I have seen sterile water papules do wonders. Once I had a VBAC client, who was induced by breaking waters because she was 40+3 and oligohydramniotic, and she had been stalled at 6 cm for almost 2 hrs and then went to fully and pushing in 30 min, pushed 4 times and, voila baby!
It's great for back labour especially, and is a great thing to try before resorting to epidural. I can be just the thing to get a woman through that part of transition where she thinks she can't do it.
Something I've been wondering about it is, since it's not actually a medication, would there be any legal reason that would prevent a doula (or any birth coach/ partner/ friend) from being allowed to administer them either at home or hospital? I might be attending a friends birth in a non-clinical role, and was wondering if I would be allowed, if say, I got the syringe and water from the pharmacy ahead of time. What do you think?
I haven't seen the TENS used very much, just once and it was to help a client cope on the way to the hospital for an epidural and she was still in early labour (about 1 cm, ctx 5-7 min). For what situations or indications do you suggest it?