain, and increase in skin blood flow from the beginning to the end of the 4-hour period. Since transcutaneous electrical nerve stimulation with low level continuous heat showed better outcomes then transcutaneous electrical nerve stimulation alone or low level continuous heat alone, combining the 2 interventions seems to offer better outcomes for pain management for health care professionals.

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