A clinical trial evaluating the efficacy of aromatherapy product based on Citrus aurantium on anxiety associated with childbirth.
A randomized controlled trial of Iranian Namazi and colleagues, published in Iranian Red Crescent Medical Journal in 2014, evaluates the effectiveness of Citrus aurantium oil on anxiety of women during the first stage of labor compared to a placebo group receiving saline. The results show a reduction in the level of anxiety for the group of women receiving aromatherapy compared to placebo.
The Study Rationale
Anxiety is the most common psychological response in women during the first contractions before a childbirth. Indeed, 80% of women experience anxiety during childbirth. There is a relationship between the pain of contractions and psychological response such as anxiety. Thus, women with low anxiety experience less pain during childbirth. In other words, anxiety would cause severe spasm of the pelvic floor and perineal muscles causing increased pain associated with childbirth. Furthermore, anxiety during childbirth can reduce the amplitude and frequency of uterine contractions. Therefore, the working time and the probability of an assisted delivery are increased.
Aromatherapy could influence stress and induce a calming feeling by stimulating the olfactory system through the use of an essential oil dedicated, bitter orange or Citrus aurantium.
The Citrus aurantium essential oil, it reduces the anxiety of women during the first contractions before birth?
The randomized controlled Namazi and colleagues, evaluated the effectiveness of an essential oil based on Citrus aurantium anxiety women before delivery. The study focused on 126 women between 18 and 35 years. The study included Iranian women giving birth for the first time and arrived at the end of their pregnancy. Participants were randomly placed in either the group receiving essential oil of Citrus aurantium or in the placebo group receiving saline. The main measure concerned the level of anxiety (Questionnaire Spielberger State-Trait Anxiety). Anxiety levels were recorded before the start of the intervention in aromatherapy and when the cervix was dilated 3-4 cm and 6-8 cm.
The tested Non-Pharmacological Intervention (NPI)
Gauze resting on the collar women were impregnated with 4 mL of Citrus aurantium. The gases were changed every 30 minutes.
Results showed significantly lower anxiety levels in the group with aromatherapy from placebo group when the cervix is dilated 3-4 cm and 6-8 cm.
What it means for Patients
Aromatherapy based Citrus aurantium (bitter orange) as gauze resting on the collar reduces anxiety levels during contractions before delivery.
What it means for Healthcare Professionals
4 ml of essential oil-based Citrus aurantium placed in the form of gauze on the neck of women during contractions to reduce their anxiety level.
What it means for Researchers
Given the limited number of studies evaluating the efficacy of aromatherapy based on Citrus aurantium anxiety, future studies are recommended to check the results observed in this study and understand the potential mechanisms involved.
What it means for Policymakers
This test demonstrates that aromatherapy based Citrus aurantium is a simple operation, inexpensive and noninvasive which reduces women’s anxiety state during contractions before delivery.
Namazi M, Akbari SAA, Mojab F, Talebi A, Majd HA, Jannesari S (2014). Aromatherapy With Citrus Aurantium Oil and Anxiety During the First Stage of Labor. Iranian Red Crescent Medical Journal, 16(6), e18371.
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Same non-pharmacological intervention
To reference this Blog en Sante © article.
Ninot G (2016). Treating stress by an essential oil. Blog en Sante, A86.
© Copyright 2016 Grégory Ninot. All rights reserved.