What is a TENS unit?

TENS stands for “transcutaneous electrical nerve stimulation”

A TENS unit is a simple device that generates mild electrical impulses. It transmits them via stimulating pads placed on the laboring person’s skin. It is a comfort measure that is very simple to operate during labor that facilities an active birth.

Most people who have visited a chiropractor or a physical therapist have experienced the use of a TENS unit. The type used in labor is self-administered and controlled, and much simpler to use.

Research shows that the TENS Unit increases the endorphin level in laboring people. This in turns lowers the perception of labor pains. When used on a high frequency, the TENS Unit stimulates non-pain-transmitting nerve fibers. This stimulation overrides other nerve signals carrying pain message to the brain. It works on the Gate Control Theory of Pain. When used on a low frequency, the TENS Unit stimulates the production of endorphins. It does this by activating opioid receptors.

In practical terms, the TENS unit provides focus and distraction. This has the affect of doing a few different things. It tends to lessen the perception of pain. The unit changes the conscious pain messages going to the brain, and so reduces awareness of the pain. It can also reduce or delay the request for an epidural and ease back pain. A huge benefit is that it gives the laboring person back a sense of control. All these things tend to increase the laboring person’s sense of satisfaction. TENS units also lower the need for interventions, since people using TENS units are more likely to be moving during their birth. There is no loss of sensation like what you experience with an epidural. There is also no loss of mental function like when birthing people use nitrous oxide or IV narcotics.

The TENS unit is super helpful for back labor and a prolonged, painful prodromal labor. However, it is important to note that the TENS unit does not take away contraction pain like an epidural. The unit must be used early in labor if it is going to be effective in active labor. Most people who use it report easier labors, and are more satisfied with their birth. It has been used all over the UK and Sweden for many years.

None. There are no side effects for the laboring person or for the baby.

Sounds awesome! How can I get my hands on one?

Silver Spring Doula rents TENS units to all our clients who want one! We currently have NO availability for people who are not SSD clients. The rental includes the control unit, 4 reusable electrode pads for your use (the pads can be removed and reapplied dozens of times), extra batteries, instructions, and a carrying case. You can request one in the client area. We will either mail it to you, or bring it with us when we expect to see you (at your private or community prenatal).

The TENS unit rental fee is included in all our doula packages!

In recognition of the profound disparities

in birth outcomes between white and BIPOC birthing people, and in an effort to prioritize racial equity in birth, Silver Spring Doula donates a portion of each of their birth client fees to DC/MD/VA local Black birth organizations such as Mamatoto Village and B.I.R.T.H Equity Maryland.

All are welcome here.

Silver Spring Doula and My Gentle Birth, LLC are woman-owned and proud to serve the LGBTQIA+ community.