The clinical effectiveness of transcutaneous electrical nerve stimulation on enhancing recovery after cesarean section: A systematic review and meta-analysis-Reference-Cited by-同舟云学术

The clinical effectiveness of transcutaneous electrical nerve stimulation on enhancing recovery after cesarean section: A systematic review and meta-analysis

Published:2023-07-31 Issue: Volume:20 Page:
ISSN:1573-4048
Container-title:Current Women s Health Reviews
language:en
Short-container-title:CWHR

Author:

Albadrani Muayad Saud¹,Elhusein Amal Mohamed²,Ali Fadlalmola Hammad³^ORCID,Mohamed Osman Abdalla⁴,Hosean Balola Hamza⁵,Elsayed Ebrahim Elturabi⁶,saud albadrani Muhannad⁷,Mohamed Saad Mohammed Amira⁸,Hamouda Babiker Sitelgeel⁹,Miskeen Elhadi¹⁰,Elnour Suaad¹¹,Yousif Elhussain Mariam¹²

Affiliation:

1. Department of Family and Community Medicine, College of Medicine, Taibah University, Madinah, Saudi Arabia

2. College of applied medical science, nursing department, University of Bisha, Bisha, Saudi Arabia.

3. Nursing college, Department of Community health nursing, Taibah University, Saudi Arabia.

4. Department of Community and Mental Health, College of Nursing, Najran University, Najran, Saudi Arabia

5. Department of Community health Nursing, Batterjee Medical College for Sciences and Technology, Khamis mushait, Abha Province, Saudi Arabia.

6. Nursing science department, College of Applied Medical Sciences, Prince sattam Bin Abdulaziz University,Sudia Arabia.

7. King Salman bin Abdulaziz Medical City, Medina, Saudi Arabia

8. Faculty of Nursing, Tanta University, Egypt

9. College of Applied Medical Sciences, University of Hafr AL Batin, Saudi Arabia

10. Department of obstetrics and gynecology, College of medicine, University of Bisha, Bisha, Saudi Arabia.

11. Department of Obstetrics and gynecology, College of Medicine, University of Bisha, Saudi Arabia.

12. Medical college, Nursing Department, University of Hafr AL Batin, Saudi Arabia.

Abstract

Background: The transcutaneous electrical nerve stimulation TENS was used following several surgical procedures involving gynecological ones and has shown a successful pain reduction rate. TENS was proposed to enhance recovery after cesarean section CS. Objective: This systematic review and meta-analysis were conducted to evaluate the clinical effectiveness of Transcutaneous electrical nerve stimulation TENS in enhancing recovery after a cesarean section. Methods: We performed the Meta-analyses using RevMan software. Data were pooled as mean difference (MD) if continuous and risk ratio (RR) if dichotomous, and the 95% confidence interval (CI) as calculated. Results: This systematic review included 12 RCTs, with a total of 1,116 women studied. The TENS effectively reduced the intensity of pain just by following its application (SMD=-0.61; 95% CI [-0.82, -0.39], P<0.00001), one day after (SMD=-0.25; 95% CI [-0.47, -0.04], P=0.02), and two days after (SMD=-0.27; 95% CI [-0.50, -0.03], P=0.03). Conclusion: The TENS effectively reduces the pain intensity following its application and after one or two days. TENS has no effect on the cumulative dose of diclofenac. Because of the inadequacy of safety data, we recommend conducting further RCTs.

Publisher

Bentham Science Publishers Ltd.

Subject

Obstetrics and Gynecology