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RECRUITING Not applicable ClinicalTrials.gov

TENS for Postpartum Uterine Pain During Breastfeeding

Sponsor: Holy Family Hospital, Nazareth, Israel • ClinicalTrials.gov ID: NCT07703917

Registry updated: 2026-09-28
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Description

This clinical study is designed to evaluate whether Transcutaneous Electrical Nerve Stimulation (TENS) is an effective, non-drug method to relieve postpartum uterine pain during breastfeeding in multiparous women (women who have given birth multiple times). Breastfeeding in the first 48 hours after delivery often triggers strong, painful uterine contractions due to the natural release of oxytocin. While standard care typically relies on pain-relief medications, this study investigates if TENS, a safe, low-cost device that sends gentle electrical impulses through small skin patches, can significantly reduce this pain and decrease the need for systemic medications. Participants will be randomly assigned to either receive standard postpartum pain medications or use a TENS device during two consecutive breastfeeding sessions. Researchers will measure and compare the peak pain levels between both groups using a standard 0 to 10 pain scale. The aim is examining whether TENS will significantly reduce postpartum uterine pain during breastfeeding and decrease medication use compared with standard care.

Interventions

  • Transcutaneous Electrical Nerve Stimulation (TENS) (Device)
    Bilateral application of four skin electrodes using conductive gel. Two electrodes will be placed on the lower abdomen over the uterus, and two will be placed in parallel in the S2-S4 sacral region. The digital sensory-motor TENS device will be programmed to generate 80-Hz current and 200 msec pulse for 40 min, using 20-40 mA of intensity. Stimulation begins a few minutes before breastfeeding and continues throughout the 40-minute session.

Eligibility criteria

Inclusion Criteria: * Maternal Age above 18 * Term delivery (37 weeks or more) * Vaginal delivery within the past 48 hours. * Multiparous women (2 or more previous births) * Delivery of a singleton * Have the well to breastfeed Exclusion Criteria: * Contraindication to TENS (pacemaker, epilepsy, active infection, uncontrolled hyper / hypotension.) * Chronic analgesia use * Severe complications requiring intervention (severe PPH) or intensive care * Skin lesions, infections, or scars at proposed electrode sites * Neonatal intensive care unit admission

Conditions

Breast Feeding

Locations

  • Holy Family Hospital — Nazareth, Israel
  • Holy Family Hospital — Nazareth, Israel
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Official Source

Data sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

View Official Record