Comparison of the effect of aromatherapy with Jasminum officinale and Salvia officinale on pain severity and labor outcome in nulliparous women

Maasumeh Kaviani, Shahla Maghbool, Sara Azima, Mohammad Hosein Tabaei, Maasumeh Kaviani, Shahla Maghbool, Sara Azima, Mohammad Hosein Tabaei

Abstract

Background: Using non-pharmacological pain relief methods for reducing labor pain has always been one of the major concerns in obstetrics and gynecology.

Objective: Comparing the effects of aromatherapy with jasmine and salvia on pain severity and labor outcome in nulliparous women.

Materials and methods: In this randomized clinical trial, 156 nulliparous women in labor were randomly selected and divided into salvia, jasmine, and control groups (52 in each group). The study duration was 6 months (from October 2009 to March 2010). Each group underwent aromatherapy using an incense mask for 15 min (distilled water for the control group). Pain severity was measured before and 30 and 60 min after the incense aromatherapy. Also, duration of the first and second stages of labor, first- and fifth-minute APGAR scores of the baby, and the frequency of labor type were measured and recorded in each group.

Results: In comparison to the other groups, pain severity and duration of the first and second stages of labor were significantly lower in the aromatherapy group of salvia 30 min after the intervention (P = 0.001). However, no significant difference was found among the three groups regarding pain severity 60 min after the aromatherapy, first- and fifth-minute APGAR scores of the baby, and the frequency of labor type.

Conclusions: The results of the present study indicated that aromatherapy with saliva had beneficial effects on pain relief, shortened the labor stages, and had no negative impact on the baby's APGAR score.

Keywords: Aromatherapy; Jasminum officinale; Salvia officinale; labor; nulliparous.

Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Lowe NK. The nature of labor pain. Am J Obstet Gynecol. 2002;186:16–24.
    1. Saisto T, Kaaja R, Ylikorkala O, Halmesmäki E. Reduced pain tolerance during and after pregnancy in women suffering from fear of labor. Pain. 2001;93:123–7.
    1. Ronsmans C, Holtz S, Stanton C. Socioeconomic differentials in caesarean rates in developing countries: A retrospective analysis. Lancet. 2006;368:1516–23.
    1. Jones L, Othman M, Dowswell T, Alfirevic Z, Gates S, Newburn M, et al. Pain management for women in labour: An overview of systematic reviews. Cochrane Database Syst Rev. 2012;14:CD009234.
    1. Simkin P, Bolding A. Update on nonpharmacologic approaches to relieve labor pain and prevent suffering. J Midwifery Womens Health. 2004;49:489–504.
    1. Bodeker G, Ong CK, Grundy C, Burford G, Shein K. Kobe: WHO Centre; 2005. WHO Global Atlas of Traditional, Complementary and Alternative Medicine; pp. 23–8.
    1. Hall HG, McKenna LG, Griffiths DL. Midwives’ support for Complementary and Alternative Medicine: A literature review. Women Birth. 2012;25:4–12.
    1. Eisenberg DM, Davis RB, Ettner SL, Appel S, Wilkey S, Van Rompay M, et al. Trends in alternative medicine use in the United States, 1990-1997: Results of a follow-up national survey. JAMA. 1998;280:1569–75.
    1. Smith CA, Collins CT, Crowther CA. Aromatherapy for pain management in labour. Cochrane Database Syst Rev. 2011;6:CD009215.
    1. Allaire AD, Moos MK, Wells SR. Complementary and alternative medicine in pregnancy: A survey of North Carolina certified nurse-midwives. Obstet Gynecol. 2000;95:19–23.
    1. Herman PM, Craig BM, Caspi O. Is complementary and alternative medicine (CAM) cost-effective? A systematic review. BMC Complement Altern Med. 2005;5:11.
    1. Stuttard P, Walker E. Integrating complementary medicine into the nursing curriculum. Complement Ther Nurs Midwifery. 2000;6:87–90.
    1. Mitchell M, Doyle M. Complementary therapies in the midwifery curriculum. Pract Midwife. 2002;5:40.
    1. Mitchell M, Williams J. Integrating complementary therapies. Pract Midwife. 2006;9:12–5.
    1. Burns EE, Blamey C, Ersser SJ, Barnetson L, Lloyd AJ. The use of aromatherapy in intrapartum midwifery practices an observational study. Complement Ther Nurs Midwifery. 2000;6:33–4.
    1. Fellowes D, Barnes K, Wilkinson S. Aromatherapy and massage for symptom relief in patients with cancer. Cochrane Database Syst Rev. 2008;8:CD002287.
    1. Yip YB, Tam AC. An experimental study on the effectiveness of massage with aromatic ginger and orange essential oil for moderate-to-severe knee pain among the elderly in Hong Kong. Complement Ther Med. 2008;16:131–8.
    1. Han SH, Hur MH, Buckle J, Choi J, Lee MS. Effect of aromatherapy on symptoms of dysmenorrhea in college students: A randomized placebo-controlled clinical trial. J Altern Complement Med. 2006;12:535–41.
    1. Ou MC, Hsu TF, Lai AC, Lin YT, Lin CC. Pain relief assessment by aromatic essential oil massage on outpatients with primary dysmenorrhea: A randomized, double-blind clinical trial. J Obstet Gynaecol Res. 2012;38:817–22.
    1. Heuberger E, Ilmberger J. The influence of essential oils on human vigilance. Nat Prod Commun. 2010;5:1441–6.
    1. Hongratanaworakit T. Aroma-therapeutic effects of massage blended essential oils on humans. Nat Prod Commun. 2011;6:1199–204.
    1. Tillett J, Ames D. The uses of aromatherapy in women's health. J Perinat Neonatal Nurs. 2010;24:238–45.
    1. Burns E, Blamey C. Complementary medicine: Using aromatherapy in childbirth. Nurs Times. 1994;90:54–60.
    1. Goldberg L. 2nd edn. Cheltenham: Nelson Thornes Ltd; 2001. Massage and aromatherapy: A practical approach; pp. 63–5.
    1. Schwiertz A, Duttke C, Hild J, Müller HJ. In vitro activity of essential oils on microorganisms isolated from vaginal infections. Int J Aromatherapy. 2006;16:169–74.
    1. Clebsch B, Barner CD. Portland, Oregon: Timber Press; 2003. The new book of Salvias: Sages for every garden; pp. 16–22.
    1. Perry NS, Bollen C, Perry EK, Ballard C. Salvia for dementia therapy: Review of pharmacological activity and pilot tolerability clinical trial. Pharmacol Biochem Behav. 2003;75:651–9.
    1. Bommer S, Klein P, Suter A. First time proof of sage's tolerability and efficacy in menopausal women with hot flushes. Adv Ther. 2011;28:490–500.
    1. Shinde P, Patil P, Bairagi V. Herbs in pregnancy and lactation: A review appraisal. IJPSR. 2012;3:3001–6.
    1. Hongratanaworakit T. Stimulating effect of aromatherapy massage with jasmine oil. Nat Prod Commun. 2010;5:157–62.
    1. Rapini RP, Bolognia JL, Jorizzo JL. Vol. 2. St. Louis: Mosby; 2007. Dermatology; pp. 225–30.
    1. Price SH, Price L. 4th ed. London: Elsevier Churchill Livingstone; 2012. Aromatherapy for health professionals; pp. 443–5.
    1. Hur MH, Oh HY, Park YS. Effects of aromatherapy on labor pain and perception of childbirth experience. Korean J Women Health Nurs. 2005;11:135–41.
    1. Burns E, Zobbi V, Panzeri D, Oskrochi R, Regalia A. Aromatherapy in childbirth: A pilot randomised controlled trial. BJOG. 2007;114:838–44.
    1. Gaston-Johansson F. Measurement of pain: The psychometric properties of the Pain-O-Meter, a simple, inexpensive pain assessment tool that could change health care practices. J Pain Symptom Manage. 1996;12:172–81.
    1. Mårtensson L, Stener-Victorin E, Wallin G. Acupuncture versus subcutaneous injections of sterile water as treatment for labour pain. Acta Obstet Gynecol Scand. 2008;87:171–7.
    1. Amirav A, Gordin A, Poliak M, Alon T, Fialkov AB. Gas Chromatography Mass Spectrometry with Supersonic Molecular Beams. J Mass Spectrom. 2008;43:141–63.
    1. Singh AK. New Delhi: New India Publishing; 2006. Flower Crops: Cultivation and Management; pp. 43–7.
    1. Trout KK. The neuromatrix theory of pain: Implications for selected nonpharmacologic methods of pain relief for labor. J Midwifery Womens Health. 2004;49:482–8.
    1. Fayazi S, Babashahi M, Rezaei M. The effect of inhalation aromatherapy on anxiety level of the patients in preoperative period. Iran J Nurs Midwifery Res. 2011;16:278–83.
    1. Kyle G. Evaluating the effectiveness of aromatherapy in reducing levels of anxiety in palliative care patients: Results of a pilot study. Complement Ther Clin Pract. 2006;12:148–55.
    1. Lang AJ, Sorrell JT, Rodgers CS, Lebeck MM. Anxiety sensitivity as a predictor of labor pain. Eur J Pain. 2006;10:263–70.
    1. Curzik D, Jokic-Begic N. Anxiety sensitivity and anxiety as correlates of expected, experienced and recalled labor pain. J Psychosom Obstet Gynaecol. 2011;32:198–203.
    1. Rho KH, Han SH, Kim KS, Lee MS. Effects of aromatherapy massage on anxiety and self-esteem in korean elderly women: A pilot study. Int J Neurosci. 2006;116:1447–55.
    1. Dhany AL, Mitchell T, Foy C. Aromatherapy and Massage Intrapartum Service Impact on Use of Analgesia and Anesthesia in Women in Labor: A Retrospective Case Note Analysis. J Altern Complement Med. 2012;18:932–8.
    1. Hur MH, Park MH. Effects of Aromatherapy on Labor Process, Labor Pain, Labor Stress Response and Neonatal Status of Primipara: Randomized Clinical Trial. Korean J Obstet Gynecol. 2003;46:776–83.
    1. Calvert I. Ginger: An essential oil for shortening labour? Pract Midwife. 2005;8:30–4.
    1. Evans M. Postdates pregnancy and complementary therapies. Complement Ther Clin Pract. 2009;15:220–4.

Source: PubMed

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