The Effect of Aromatherapy Treatment on Fatigue and Relaxation for Mothers during the Early Puerperal Period in Japan: A Pilot Study

Kyoko Asazawa PhD, Yoshihiro Kato Bs, Atsuko Yamaguchi Ms, Asako Inoue Bs, Kyoko Asazawa PhD, Yoshihiro Kato Bs, Atsuko Yamaguchi Ms, Asako Inoue Bs

Abstract

Background: Early in the postpartum period, mothers are often nervous and tired from the delivery, breast-feeding and caring for a new-born. The aim of this study was to evaluate the process and outcome of using aromatherapy treatments to increase relaxation and decrease fatigue for mothers during the first to the seventh day of the postpartum period.

Methods: This non-randomized controlled study with a quasi-experimental one-group pretest-posttest design was used to evaluate scores in relaxation and fatigue before and after the intervention. Aromatherapy hand treatments were performed on a purposive sample of 34 postpartum mothers in Tokyo, Japan, from May to July 2016. The single treatment included a choice of one of five essential aroma oils through hand and forearm massage. Relaxation and fatigue were measured by self-administered valid and reliable questionnaires. Wilcoxon signed-rank test was conducted to analyze the data before and after the intervention. The software programs SPSS, v. 23.0 (SPSS, Tokyo), was used to analyze the data, with the significance level set at 5%.

Results: Valid responses were obtained from 29 participants. A comparison of the scores before and after aroma treatment intervention indicated that the participants' relaxation scores increased significantly (P<0.001) and fatigue scores were significantly reduced (P<0.001). The majority of participants (77.8%) were satisfied with the treatment.

Conclusion: The aroma treatments significantly improved relaxation and reduced fatigue for mothers in the early puerperal period and were well received. Therefore, a larger study using a pretest-posttest random control trial is recommended.

Keywords: Fatigue; Postpartum period; Relaxation; Aromatherapy.

Figures

Figure1
Figure1
Flowchart of study participants
Figure2
Figure2
The process evaluation (N=29)

References

    1. Cheng CY, Li Q. Integrative review of research on general health status and prevalence of common physical health conditions of women after childbirth. Womens Health Issues. 2008;18:267–80.
    1. Libbus K, Baker JL, Osgood JM, et al. Persistent fatigue in well women. Women Health. 1995;23:57–72.
    1. Konno Y, Yanagihara M, Kamibayashi R, Nishiwaki M. Anxiety of the puerperant within 1 week after discharge. Japanese Journal of Maternal Health. 2002;43:346–56. [In Japanese]
    1. Aksu S, Varol FG, Hotun Sahin N. Long-term postpartum health problems in Turkish women: prevalence and associations with self-rated health. Contemporary Nurse. 2017;53:167–181.
    1. Rychnovsky J, Hunter LP. The relationship between sleep characteristics and fatigue in healthy postpartum women. Womens Health Issues. 2009;19:38–44.
    1. Milman N. Postpartum anemia II: prevention and treatment. Annals of Hematology. 2012;91:143–54.
    1. Hunter LP, Rychnovsky JD, Yount SM. A selective review of maternal sleep characteristics in the postpartum period. J Obstet Gynecol Neonatal Nurs. 2009;38:60–8.
    1. Bozoky I, Corwin EJ. Fatigue as a predictor of postpartum depression. Obstet Gynecol Neonatal Nurs. 2002;31:436–43.
    1. Khayamim N, Bahadoran P, Mehrabi T. 1. Relationship between fatigue and sleepiness with general health of mothers in the postpartum period. Iran J Nurs Midwifery Res 2016;21:385–90.
    1. Armstrong DS. Emotional distress and prenatal attachment in pregnancy after perinatal loss. J Nurs Scholarship. 2002;34:339–45.
    1. Murakami A, Kita S, Kamiya K. Effect of iyashi healing care in early puerperium on mother’s fatigue and breastfeeding. Journal of Japan Academy of Midwifery. 2008;22:136–45. [In Japanese]
    1. Imanishi J. Medical aromatherapy. Japanese Journal of Complementary & Alternative Medicine. 2004;1:53–61. [In Japanese]
    1. Rashidi Fakari F, Tabatabaeichehr M, Kamli H, et al. Effect of inhalation of aroma of geranium essence on anxiety and physiological parameters during first stage of labor in nulliparous women: a randomized clinical trial. J Caring Sci. 2015;4:135–41.
    1. Fu CY, Moyle W, Cooke M. randomized controlled trial of the use of aromatherapy and hand massage to reduce disruptive behavior in people with dementia. BMC Complementary & Alternative Medicine. 2013;13:165.
    1. Imura M, Misao H, Ushijima H. The psychological effects of aromatherapy-massage in healthy postpartum mothers. Journal of Midwifery & Women’s Health. 2006;51:e21–7.
    1. Jahdi F, Mehrabadi M, Mortazavi F, Haghani H. The Effect of Slow-Stroke Back Massage on the Anxiety Levels of Iranian Women on the First Postpartum Day. Iran Red Crescent Med J. 2016;18:e34270.
    1. Kianpour M, Mansouri A, Mehrabi T, Asghari G. Effect of lavender scent inhalation on prevention of stress, anxiety and depression in the postpartum period. Iranian Journal of Nursing and Midwifery Research. 2016;21:197–201.
    1. Keshavarz Afshar M, Behboodi Moghadam Z, Taghizadeh Z, et al. Lavender fragrance essential oil and the quality of sleep in postpartum women. Iranian Red Crescent Medical Journal. 2015;17:e25880.
    1. Vaziri F, Shiravani M, Najib FS, Pourahmad S, et al. Effect of Lavender Oil Aroma in the Early Hours of Postpartum Period on Maternal Pains, Fatigue, and Mood: A Randomized Clinical Trial. International Journal of Preventive Medicine. 2017;8:29.
    1. Behruzi R, Hatem M, Fraser W, et al. Facilitators and barriers in the humanization of childbirth practice in Japan. BMC Pregnancy and Childbirth. 2010;10:25.
    1. Cohen J. A power primer. Psychological Bulletin. 1992;112:155–9.
    1. Tillett J, Ames D. The uses of aromatherapy in women’s health. J Perinat Neonatal Nurs. 2010;24:238–45.
    1. Hashemi SH, Hajbagheri A, Aghajani M. The Effect of Massage with Lavender Oil on Restless Leg Syndrome in Hemodialysis Patients: A Randomized Controlled Trial. Nursing and Midwifery Studies. 2015;4:e29617.
    1. Nakakita M, Takenoue K. Effect of relaxing back massages on early healthy postpartum mothers - autonomic nervous system activity and subjective analysis. Journal of Japan Academy of Midwifery. 2009;23:230–40. [In Japanese]
    1. International Center for Occupational Safety and Health. Self-Diagnosis Check List for Assessment of Worker’s Accumulated Fatigue. Japan: JICOSH; 2004. [cited 21 November 2016] Available from: .
    1. Sasaki T, Iwasaki K, Mori I, et al. Overtime, job stressors, sleep/rest, and fatigue of Japanese workers in a company. Industrial Health. 2007;45:237–46.
    1. Nedate K, Kamisato I. Effects of cognition of physiological state and actual physiological responses upon emotion. Japanese Association of Behavioral and Cognitive Therapies. 1984;9:33–9. [In Japanese]
    1. Takahashi M. The effects of relaxation on guided imagery of pregnant women and fetuses. Tokyo: Kyorin University; 1996. [Cited 15 Nov 2015 ] Available from: .
    1. Lyn Richards. Handling qualitative data : a practical guide. 3rd ed. Britain: Sage; 2015. pp. 67–122.
    1. Lee SY, Lee KA. Early postpartum sleep and fatigue for mothers after cesarean delivery compared with vaginal delivery: an exploratory study. J Perinat Neonatal Nurs. 2007;21:109–13.
    1. Gonidakis F, Rabavilas AD, Varsou E, et al. Maternity blues in Athens, Greece: a study during the first 3 days after delivery. Journal of Affective Disorders. 2007;99:107–15.
    1. Smith MC, Kyle L. Holistic foundations of aromatherapy for nursing. Holist Nurs Pract. 2008;22:3–9.

Source: PubMed

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