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http://dx.doi.org/10.4069/kjwhn.2022.05.15

Fatigue relief by aromatherapy use in prenatal and postnatal women: a systematic review and meta-analysis  

Song, Ji-Ah (College of Nursing, Konyang University)
Yang, Hyejin (College of Nursing, Konyang University)
Publication Information
Women's Health Nursing / v.28, no.2, 2022 , pp. 87-99 More about this Journal
Abstract
Purpose: The purpose of this systematic review was to examine aromatherapy interventions for prenatal and postnatal women, and to determine the effectiveness of these interventions on fatigue. Methods: Six national and international databases were reviewed to retrieve and collect studies published up to September 7, 2021, describing randomized controlled trials and controlled clinical trials of aromatherapy interventions for prenatal and postnatal women's fatigue. Of the 323 articles initially identified, 64 duplicates were excluded and 259 were screened. After further excluding 216 articles not related to PICO framework, 10 were selected for review. Two reviewers independently selected studies and conducted data extraction and quality appraisal using Cochran's Risk of Bias and Risk of Bias Assessment Tool for Non-randomized Studies. Results: The quality of the 10 selected studies was overall satisfactory. A meta-analysis of three studies showed that aromatherapy with lavender oil produced a 0.75-point reduction in postnatal mothers' fatigue when compared to control groups. Sleep quality was also analyzed as a secondary outcome of fatigue. A meta-analysis of four studies using lavender and/or orange peel oil found that aromatherapy produced a 0.98-point improvement in postnatal mothers' quality of sleep. Although a meta-analysis could not be conducted to synthesize the findings for fatigue in pregnant women, inhalation and massage therapy using lavender oil showed positive effects on prenatal fatigue and sleep quality. Conclusion: Aromatherapy using lavender oil and orange peel oil is effective in improving prenatal and postnatal fatigue and sleep quality.
Keywords
Aromatherapy; Fatigue; Postnatal care; Prenatal care; Systematic review;
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1 Kim ME, Jun JH, Hur MH. Effects of aromatherapy on sleep quality: a systematic review and meta-analysis. J Korean Acad Nurs. 2019;49(6):655-676. https://doi.org/10.4040/jkan.2019.49.6.655   DOI
2 Tzeng YL, Yang YL, Kuo PC, Lin YC, Chen SL. Pain, anxiety, and fatigue during labor: a prospective, repeated measures study. J Nurs Res. 2017;25(1):59-67. https://doi.org/10.1097/jnr.0000000000000165   DOI
3 Whitburn LY, Jones LE, Davey MA, Small R. Women's experiences of labour pain and the role of the mind: an exploratory study. Midwifery. 2014;30(9):1029-1035. https://doi.org/10.1016/j.midw.2014.04.005   DOI
4 Salme D, Hobrani P, Salari P, Banafshe E. Fatigue in pregnancy associated with postpartum blues. J Woman. 2014;14:7-15.
5 Hur MH, Hong JH, Yeo S. Effects of aromatherapy on stress, fructosamine, fatigue, and sleep quality in prediabetic middle-aged women: a randomised controlled trial. Eur J Integr Med. 2019;31:100978. https://doi.org/10.1016/j.eujim.2019.100978   DOI
6 Coleman Smith V. Aromatherapy as a comfort measure: during the childbearing year. Int J Childbirth Educ. 2012;27(3):26-30.
7 Song J, Park MY, Jung EY. The effect of aroma hand massage on stress, fatigue and depression among mothers in the postpartum period. J Korean Soc Wellness. 2018;13(3):389-398. https://doi.org/10.21097/ksw.2018.08.13.3.389   DOI
8 Shobeiri F, Manoucheri B, Parsa P, Roshanaei G. Effects of counselling and sole reflexology on fatigue in pregnant women: a randomized clinical trial. J Clin Diagn Res. 2017;11(6):QC01-QC04. https://doi.org/10.7860/JCDR/2017/22681.9972   DOI
9 Cheng CY, Chou YH, Wang P, Tsai JM, Liou SR. Survey of trend and factors in perinatal maternal fatigue. Nurs Health Sci. 2015;17(1):64-70. https://doi.org/10.1111/nhs.12149   DOI
10 Yikar SK, Nazik E. Effects of prenatal education on complaints during pregnancy and on quality of life. Patient Educ Couns. 2019;102(1):119-125. https://doi.org/10.1016/j.pec. 2018.08.023   DOI
11 Effati-Daryani F, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Taghizadeh M, Bekhradi R, Zarei S. Effect of lavender cream with or without footbath on sleep quality and fatigue in pregnancy and postpartum: a randomized controlled trial. Women Health. 2018;58(10):1179-1191. https://doi.org/10.1080/03630242.2017.1414101   DOI
12 Kianpour M, Mansouri A, Mehrabi T, Asghari G. Effect of lavender scent inhalation on prevention of stress, anxiety and depression in the postpartum period. Iran J Nurs Midwifery Res. 2016;21(2):197-201. https://doi.org/10.4103/1735-9066.178248   DOI
13 Higgins JP, Thomas J, Chandler J, Cumpston M, Li T, Page MJ, et al. Cochrane handbook for systematic reviews of interventions. Chichester, UK: John Wiley & Sons; 2019. p. 3-640.
14 Dennis CL, Vigod S. Preventing postpartum depression: fatigue management is a place to start. Evid Based Nurs. 2020;23(1):25. https://doi.org/10.1136/ebnurs-2019-103073   DOI
15 Igarashi T. Physical and psychologic effects of aromatherapy inhalation on pregnant women: a randomized controlled trial. J Altern Complement Med. 2013;19(10):805-810. https://doi.org/10.1089/acm.2012.0103   DOI
16 Mirghafourvand M, Charandabi SMA, Hakimi S, Khodaie L, Galeshi M. Effect of orange peel essential oil on postpartum sleep quality: a randomized controlled clinical trial. Eur J Integr Med. 2016;8(1):62-66. https://doi.org/10.1016/j.eujim.2015.07.044   DOI
17 Keshavarz Afshar M, Behboodi Moghadam Z, Taghizadeh Z, Bekhradi R, Montazeri A, Mokhtari P. Lavender fragrance essential oil and the quality of sleep in postpartum women. Iran Red Crescent Med J. 2015;17(4):e25880. https://doi.org/10.5812/ircmj.17(4)2015.25880   DOI
18 Chen SL, Chen CH. Effects of lavender tea on fatigue, depression, and maternal-infant attachment in sleep-disturbed postnatal women. Worldviews Evid Based Nurs. 2015;12(6):370-379. https://doi.org/10.1111/wvn.12122   DOI
19 Rezaie-Keikhaie K, Hastings-Tolsma M, Bouya S, Shad FS, Sari M, Shoorvazi M, et al. Effect of aromatherapy on post-partum complications: a systematic review. Complement Ther Clin Pract. 2019;35:290-295. https://doi.org/10.1016/j.ctcp.2019.03.010   DOI
20 Henderson J, Alderdice F, Redshaw M. Factors associated with maternal postpartum fatigue: an observationalstudy. BMJ Open. 2019;9(7):e025927. https://doi.org/10.1136/bmjopen-2018-025927   DOI
21 Varney E, Buckle J. Effect of inhaled essential oils on mental exhaustion and moderate burnout: a small pilot study. J Altern Complement Med. 2013;19(1):69-71. https://doi.org/10.1089/acm.2012.0089   DOI
22 Buckle J, Ryan K, Chin KB. Clinical aromatherapy for pregnancy, labor and postpartum. Int J Childbirth Educ. 2014;29(4):21-27.
23 Vaziri F, Shiravani M, Najib FS, Pourahmad S, Salehi A, Yazdanpanahi Z. Effect of lavender oil aroma in the early hours of postpartum period on maternal pains, fatigue, and mood: a randomized clinical trial. Int J Prev Med. 2017;8:29. https://doi.org/10.4103/ijpvm.IJPVM_137_16   DOI
24 Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, Anwar F. Essential oils used in aromatherapy: a systemic review. Asian Pac J Trop Biomed. 2015;5(8):601-611. https://doi.org/10.1016/j.apjtb.2015.05.007   DOI
25 Asazawa K, Kato Y, Koinuma R, Takemoto N, Tsutsui S. Effectiveness of aromatherapy treatment in alleviating fatigue and promoting relaxation of mothers during the early postpartum period. Open J Nurs. 2018;8(3):196-209. https://doi.org/10.4236/ojn.2018.83017   DOI
26 Jagadeeswari J, Soniya M. Effectiveness of aromatherapy on after pain and fatigue among postnatal mothers. Drug Interv Today. 2020;13(7):1084-1088.
27 Kartilah T, Februanti S. Effectiveness of progressive muscle relaxation and aromatherapy on fatigue in pregnant mothers. Medisains, J Ilm Ilmu-Ilmu Kesehat. 2020;18(1):14-18. https://doi.org/10.30595/medisains.v18i1.6421   DOI
28 Koulivand PH, Khaleghi Ghadiri M, Gorji A. Lavender and the nervous system. Evid Based Complementary Altern Med. 2013;2013:681304. https://doi.org/10.1155/2013/681304   DOI
29 Tsai SS, Wang HH, Chou FH. The effects of aromatherapy on postpartum women: a systematic review. J Nurs Res. 2020;28(3):e96. https://doi.org/10.1097/jnr.0000000000000331   DOI
30 Farrar AJ, Farrar FC. Clinical aromatherapy. Nurs Clin North Am. 2020;55(4):489-504. https://doi.org/10.1016/j.cnur.2020.06.015   DOI
31 Karadag E, Samancioglu Baglama S. The effect of aromatherapy on fatigue and anxiety in patients undergoing hemodialysis treatment: a randomized controlled study. Holist Nurs Pract. 2019;33(4):222-229. https://doi.org/10.1097/HNP.0000000000000334   DOI
32 Farahani MA, Afsargharehbagh R, Marandi F, Moradi M, Hashemi SM, Moghadam MP, et al. Effect of aromatherapy on cancer complications: a systematic review. Complement Ther Med. 2019;47:102169. https://doi.org/10.1016/j.ctim.2019.08.003   DOI
33 Hsieh CH, Chen CL, Han TJ, Lin PJ, Chiu HC. Factors influencing postpartum fatigue in vaginal-birth women: testing a path model. J Nurs Res. 2018;26(5):332-339. https://doi.org/10.1097/jnr.0000000000000249   DOI
34 Cheng CY, Pickler RH. Perinatal stress, fatigue, depressive symptoms, and immune modulation in late pregnancy and one month postpartum. ScientificWorldJournal. 2014;2014:652630. https://doi.org/10.1155/2014/652630   DOI
35 Andersen LB, Melvaer LB, Videbech P, Lamont RF, Joergensen JS. Risk factors for developing post-traumatic stress disorder following childbirth: a systematic review. Acta Obstet Gynecol Scand. 2012;91(11):1261-1272. https://doi.org/10.1111/j.1600-0412.2012.01476.x   DOI
36 Plancoulaine S, Flori S, Bat-Pitault F, Patural H, Lin JS, Franco P. Sleep trajectories among pregnant women and the impact on outcomes: a population-based cohort study. Matern Child Health J. 2017;21(5):1139-1146. https://doi.org/10.1007/s10995-016-2212-9   DOI
37 Yan S, Chen J, Zhang F. Infant sleep patterns and maternal postpartum fatigue: a cross-sectional study. J Obstet Gynaecol Res. 2022;48(5):1193-1201. https://doi.org/10.1111/jog.15191   DOI
38 Okun ML. Sleep in pregnancy and the postpartum. In: Kushida CA, editor. Encyclopedia of sleep 2. Amsterdam: Elsevier; 2013. p. 674-679.
39 Fujita K, Chavasiri W, Kubo I. Anti-salmonella activity of volatile compounds of Vietnam coriander. Phytother Res. 2015;29(7):1081-1087. https://doi.org/10.1002/ptr.5351   DOI
40 Park S, Park HJ. Effects of aroma hand massage on stress, fatigue, and sleep in nursing students. J Korean Acad Fundam Nurs. 2019;26(2):86-95. https://doi.org/10.7739/jkafn.2019.26.2.86   DOI
41 Arbianingsih A, Amal AA, Hidayah N, Azhari N, Tahir T. Massage with lavender aromatherapy reduced sleep disturbances on infant. Enfermeria Clinica. 2020;30(3):62-65. https://doi.org/10.1016/j.enfcli.2019.12.028   DOI
42 Dos Reis Lucena L, Dos Santos-Junior JG, Tufik S, Hachul H. Lavender essential oil on postmenopausal women with insomnia: double-blind randomized trial. Complement Ther Med. 2021;59:102726. https://doi.org/10.1016/j.ctim.2021.102726   DOI
43 Dobetsberger C, Buchbauer G. Actions of essential oils on the central nervous system: an updated review. Flavour Fragr J. 2011;26(5):300-316. https://doi.org/10.1002/ffj.2045   DOI
44 Ngo-Mback MN, Babii C, Jazet Dongmo PM, Kouipou Toghueo MR, Stefan M, Fekam Boyom F. Anticandidal and synergistic effect of essential oil fractions from three aromatic plants used in Cameroon. J Mycol Med. 2020;30(2):100940. https://doi.org/10.1016/j.mycmed.2020.100940   DOI
45 Tsai SY, Lin JW, Kuo LT, Thomas KA. Daily sleep and fatigue characteristics in nulliparous women during the third trimester of pregnancy. Sleep. 2012;35(2):257-262. https://doi.org/10.5665/sleep.1634   DOI
46 Mascarenhas VHA, Caroci-Becker A, Riesco ML. Effectiveness of aromatherapy versus standard care on physiological and psychological symptoms in pregnant women: a systematic review protocol. JBI Evid Synth. 2021;20(2):658-665. https://doi.org/10.11124/JBIES-20-00562   DOI
47 Faydali S, Cetinkaya F. The effect of aromatherapy on sleep quality of elderly people residing in a nursing home. Holist Nurs Pract. 2018;32(1):8-16. https://doi.org/10.1097/HNP.0000000000000244   DOI
48 Doering J, Durfor SL. The process of "persevering toward normalcy" after childbirth. MCN Am J Matern Child Nurs. 2011;36(4):258-265. https://doi.org/10.1097/NMC.0b013e 31821826e7   DOI
49 Khayamim N, Bahadoran P, Mehrabi T. Relationship between fatigue and sleepiness with general health of mothers in the postpartum period. Iran J Nurs Midwifery Res. 2016;21(4):385-390. https://doi.org/10.4103/1735-9066.185580   DOI
50 Aksu S, Varol FG, Hotun Sahin N. Long-term postpartum health problems in Turkish women: prevalence and associations with self-rated health. Contemp Nurse. 2017;53(2):167-181. https://doi.org/10.1080/10376178.2016.1258315   DOI
51 Gok Metin Z, Ozdemir L. The effects of aromatherapy massage and reflexology on pain and fatigue in patients with rheumatoid arthritis: a randomized controlled trial. Pain Manag Nurs. 2016;17(2):140-149. https://doi.org/10.1016/j.pmn.2016.01.004   DOI
52 Asazawa K, Kato Y, Yamaguchi A, Inoue A. The effect of aromatherapy treatment on fatigue and relaxation for mothers during the early puerperal period in Japan: a pilot study. Int J Community Based Nurs Midwifery. 2017;5(4):365-375.