Effects of aromatherapy with Rosa damascena on nulliparous women’s pain and anxiety of labor during first stage of labor

doi:10.1016/j.joim.2018.02.005

Abstract

Background
Reducing labor pain and anxiety is one of the most important goals of maternity care.

Objective

This study aimed to assess the effects of aromatherapy with Rosa damascena on pain and anxiety in the first stage of labor among nulliparous women.

Design, setting, participants and interventions

This was a randomized clinical trial of 110 nulliparous women. The eligible participants were randomly assigned to two groups of aromatherapy and control in an Iranian maternity hospital. The participants received 0.08?mL of Rosa damascena essence in the aromatherapy group and 0.08?mL of normal saline in the control group, every 30?min. Pain was measured 3 times, once each at three stages of cervical dilation (4–5, 6–7, and 8–10?cm). Anxiety was measured twice, once each at two stages of cervical dilation (4–7 and 8–10?cm). The tools for data collection were the Spielberger anxiety questionnaire, numerical pain rating scale, demographic and obstetric questionnaire, and an observational checklist. Data analyses included the t-test, Mann–Whitney U test and Chi-square test.

Main outcome measures

Severity of labor pain and severity of anxiety were used as primary outcome measures. Labor and delivery characteristics (including number of contractions, duration of contractions in second stage, Bishop score, augmentation by oxytocin, Apgar score, and mode of delivery), demographic characteristics, and fertility information were used as secondary outcome measures.

Results

Pain severity in the group receiving aromatherapy with R. damascena was significantly lower than in the control group after treatment at each pain assessment (cervical dilation of 4–5, 6–7, and 8–10?cm; P?<?0.05). Anxiety levels were also significantly lower in the treatment group than in the control group after treatment at each time of measurement (cervical dilation of 4–7 and 8–10?cm; P?<?0.05).

Conclusion

Aromatherapy with R. damascena reduced the severity of pain and anxiety in the first stage of labor. Aromatherapy with R. damascena is a convenient and effective method for pain and anxiety reduction during the first stage of labor.

Trial registration

Iranian Registry of Clinical Trial: IRCT201306258801N3.

Key words: Aromatherapy, Rosa damascena, Obstetric labor, Pain, Anxiety, Nulliparous

Sepideh Hamdamian, Soheila Nazarpour, Masoumeh Simbar, Sepideh Hajian, Faraz Mojab, AtefehTalebi. Effects of aromatherapy with Rosa damascena on nulliparous women’s pain and anxiety of labor during first stage of labor. Journal of Integrative Medicine, 2018, 16(2): 120-125.

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URL: http://www.jcimjournal.com/EN/10.1016/j.joim.2018.02.005

http://www.jcimjournal.com/EN/Y2018/V16/I2/120

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