The Effect of Inhalation of Aromatherapy Blend containing Lavender Essential Oil on Cesarean Postoperative Pain

Alireza Olapour, Kaveh Behaeen, Reza Akhondzadeh, Farhad Soltani, Forough Al Sadat Razavi, Reza Bekhradi, Alireza Olapour, Kaveh Behaeen, Reza Akhondzadeh, Farhad Soltani, Forough Al Sadat Razavi, Reza Bekhradi

Abstract

Background: Pain is a major problem in patients after cesarean and medication such as aromatherapy which is a complementary therapy, in which the essences of the plants oils are used to reduce such undesirable conditions.

Objectives: In this study, the effect of aromatherapy using Lavender (Lavandula) essential oil on cesarean postoperative pain was assessed.

Materials and methods: In a triple blind, randomized placebo-controlled trial study, 60 pregnant women who were admitted to a general hospital for cesarean section, were divided randomly into two groups. After cesarean, the Lavender group inhaled about 3 drops of 10% Lavender oil essence and the placebo group inhaled 3 drops of placebo after the start of postoperative pain, four, eight and 12 hours later, for 5 minutes from the 10 cm distance. Patient's pain was measured by the VAS (Visual Analog Scale) score before and after each intervention, and vital sign, complications and level of satisfaction of every patient were recorded before and after aromatherapy.

Results: There was no statistically significant difference between groups in age, height, weight, and time to the first analgesic requirement. Patients in the Lavender group had less postoperative pain in four (P = 0.008), eight (P = 0.024) and 12 (P = 0.011) hours after first medication than the placebo group. The decreased heart rate and patients' level of satisfaction with analgesia were significantly higher in the Lavender group (P = 0.001). In the placebo group, the use of diclofenac suppositories for complete analgesia was also significantly higher than the Lavender group (P = 0.008).

Conclusions: The inhaled Lavender essence may be used as a part of the multidisciplinary treatment of pain after cesarean section, but it is not recommended as the sole pain management.

Keywords: Aromatherapy; Cesarean Section; Lavandula; Pain; Pregnant Women.

Figures

Figure 1.. The Satisfaction From Using Drug…
Figure 1.. The Satisfaction From Using Drug in Two Groups
Figure 2.. Frequency of Patients need to…
Figure 2.. Frequency of Patients need to Take Diclofenac Suppositories to Complete Pre-Operative Analgesia

References

    1. McQuay H, Derry S, Wiffen P, Moore A, Eccleston C. Postoperative pain management: Number-needed-to-treat approach versus procedure-specific pain management approach. Pain. 2012;154(1):180. doi: 10.1016/j.pain.2012.10.007.
    1. Ochroch EA, Gottschalk A. Impact of acute pain and its management for thoracic surgical patients. Thorac Surg Clin. 2005;15(1):105–21. doi: 10.1016/j.thorsurg.2004.08.004.
    1. Pritchard MJ. Managing anxiety in the elective surgical patient. Br J Nurs. 2009;18(7):416–9.
    1. Hurley RW, Wu ChLChap. Acute Postoperative Pain. In: Miller RD, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, editors. Miller’s Anesthesia. 7 ed. USA: Churchill Livingstone; 2010. pp. 2757–2781.
    1. Gupta A, Kaur K, Sharma S, Goyal S, Arora S, Murthy RS. Clinical aspects of acute post-operative pain management & its assessment. J Adv Pharm Technol Res. 2010;1(2):97–108.
    1. Hadi N, Hanid AA. Lavender essence for post-cesarean pain. Pak J Biol Sci. 2011;14(11):664–7.
    1. Kim S, Kim HJ, Yeo JS, Hong SJ, Lee JM, Jeon Y. The effect of lavender oil on stress, bispectral index values, and needle insertion pain in volunteers. J Altern Complement Med. 2011;17(9):823–6. doi: 10.1089/acm.2010.0644.
    1. Podichetty VK, Varley ES. Re: Oleske D M, Lavender S A, Andersson G B, et al. Are back supports plus education more effective than education alone in promoting recovery from low back pain? Results from a randomized clinical trial. Spine 2007;32:2050-7. Spine (Phila Pa 1976). 2008;33(3):349–50. doi: 10.1097/BRS.0b013e31816244db.
    1. Sheikhan F, Jahdi F, Khoei EM, Shamsalizadeh N, Sheikhan M, Haghani H. Episiotomy pain relief: Use of Lavender oil essence in primiparous Iranian women. Complement Ther Clin Pract. 2012;18(1):66–70. doi: 10.1016/j.ctcp.2011.02.003.
    1. Yip YB, Tse SH. The effectiveness of relaxation acupoint stimulation and acupressure with aromatic lavender essential oil for non-specific low back pain in Hong Kong: a randomised controlled trial. Complement Ther Med. 2004;12(1):28–37. doi: 10.1016/j.ctim.2003.12.003.
    1. Yip YB, Tse SH. An experimental study on the effectiveness of acupressure with aromatic lavender essential oil for sub-acute, non-specific neck pain in Hong Kong. Complement Ther Clin Pract. 2006;12(1):18–26. doi: 10.1016/j.ctcp.2005.09.005.
    1. van Wyk BE. A broad review of commercially important southern African medicinal plants. J Ethnopharmacol. 2008;119(3):342–55. doi: 10.1016/j.jep.2008.05.029.
    1. Fukuda K. Opioids. In: Miller RDEL, Fleisher LA, Wiener-Kronish JP, Young WL, editors. Miller’s Anesthesia. USA: Churchill Livingstone; 2010. pp. 769–824.
    1. Sobhani A, Sharemi H, Orang pur R, Shokuhi F, Oudi M. Effect of Lavender Oil in cesarian pain relief. J Gilan Univ Med Sci. 2007;16(62):80–86.
    1. Masoumi Z, Keramat A, Hajiaghaee R. Systemic review on effect of Herbal Medicine on pain after perineal episiotomy and cesearean cutting. J Med Plants. 2011;4(40):1–6.
    1. Khadivzadeh T, Molkizadeh M, Rakhshandeh M. Evaluation of lavander cream effect on episiotomy pain and wound healing in primiparous women. Int J Gynecol Obstetrics. 2009;107(Supplement 2):S498–S499.
    1. Kim JT, Ren CJ, Fielding GA, Pitti A, Kasumi T, Wajda M, et al. Treatment with lavender aromatherapy in the post-anesthesia care unit reduces opioid requirements of morbidly obese patients undergoing laparoscopic adjustable gastric banding. Obes Surg. 2007;17(7):920–5.
    1. Kim JT, Wajda M, Cuff G, Serota D, Schlame M, Axelrod DM, et al. Evaluation of aromatherapy in treating postoperative pain: pilot study. Pain Pract. 2006;6(4):273–7. doi: 10.1111/j.1533-2500.2006.00095.x.
    1. Mohammadkhani S. The effect of massage aromatherapywith Lavender oil on active phase pain intensity and satisfaction of labor nullipara women. Iranian J Reproduct Med. 2009;7(Suppl 1):10–20.

Source: PubMed

3
Tilaa