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Beginners Guide to using a TENS Machine for your birth

by Ariel Blackman

A quick guide for beginners on using a TENS for birth

(3 min read)

Bliss Birth founder holds the Elle Tens Plus obstetric TENS machine

Step-by-Step Guide to Using a TENS Machine

1. Familiarize Yourself Before Labour Begins

Get to know your TENS machine ahead of time by reading the instructions, testing different settings, and understanding how to adjust the intensity. This will help you feel more confident when the time comes to use it during labour.

2. Proper Electrode Pad Placement

For optimal pain relief during labour, place the electrode pads:

  • On either side of the spine, with two in line with your panty line, and two in line with your bra line

  • Following the placement guide provided by your TENS machine manufacturer

3. Start Early in Labour

TENS machines work best when started in early labour, allowing time for endorphins to build up. Begin with the lowest setting and gradually increase intensity as contractions become stronger.

4. Use the Boost Button During Contractions

Many TENS machines have a 'boost' function, which delivers a stronger pulse when contractions peak. Press the boost button during contractions and release it between them for continuous relief.

5. Do Not Use in Water

While TENS machines are great for dry use, they should not be used in the shower or birthing pool. If you plan to use water for pain relief, you may need to remove the TENS unit beforehand.

6. Continue Use After Birth

TENS machines are most effective in early and active labour, but they can also be useful for managing after birth pains 

Safety Considerations

  • Do not use before 37 weeks gestation unless advised by a healthcare provider.

  • Avoid placing electrode pads over broken skin or near sensitive areas like the front of the neck or chest.

  • Consult a doctor before use if you have a pacemaker or any electrical implant.

  • If discomfort occurs, discontinue use and seek medical guidance.

Final Thoughts

A TENS machine can be a valuable tool for pain management during labour, providing a non-invasive, drug-free option to help cope with contractions. By preparing in advance and using it correctly, you can maximize its effectiveness and feel more in control of your birth experience.

For more information, speak to your midwife or healthcare provider to see if a TENS machine is right for you.


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