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TENS Use for Post-cesarean Pain Management
Sponsor: Holy Family Hospital, Nazareth, Israel
Summary
The aim of this randomized controlled trial is to evaluate the effectiveness of continuous 24-hour Transcutaneous Electrical Nerve Stimulation (TENS) as an adjunct to standard postoperative care for pain management following cesarean delivery. Eligible women undergoing cesarean delivery under spinal anesthesia will be randomly assigned in a 1:1 ratio to either the intervention group, which will receive continuous TENS in addition to standard postoperative analgesia, or the control group, which will receive standard postoperative analgesia alone. The primary outcome is the Quality of Recovery-15 (QoR-15) score assessed 24 hours after cesarean delivery.
Official title: Continuous 24-Hour Transcutaneous Electrical Nerve Stimulation for Post-Cesarean Pain Management: A Randomized Controlled Trial
Key Details
Gender
FEMALE
Age Range
18 Years - 45 Years
Study Type
INTERVENTIONAL
Enrollment
196
Start Date
2026-09
Completion Date
2027-09
Last Updated
2026-09-28
Healthy Volunteers
No
Conditions
Interventions
TENS
Participants randomized to the intervention group will receive TENS in addition to standard postoperative analgesia. TENS will be initiated within 2 hours after cesarean delivery and administered during the first 24 postoperative hours. Participants will be instructed to wear the device continuously during this period. Each TENS stimulation cycle will last 1 hour, using a frequency of 80 Hz, a pulse width of 200 µs, and an intensity of 20-40 mA. Participants will be encouraged to restart the stimulation program at the end of each hourly cycle for up to 24 hours. Stimulation may be temporarily discontinued in the event of discomfort or skin irritation, during mobilization or hygiene activities, or at the participant's request. All participants will additionally receive the institution's standard postoperative care and analgesic regimen following cesarean delivery.
Locations (1)
Holy Family Hospital
Nazareth, Israel