Meta-Analysis: The Effect of Prenatal Yoga and the Use of Transcutanal Electric Nerve Stimulation During Pregnancy on Labor Pain


  • Fiqi Widyawati Masters Program in Public Health, Universitas Sebelas Maret
  • Bhisma Murti Masters Program in Public Health, Universitas Sebelas Maret
  • Rita Benya Adriani Health Polytechnics, Ministry of Health Surakarta


Background: Pregnant women are suggested to do light exercise to reduce complaints such as spasms, low back pain, hypertension and other problems. Prenatal yoga and the use of TENS are media that can help reduce pain during labor. The aimed of the study was to analyze the effect of prenatal yoga and the use of TENS during pregnancy on labor pain with a meta-analysis study.

Subjects and Method: This was a systematic review and meta-analysis. The study was carried out using PRISMA flow diagrams. Search articles through journal databases including PubMed, Google Scholar, and Science Direct by selecting articles published in 2001-2021. The keywords used were "pregnancy" OR "pregnant" AND "pregnant women" AND "pregnant" AND "prenatal yoga" AND "Transcutaneous electrical nerve stimulation" AND "labor pain" AND "Randomized Controlled Trial". Article searches were performed using the PICO model. Population: Pregnant women, Inter


Aflahiyah S, Tamtono2 DG, Prasetya H (2020). Effectiveness of prenatal yoga on sleep quality and reduction of anxiety during pregnancy: a meta-analysis. J Matern Child Health. 05 (06): 629-640. doi: 10.26911/the-jmch.2020.05.06.03

Baez-Suarez A, Mart

Bedwell C, Dowswell T, Neilson JP, Laven-der T (2011). The use of transcutaneous electrical nerve stimulation (TENS) for pain relief in labour: a review of the evidence. Midwifery. 27: e141-e148. doi: 10.1016/j.midw.200-9.12.004

Bolanthakodi C, Raghunandan C, Saili A, Mondal S, Saxena P (2018). Prenatal yoga: effects on alleviation of labor pain and birth outcomes. J Altern Complement Med. 24(12):1181-1188. doi: 10.1089/acm.2018.0079

Bussing A, Khalsa SB, Michalsen A, Sherman KJ, Telles S (2012). Yoga as a therapeutic intervention. Evid Based Complement Alternat Med. 2012:1. doi: 10.1155/2012/165410

Byrne R, Dennard E (2018). Effects of prenatal yoga on labor pain. Am Fam Physician. 98(1):49. PMID: 30215958

Chao AS, Chao A, Wang TH, Chang YC, Peng H, Chang SD, Chao A, Chang CJ, Lai CH (2007). Pain relief by applying transcutaneous electrical nerve stimulation (TENS) on acupuncture points during the first stage of labor: A randomized double-blind placebo-controlled trial. Pain. 127:214-220. doi: 10.1016/j.pain.2006.08.016

Chuntharapat S, Petpichetchian W, Hattha-kit U (2008). Yoga during pregnancy: Effects on maternal comfort, labor pain and birth outcomes. Complement Ther Clin Pract. 14:105-115. doi: 10.1016/j.ctcp.2007.12.007

Curtis K, Weinrib A, Katz J (2012). Systematic review of yoga for pregnant women: current status and future directions. Evid Based Complement Alternat Med. 2012(715942):1-13. doi: 10.1155/2012/715942

Dowswell T, Bedwell C, Lavender T, Neilson JP (2009). Transcutaneous electrical nerve stimulation (TENS) for pain management in labour. Cochrane Database Syst Rev. 2(CD007214):1-45. doi: 10.1002/14651858.CD007214.pub2.

Evrianasari N, Yanti N (2020). Pengaruh yoga prenatal terhadap outcome persalinan (the effect of prenatal yoga on labor outcomes). Jurnal Kesehatan. 11(2): 182-188. doi: 10.26630/jk.v-11i2.1632.

Fitriani l (2019). Efektivitas senam hamil dan yoga hamil terhadap penurunan nyeri punggung pada ibu hamil tri-mester III di puskesmas pekkabata (the effectiveness of pregnancy exercise and pregnancy yoga on reduction of back pain in third trimester pregnant women at pekkabata health center). Jurnal Kesehatan Masyarakat. 4(2): 72-80. doi: 10.35329/jkesmas.v4i2.246.

Gentz BA, (2001). Alternative therapies for the management of pain in labor and delivery. Clin Obstet Gynecol. 44(4): 704-732. doi: 10.1097/00003081-200112000-00010

Ismiyati A (2020). Prenatal yoga sebagai solusi mengatasi keluhan fisik dan melancarkan proses persalinan pada ibu hamil di PMB Jurusan Kebidanan Poltekkes Kemenkes Yogyakarta (Pre-natal yoga as a solution to overcome physical complaints and launch

the delivery process for pregnant women at PMB, Department of Midwifery, Poltekkes, Ministry of Health, Yogya-karta). Jurnal Kesehatan Pengabdian Masyarakat. 1(1):40-46.

Jahdi F, Sheikhan F, Haghani H, Sharifi B, Ghaseminejad A, Khodarahmian M, Rouhana N (2016). Yoga during pregnancy: The effects on labor pain and delivery outcomes (A randomized con-trolled trial). Complement Ther Clin Pract. doi: 10.1016/j.ctcp.2016.12.002

Karnasih I (2018). The effect of yoga towards birth delivery output. Int J Sci Technol Res. 7(12):62-66. doi:

KEMENKES RI (2020). Profil kesehatan Indonesia tahun 2019. Jakarta: Kementerian Kesehatan Republik Indonesia.

Levett MK, Smith CA, Bensoussan A, Dahlen HG (2016). Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour. BMJ Open. 6: e010691. doi: 10.1136/bmjopen-2015-010691.

LF HO, LY LEE I, GY MA G (2011). Intrapartum transcutaneous electrical nerve stimulation for pain relief and outcome of labour. HKJGOM. 11(1):54-58. doi:

Mello LFD, Nobrega LF, Lemos A (2011). Transcutaneous electrical stimulation for pain relief during labor: a syste-matic review and meta-analysis. Rev Bras Fisioter. 15(3):175-184. doi: 10.1590/S141335552011000300002.

Murti B (2018). Prinsip dan metode riset epidemiologi (edisi v) (principles and methods of epidemiological research (V). Edisi V. Surakarta: Bintang Fajar Offset.

Njogu A, Si Qin, Chen Y, Lizhen H, Luo Y (2021). The effects of transcutaneous electrical nerve stimulation during the first stage of labor: a randomized controlled trial. BMC Pregnancy Childbirth. 21:164. doi: 10.1186/s128-84-021-03625-8.

Ostrovsky DA (2017). Yoga in the third trimester may reduce labor pain, duration of labor, and risk of cesarean section. Explore (NY). 27:1-4. doi: 10.1016/j.explore.2017.12.003

Reis PJ, Alligood MR (2014). Prenatal yoga in late pregnancy and optimism, power, and well-being. Nurs Sci Q. 27(1):30-36. doi: 10.1177/089431841-3509706.

Santana LS, Gallo RBS, Ferreira CHJ, Duarte G, Quintana SM, Marcolin AC (2016). Transcutaneous electrical nerve stimulation (TENS) reduces pain and postpones the need for pharmacological analgesia during labour: a randomised trial. J Physiother. 62:29-34. doi: 10.1016/j.jphys.2015.11.002

Sari DP, Rufaida Z, Lestari SWP (2018). Nyeri Persalinan. STIKes Majapahit Mojokerto.

Shahoei R, Shahghebi S, Rezaei M, Naqshbandi S (2017). The effect of transcutaneous electrical nerve stimulation on the severity of labor pain among nulliparous women: A clinical trial. Complement Ther Clin Pract. doi: 10.1016/j.ctcp.2017.05.004.

Sunarsih, Sari TP (2020). Nyeri persalinan dan tingkat kecemasan pada ibu inpartu kala I fase aktif (Labor pain and anxiety level in active phase I inpartum mothers). Holistik Jurnal Kesehatan. 13(4):327-332. doi: 10.33-024/hjk.v13i4.1365

Supliyani E (2017). Pengaruh massage punggung terhadap intensitas nyeri persalinan kala 1 di kota bogor (the effect of back massage on the intensity of labor pain in the 1st stage in bogor city). Jurnal Bidan Midwife Journal. 3(1):22-29. doi:

Van der Spank J.T, Cambier DC, De Paepe HMC, Danneels LAG, Witvrouw E, Beerens L (2000). Pain relief in labour by transcutaneous electrical nerve stimulation (TENS). Arch Gynecol Obstet. 264:131-136. doi: 10.1007/s004040000099

Wulan T, Hirtono D (2018). Hubungan pelaksanaan senam hamil pada ibu hamil dengan kelancaran proses persalinan di puskesmas papar kabupaten kediri tahun 2017 (the relationship between the implementation of pregnancy exercises for pregnant women and the smooth delivery process at the papar health Center, Kediri Regency in 2017). Jurnal Kesehatan Ibu Dan Anak. 3(2):31-38. doi: 10.29407/judika.v3i2.13109

Yulifah R, Moersintowarti BN, Purnomo W (2009). Penggunaan stimuli transcutaneous electrical nerve stimulation (tens) dapat menurunkan intensitas nyeri dan tingkat kecemasan pada persalinan kala I (use of transcutaneous electrical nerve stimulation (tens) stimuli can reduce pain intensity and anxiety levels in first stage labor). The Indonesian Journal of Public Health. 5(3):119-123. doi:

Yuliyanik NDJ, Patemah, Amalia W, Jayanti ND (2014). Implementasi metode transcutaneous electrical nerve stimulation (tens) untuk mengatasi nyeri persalinan kala i fase aktif pada ibu bersalin (implementation of transcutaneous electrical nerve stimulation (tens) method to overcome labor pain in active phase i in maternity). Jurnal Ilmiah Kesehatan Media Husada. 02(02):55-60. doi: 10.33475/jikmh.v2i2.117 .




How to Cite

Widyawati, F., Murti, B., & Adriani, R. B. (2021). Meta-Analysis: The Effect of Prenatal Yoga and the Use of Transcutanal Electric Nerve Stimulation During Pregnancy on Labor Pain. Journal of Maternal and Child Health, 6(5), 547–559. Retrieved from