- Find out which TENS machine is best for labor—and why I recommend the Elle TENS 1
- Compare top features of the Elle TENS 1 vs. the budget-friendly Obi TENS
- Learn how TENS machines work, what’s included, and how they support pain relief in labor and postpartum
If you’re exploring ways to manage pain during labor, a TENS machine can be a game-changer. As a doula trainer and mentor, I often get asked which TENS unit is best for labor. My go-to recommendation is the Elle TENS 1—a powerful and easy-to-use option designed specifically for laboring individuals.
Here’s a closer look at why I recommend it, plus a more budget-friendly alternative for those who don’t need all the bells and whistles.
What Is a TENS Machine?
TENS (Transcutaneous Electrical Nerve Stimulation) machines provide pain relief by sending gentle electrical pulses through electrode pads placed on the skin. For labor, TENS units can reduce discomfort during contractions and help you feel more in control.
Why the Elle TENS 1 Stands Out
The Elle TENS 1 is my top pick for labor. Here’s why it’s a great choice:
- Customizable Pain Relief: The dual-channel system allows you to control the upper and lower pads independently, tailoring the intensity where it’s needed most.
- Extra Power When It Matters Most: Opti-Max Technology provides an extra boost during the most intense phases of labor, giving you additional pain relief when you need it most.
- Ease of Use: Pre-set modes and an integrated boost button make it simple to operate, even in the middle of contractions.
Elle TENS 1 Features
- Dual-channel system for customizable relief
- Pre-set modes for ease of use
- Integrated boost button for peak contractions
- Opti-Max Technology for additional pain relief
- Lightweight and portable with a neck cord for mobility
- Suitable for postpartum pain management (e.g., back or shoulder aches)
What’s Included:
- 4 large electrode pads
- 2 lead wires
- 2 AA batteries
- Neck cord
- Soft carrying pouch
- Instructions (downloadable manual available)
Looking for a Budget-Friendly Option? Try the Obi TENS
If the Elle TENS 1 is out of your budget or you prefer a simpler option, the Obi TENS is a fantastic alternative. While it doesn’t have Opti-Max Technology or independent control for the pads, it still offers reliable pain relief for labor and beyond.
Key Features of the Obi TENS:
- Single-channel system (all four pads controlled together)
- Pre-set modes and an integrated boost button
- Lightweight and portable
- Great for postpartum aches like period pain or backaches
What’s Included:
- 4 large electrode pads
- 2 lead wires
- 2 AAA batteries
- Neck cord
- Soft carrying pouch
- Instructions (downloadable manual available)
Do You Need the Elle TENS 2?
While the Elle TENS 2 offers additional features, like a contraction timer, most users find the Elle TENS 1 more than sufficient. Unless you’re looking for specific extras, you can confidently stick with the Elle TENS 1 and save a bit.
A TENS machine is an excellent tool for managing labor pain and giving you more control over your birth experience. Whether you choose the feature-packed Elle TENS 1 or the more streamlined Obi TENS, both are reliable options designed to support you through labor and beyond.
If you’d like more information about using TENS machines during labor, check out my TENS for Doulas class. Have questions? — I’d love to hear from you!
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Frequently asked questions
Do TENS machines work in labor?
Yes, for many people. A TENS unit works by sending small electrical pulses through the skin that block pain signals and trigger endorphin release.
Where do you place a TENS machine for back labor?
I place the four pads in two pairs along the lower back, on either side of the spine, roughly between the bra line and the top of the hips. I move them slightly during labor to keep the sensation fresh. Avoid placing them directly over the spine.
Can you use a TENS machine with an epidural?
No. Once an epidural is placed, the TENS unit comes off. The epidural is providing a different type of pain relief and the two should not be used together. TENS is most useful for the early and active labor phases before any anesthesia.
When should you start using a TENS machine in labor?
I start as soon as contractions are uncomfortable enough to need a coping tool, which is often before active labor. Starting early lets the body build up endorphin response over time. Most clients leave it on through transition unless an epidural is placed or the get in the water.
