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Drugs and Lactation Database (LactMed®) [Internet]. Bethesda (MD): National Institute of Child Health and Human Development; 2006-.
Drug Levels and Effects
Summary of Use during Lactation
Transcutaneous electric nerve stimulation (TENS) is a method of using electrical stimulation of nerves using electrodes affixed to the skin. It is most often used to treat pain. Two small, low-quality studies found it useful for alleviating uterine pain caused by breastfeeding in the early postpartum period in hospitalized women. There are also anecdotal reports of TENS being used for nipple stimulation to induce lactation in adoptive mothers.[1] However, no scientific evaluation of the safety or efficacy of this use could be located.
Effects in Breastfed Infants
Relevant published information was not found as of the revision date.
Effects on Lactation and Breastmilk
A small, single-blinded study in Sweden compared high-intensity to low-intensity TENS for the alleviation of post-partum uterine pain during breastfeeding in the 24 hours following birth. The high-intensity TENS was more effective.[2]
A small unblinded study in Brazil compared uterine pain in hospitalized women who were experiencing uterine pain during breastfeeding in the immediate postpartum period. One group received TENS and the other did not. None of the patients used any other form of analgesia. Pain experienced at two different occasions during breastfeeding were compared. The decrease in pain from the first to second occasion was greater in the group receiving TENS.[3]
References
- 1.
- Smith KL. How do I use a TENS unit to stimulate lactation? Breast Notescom: Accessed July 15, 2021. http://breastnotes
.com /breastfeeding/BrFd-ReLac-TENS.htm. - 2.
- Olsén MF, Elden H, Janson ED, et al. A comparison of high- versus low-intensity, high-frequency transcutaneous electric nerve stimulation for painful postpartum uterine contractions. Acta Obstet Gynecol Scand. 2007;86:310–4. [PubMed: 17364305]
- 3.
- de Sousa L, Gomes-Sponholz FA, Nakano AM. Transcutaneous electrical nerve stimulation for the relief of post-partum uterine contraction pain during breast-feeding: A randomized clinical trial. J Obstet Gynaecol Res. 2014;40:1317–23. [PubMed: 24750301]
Substance Identification
Substance Name
Transcutaneous Electric Nerve Stimulation
Disclaimer: Information presented in this database is not meant as a substitute for professional judgment. You should consult your healthcare provider for breastfeeding advice related to your particular situation. The U.S. government does not warrant or assume any liability or responsibility for the accuracy or completeness of the information on this Site.
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- Review Transcutaneous electrical nerve stimulation and acupuncture for primary dysmenorrhoea.[Cochrane Database Syst Rev. 2002]Review Transcutaneous electrical nerve stimulation and acupuncture for primary dysmenorrhoea.Proctor ML, Smith CA, Farquhar CM, Stones RW. Cochrane Database Syst Rev. 2002; 2002(1):CD002123.
- Review Transcutaneous electrical nerve stimulation (TENS) for dementia.[Cochrane Database Syst Rev. 2003]Review Transcutaneous electrical nerve stimulation (TENS) for dementia.Cameron M, Lonergan E, Lee H. Cochrane Database Syst Rev. 2003; 2003(3):CD004032.
- A comparison of high- versus low-intensity, high-frequency transcutaneous electric nerve stimulation for painful postpartum uterine contractions.[Acta Obstet Gynecol Scand. 2007]A comparison of high- versus low-intensity, high-frequency transcutaneous electric nerve stimulation for painful postpartum uterine contractions.Olsén MF, Elden H, Janson ED, Lilja H, Stener-Victorin E. Acta Obstet Gynecol Scand. 2007; 86(3):310-4.
- Review Transcutaneous electrical nerve stimulation and acupuncture-like transcutaneous electrical nerve stimulation for chronic low back pain.[Cochrane Database Syst Rev. 2000]Review Transcutaneous electrical nerve stimulation and acupuncture-like transcutaneous electrical nerve stimulation for chronic low back pain.Gadsby JG, Flowerdew MW. Cochrane Database Syst Rev. 2000; (2):CD000210.
- Review Transcutaneous electrical nerve stimulation (TENS) for neuropathic pain in adults.[Cochrane Database Syst Rev. 2017]Review Transcutaneous electrical nerve stimulation (TENS) for neuropathic pain in adults.Gibson W, Wand BM, O'Connell NE. Cochrane Database Syst Rev. 2017 Sep 14; 9(9):CD011976. Epub 2017 Sep 14.
- Transcutaneous Electric Nerve Stimulation - Drugs and Lactation Database (LactMe...Transcutaneous Electric Nerve Stimulation - Drugs and Lactation Database (LactMed®)
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