Journal de la douleur et du soulagement

Abstrait

Effectiveness of Percutaneous Electrical Neurostimulation (PENS) for post-operative pain in Cesarean Section (C-section) patients using DyAnsys Primary Relief: A Case-Control Study

Dr. Guru Nath S and S. Madhuchander

Post-operative pain after Cesarean sections (C-sections) are frequently ignored and was found to affect the daily routine and quality of life and may even contribute to persistent post-operative pain in the mother. This study aims to find the effectiveness of the analgesic effect of the PENS device, DyAnsys Primary Relief, for post-operative pain management after C-Section.This interventional case-control study was conducted in Kalyani Hospital, Warangal,India, on 52 participants. After obtaining the IRB approval, the consent, and after considering the inclusion and exclusion criteria, the participants were randomized into case and control groups. The case group received the PENS device, DyAnsys Primary Relief, whereas the control group received a dummy device. The Numeric Rating Scale (NRS) was used to record the pain for 72 hours. The six variables, sleep, general activity, interpersonal relationship (IPR), anxiety, walking ability, and enjoyment of life, were a part of the Brief Pain Inventory (BPI) metric and were measured on a 0-10 scale in the BPI form. This minimally invasive nerve stimulation intervention using the PENS device was safe and effective in reducing pain and accelerating the mobilization of patients after a C-section.The PENS device could effectively reduce post-operative pain after a C-section without any pharmacological intervention. Considering personnel and time expenditures, this device can be recommended as routine for pain control in patients after an elective C-section.