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The effect of aromatherapy on labor pain, duration of labor, anxiety and Apgar score outcome: a systematic review and meta-analysis

Year 2023, Volume: 9 Issue: 5 - September 2023, 1258 - 1270, 04.09.2023
https://doi.org/10.18621/eurj.1261999

Abstract

Objectives: This study was conducted to conduct a systematic review and meta-analysis of studies examining the effect of aromatherapy intervention on labor pain, duration of labor, anxiety and apgar scores in primiparous women.

Methods: The literature search was conducted in PubMed, CINAHL, Scopus and Science Citation Index (Web of Science) until February 2023. This study is based on the recommendations of the Cochrane guidelines. The data were analyzed using the Review Manager computer program (Version 5.4).

Results: The analysis was completed with 10 studies including 950 primiparous pregnant women. The average pooled results of the studies showed that there was a significant difference in the effect of aromatherapy on labor pain (SMD: -0.68 95% CI: -0.76 to -0.60, Z = 16.32, p < 0.01) and duration (SMD: -0.36 95% CI: -0.47 to -0.25, Z = 6.40, p < 0.00001) in the latent, active, and transition phase. When the mean results of anxiety scores were examined, it was determined that the difference between the groups was significant (SMD: -15.89 95% CI: -16.78 to -14.99, Z = 34.79, p < 0.00001).

Conclusions: While the aromatherapy application used in childbirth reduced the duration and pain of the latent transition and active phase of birth, it was found that it reduced the anxiety of the pregnants in the active and transition phase.

References

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  • 2. Ergin AB, Mallı P. Aromatherapies used in childbirth: a systematic review. Journal of Health Sciences of Kocaeli University 2019;5:72-80.
  • 3. Zor M, Küçükkelepçe DŞ, Gölbaşı Z. [Investigation of nursing thesis about the effects of aromatherapy made in Turkey]. Turk J Clin Lab 2021;12:77-94. [Article in Turkish]
  • 4. Başkaya Y, Sayıner D. [Evidence-Based midwifery practices to reduce the rate of caesarean section]. Journal of Health Sciences and Professions 2018;5:113-9. [Article in Turkish]
  • 5. Yeşildağ B, Gölbaşı Z. [Examination of graduate thesis studies evaluating the effectiveness of nonpharmacological methods in the management of labor pain]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2018;8:104-111. [Article in Turkish]
  • 6. Lakhan SE, Sheafer H, Tepper D. The effectiveness of aromatherapy in reducing pain: a systematic review and metaanalysis. Pain Res Treat 2016;2016:8158693.
  • 7. Makvandi S, Mirteimoori M, Mirzaiinajmadi K, Sadeghi R. A review of randomized clinical trials on the effect of aromatherapy with lavender on labor pain relief. Nurse Care Open Acces J 2016;1:42-7.
  • 8. Moher D, Shamseer L, Clarke M. PRISMA-P Group Preferred Reporting Items For Systematic Review and Meta-Analysis Protocols (PRISMA-P). Systemactic Reviews 2015;4:1-9.
  • 9. Lamadah SM, Nomani I. The effect of aromatherapy massage using lavender oil on the level of pain and anxiety during labour among primigravida women. Am J Nurs Sci 2016;5:37-44.
  • 10. Janula Raju MS. Effectiveness of aromatherapy in reducing labour pain and duration of labour among primigravidas: a pilot study. IJHSR 2014;4:124-8.
  • 11. Tanvisut R, Traisrisilp K, Tongsong T. Efficacy of aromatherapy for reducing pain during labor: a randomized controlled trial. Arch Gynecol Obstet 2018;297:1145-50.
  • 12. Karatopuk S, Yarıcı F. Determining the effect of inhalation and lavender essential oil massage therapy on the severity of perceived labor pain in primiparous women: a randomized controlled trial. Explore (NY) 2023;19:107-14.
  • 13. Yazdkhasti M, Pirak A. The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complement Ther Clin Pract 2016;25:81-6.
  • 14. Hamdamian S, Nazarpour S, Simbar M, Haijan S, Mojab F, Talebi A. Effects of aromatherapy with Rosa damascena on nulliparous women's pain and anxiety of labor during first stage of labor. J Integr Med 2018;16:120-5.
  • 15. Azızı S, Joughı ABG, Hamedı A, Fazlı B, Sadjadı A, Bechak SN. et al. Comparison of the effects of aromatherapy with Lavender and Entonox gas on labor pain intensity: a randomize clinical trial. Pak J Med Health Sci 2021;15:2128-32.
  • 16. Esmaelzadeh-Saeieh S, Rahimzadeh M, Khosravi-Dehaghi N, Torkashvand S, et al. The effects of inhalation aromatherapy with Boswellia carterii essential oil on the intensity of labor pain among nulliparous women. Nurs Midwifery Stud 2018;7:45-9.
  • 17. Kaviani M, Maghbool S, Azima S, Tabaei MH. Comparison of the effect of aromatherapy with Jasminum officinale and Salvia officinale on pain severity and labor outcome in nulliparous women. Iran J Nurs Midwifery Res 2014;19:666-72.
  • 18. Zahra A, Leila MS. Lavender aromatherapy massages in reducing labor pain and reduction of labor: a randomized controlled trial. Afr J Pharm Pharmacol 2013;7:426-30.
  • 19. Vahaby S, Abedi P, Afshari P, Haghighizadeh MH, Zargani A. Effect of aromatherapy with rose water on pain severity of labor in nulliparous women: a random clinical trial study. J Rafsanjan Univ Med Sci 2016;14:1049-60.
  • 20. Shaterian N, Pakzad R, Fekri SD, Abdi F, Shaterian N, Shojaee M. Labor pain in different dilatations of the cervix and apgar scores affected by aromatherapy: a systematic review and meta-analysis. Reprod Sci 2022;29:2488-504.
  • 21. Nascimento JC, Gonçalves VSS, Souza BRS, Nascimento LC, Carvalho BMR, Ziegelmann PK, et al. New approaches to the effectiveness of inhalation aromatherapy in controlling painful conditions: a systematic review with meta-analysis. Complement Ther Clin Pract 2022;49:101628.
  • 22. Tabatabaeichehr M, Mortazavi H. The effectiveness of aromatherapy in the management of labor pain and anxiety: a systematic review. Ethiop J Health Sci 2020;30:449-58.
  • 23. Ghiasi A, Bagheri L, Haseli A. A systematic review on the anxiolytic effect of aromatherapy during the first stage of labor. J Caring Sci 2019;8:51-60.
  • 24. World Health Organization, (WHO) Global report on traditional and complementary medicine. World Health Organization, Geneva, Switzerland. https://apps.who.int/iris/handle/10665/312342 (Accessed March 04, 2023).
  • 25. Hegyi G, Petri RP, Roberti di Sarsina, P, Niemtzow RC. Overview of integrative medicine practices and policies in NATO participant countries. Med Acupunct 2015;27:318-27.
Year 2023, Volume: 9 Issue: 5 - September 2023, 1258 - 1270, 04.09.2023
https://doi.org/10.18621/eurj.1261999

Abstract

References

  • 1. Bilgiç Ş. [A holistic practice in nursing; aromatherapy]. Namik Kemal Med J 2017;5:134-41. [Article in Turkish]
  • 2. Ergin AB, Mallı P. Aromatherapies used in childbirth: a systematic review. Journal of Health Sciences of Kocaeli University 2019;5:72-80.
  • 3. Zor M, Küçükkelepçe DŞ, Gölbaşı Z. [Investigation of nursing thesis about the effects of aromatherapy made in Turkey]. Turk J Clin Lab 2021;12:77-94. [Article in Turkish]
  • 4. Başkaya Y, Sayıner D. [Evidence-Based midwifery practices to reduce the rate of caesarean section]. Journal of Health Sciences and Professions 2018;5:113-9. [Article in Turkish]
  • 5. Yeşildağ B, Gölbaşı Z. [Examination of graduate thesis studies evaluating the effectiveness of nonpharmacological methods in the management of labor pain]. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2018;8:104-111. [Article in Turkish]
  • 6. Lakhan SE, Sheafer H, Tepper D. The effectiveness of aromatherapy in reducing pain: a systematic review and metaanalysis. Pain Res Treat 2016;2016:8158693.
  • 7. Makvandi S, Mirteimoori M, Mirzaiinajmadi K, Sadeghi R. A review of randomized clinical trials on the effect of aromatherapy with lavender on labor pain relief. Nurse Care Open Acces J 2016;1:42-7.
  • 8. Moher D, Shamseer L, Clarke M. PRISMA-P Group Preferred Reporting Items For Systematic Review and Meta-Analysis Protocols (PRISMA-P). Systemactic Reviews 2015;4:1-9.
  • 9. Lamadah SM, Nomani I. The effect of aromatherapy massage using lavender oil on the level of pain and anxiety during labour among primigravida women. Am J Nurs Sci 2016;5:37-44.
  • 10. Janula Raju MS. Effectiveness of aromatherapy in reducing labour pain and duration of labour among primigravidas: a pilot study. IJHSR 2014;4:124-8.
  • 11. Tanvisut R, Traisrisilp K, Tongsong T. Efficacy of aromatherapy for reducing pain during labor: a randomized controlled trial. Arch Gynecol Obstet 2018;297:1145-50.
  • 12. Karatopuk S, Yarıcı F. Determining the effect of inhalation and lavender essential oil massage therapy on the severity of perceived labor pain in primiparous women: a randomized controlled trial. Explore (NY) 2023;19:107-14.
  • 13. Yazdkhasti M, Pirak A. The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complement Ther Clin Pract 2016;25:81-6.
  • 14. Hamdamian S, Nazarpour S, Simbar M, Haijan S, Mojab F, Talebi A. Effects of aromatherapy with Rosa damascena on nulliparous women's pain and anxiety of labor during first stage of labor. J Integr Med 2018;16:120-5.
  • 15. Azızı S, Joughı ABG, Hamedı A, Fazlı B, Sadjadı A, Bechak SN. et al. Comparison of the effects of aromatherapy with Lavender and Entonox gas on labor pain intensity: a randomize clinical trial. Pak J Med Health Sci 2021;15:2128-32.
  • 16. Esmaelzadeh-Saeieh S, Rahimzadeh M, Khosravi-Dehaghi N, Torkashvand S, et al. The effects of inhalation aromatherapy with Boswellia carterii essential oil on the intensity of labor pain among nulliparous women. Nurs Midwifery Stud 2018;7:45-9.
  • 17. Kaviani M, Maghbool S, Azima S, Tabaei MH. Comparison of the effect of aromatherapy with Jasminum officinale and Salvia officinale on pain severity and labor outcome in nulliparous women. Iran J Nurs Midwifery Res 2014;19:666-72.
  • 18. Zahra A, Leila MS. Lavender aromatherapy massages in reducing labor pain and reduction of labor: a randomized controlled trial. Afr J Pharm Pharmacol 2013;7:426-30.
  • 19. Vahaby S, Abedi P, Afshari P, Haghighizadeh MH, Zargani A. Effect of aromatherapy with rose water on pain severity of labor in nulliparous women: a random clinical trial study. J Rafsanjan Univ Med Sci 2016;14:1049-60.
  • 20. Shaterian N, Pakzad R, Fekri SD, Abdi F, Shaterian N, Shojaee M. Labor pain in different dilatations of the cervix and apgar scores affected by aromatherapy: a systematic review and meta-analysis. Reprod Sci 2022;29:2488-504.
  • 21. Nascimento JC, Gonçalves VSS, Souza BRS, Nascimento LC, Carvalho BMR, Ziegelmann PK, et al. New approaches to the effectiveness of inhalation aromatherapy in controlling painful conditions: a systematic review with meta-analysis. Complement Ther Clin Pract 2022;49:101628.
  • 22. Tabatabaeichehr M, Mortazavi H. The effectiveness of aromatherapy in the management of labor pain and anxiety: a systematic review. Ethiop J Health Sci 2020;30:449-58.
  • 23. Ghiasi A, Bagheri L, Haseli A. A systematic review on the anxiolytic effect of aromatherapy during the first stage of labor. J Caring Sci 2019;8:51-60.
  • 24. World Health Organization, (WHO) Global report on traditional and complementary medicine. World Health Organization, Geneva, Switzerland. https://apps.who.int/iris/handle/10665/312342 (Accessed March 04, 2023).
  • 25. Hegyi G, Petri RP, Roberti di Sarsina, P, Niemtzow RC. Overview of integrative medicine practices and policies in NATO participant countries. Med Acupunct 2015;27:318-27.
There are 25 citations in total.

Details

Primary Language English
Subjects Obstetrics and Gynaecology
Journal Section Meta-Analysis
Authors

Aysu Yıldız Karaahmet 0000-0003-1134-9016

Fatma Şule Bilgiç 0000-0002-5950-2553

Early Pub Date August 2, 2023
Publication Date September 4, 2023
Submission Date March 8, 2023
Acceptance Date July 4, 2023
Published in Issue Year 2023 Volume: 9 Issue: 5 - September 2023

Cite

AMA Yıldız Karaahmet A, Bilgiç FŞ. The effect of aromatherapy on labor pain, duration of labor, anxiety and Apgar score outcome: a systematic review and meta-analysis. Eur Res J. September 2023;9(5):1258-1270. doi:10.18621/eurj.1261999

e-ISSN: 2149-3189 


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