Labour pain control by aromatherapy: A meta-analysis of randomised controlled trials
Aromatherapy is a treatment method that applies fragrant extracts from herbal plants, existed long ago in medical history as a major treatment approach and now used as an auxiliary treatment and sometimes a major treatment for pain and stress management, including those that occur in labour. We aime...
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| Published in | Women and birth : journal of the Australian College of Midwives Vol. 32; no. 4; pp. 327 - 335 |
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| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Netherlands
Elsevier Ltd
01.08.2019
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1871-5192 1878-1799 1878-1799 |
| DOI | 10.1016/j.wombi.2018.09.010 |
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| Abstract | Aromatherapy is a treatment method that applies fragrant extracts from herbal plants, existed long ago in medical history as a major treatment approach and now used as an auxiliary treatment and sometimes a major treatment for pain and stress management, including those that occur in labour.
We aimed to conduct a meta-analysis of randomised controlled trials of the effectiveness of aromatherapy on labour pain and duration reduction.
We searched the Pubmed, EMBASE, Cochrane Central Register of Controlled Trials, Google Scholar and Clinicaltrials.gov for randomised controlled trials investigating the effectiveness of aromatherapy on labour pain and duration.
A total of 17 trials with low-risk labouring women were included for meta-analysis using the Review Manager 5.3. Meta-analyses showed that aromatherapy reduced labour pain in the transition phase and the duration of active phase and third stage labour; a trend toward shortened duration was observed in the second stage. Also, aromatherapy had no influences on emergency caesarean section, membrane rupture, and spontaneous labour onset.
Our findings suggest that aromatherapy is effective in reducing labour pain and duration, and generally safe to the mothers. However, due to the heterogeneity across trials in some of the outcomes, further trials with device-based pain measurements, larger sample size, and more stringent design, should be conducted before strong recommendation. |
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| AbstractList | Aromatherapy is a treatment method that applies fragrant extracts from herbal plants, existed long ago in medical history as a major treatment approach and now used as an auxiliary treatment and sometimes a major treatment for pain and stress management, including those that occur in labour.BACKGROUNDAromatherapy is a treatment method that applies fragrant extracts from herbal plants, existed long ago in medical history as a major treatment approach and now used as an auxiliary treatment and sometimes a major treatment for pain and stress management, including those that occur in labour.We aimed to conduct a meta-analysis of randomised controlled trials of the effectiveness of aromatherapy on labour pain and duration reduction.AIMWe aimed to conduct a meta-analysis of randomised controlled trials of the effectiveness of aromatherapy on labour pain and duration reduction.We searched the Pubmed, EMBASE, Cochrane Central Register of Controlled Trials, Google Scholar and Clinicaltrials.gov for randomised controlled trials investigating the effectiveness of aromatherapy on labour pain and duration.METHODSWe searched the Pubmed, EMBASE, Cochrane Central Register of Controlled Trials, Google Scholar and Clinicaltrials.gov for randomised controlled trials investigating the effectiveness of aromatherapy on labour pain and duration.A total of 17 trials with low-risk labouring women were included for meta-analysis using the Review Manager 5.3. Meta-analyses showed that aromatherapy reduced labour pain in the transition phase and the duration of active phase and third stage labour; a trend toward shortened duration was observed in the second stage. Also, aromatherapy had no influences on emergency caesarean section, membrane rupture, and spontaneous labour onset.RESULTSA total of 17 trials with low-risk labouring women were included for meta-analysis using the Review Manager 5.3. Meta-analyses showed that aromatherapy reduced labour pain in the transition phase and the duration of active phase and third stage labour; a trend toward shortened duration was observed in the second stage. Also, aromatherapy had no influences on emergency caesarean section, membrane rupture, and spontaneous labour onset.Our findings suggest that aromatherapy is effective in reducing labour pain and duration, and generally safe to the mothers. However, due to the heterogeneity across trials in some of the outcomes, further trials with device-based pain measurements, larger sample size, and more stringent design, should be conducted before strong recommendation.CONCLUSIONOur findings suggest that aromatherapy is effective in reducing labour pain and duration, and generally safe to the mothers. However, due to the heterogeneity across trials in some of the outcomes, further trials with device-based pain measurements, larger sample size, and more stringent design, should be conducted before strong recommendation. Aromatherapy is a treatment method that applies fragrant extracts from herbal plants, existed long ago in medical history as a major treatment approach and now used as an auxiliary treatment and sometimes a major treatment for pain and stress management, including those that occur in labour. We aimed to conduct a meta-analysis of randomised controlled trials of the effectiveness of aromatherapy on labour pain and duration reduction. We searched the Pubmed, EMBASE, Cochrane Central Register of Controlled Trials, Google Scholar and Clinicaltrials.gov for randomised controlled trials investigating the effectiveness of aromatherapy on labour pain and duration. A total of 17 trials with low-risk labouring women were included for meta-analysis using the Review Manager 5.3. Meta-analyses showed that aromatherapy reduced labour pain in the transition phase and the duration of active phase and third stage labour; a trend toward shortened duration was observed in the second stage. Also, aromatherapy had no influences on emergency caesarean section, membrane rupture, and spontaneous labour onset. Our findings suggest that aromatherapy is effective in reducing labour pain and duration, and generally safe to the mothers. However, due to the heterogeneity across trials in some of the outcomes, further trials with device-based pain measurements, larger sample size, and more stringent design, should be conducted before strong recommendation. |
| Author | Hu, Tsung-Ming Loh, El-Wui Wang, Chia-Hui Tam, Ka-Wai Chan, Pi-Tuan Chiang, Hsiu-Wen Chen, Shuo-Fei |
| Author_xml | – sequence: 1 givenname: Shuo-Fei surname: Chen fullname: Chen, Shuo-Fei organization: Department of Future Studies and LOHAS Industry, Fo Guang University, Jiaosi, Yilan County, Taiwan – sequence: 2 givenname: Chia-Hui surname: Wang fullname: Wang, Chia-Hui organization: Department of Nursing, Shuang Ho Hospital, Taipei Medical University, Zhonghe District, New Taipei City, Taiwan – sequence: 3 givenname: Pi-Tuan surname: Chan fullname: Chan, Pi-Tuan organization: Department of Nursing, En Chu Kong Hospital, Sanxia District, New Taipei City, Taiwan – sequence: 4 givenname: Hsiu-Wen surname: Chiang fullname: Chiang, Hsiu-Wen organization: Department of Nursing, En Chu Kong Hospital, Sanxia District, New Taipei City, Taiwan – sequence: 5 givenname: Tsung-Ming surname: Hu fullname: Hu, Tsung-Ming organization: Yuli Veterans Hospital, Yuli Township, Hualian County, Taiwan – sequence: 6 givenname: Ka-Wai surname: Tam fullname: Tam, Ka-Wai organization: Center for Evidence-Based Health Care, Department of Medical Research, Shuang Ho Hospital, Taipei Medical University, Zhonghe District, New Taipei City, Taiwan – sequence: 7 givenname: El-Wui surname: Loh fullname: Loh, El-Wui email: lohelwui@tmu.edu.tw, 16199@s.tmu.edu.tw organization: Center for Evidence-Based Health Care, Department of Medical Research, Shuang Ho Hospital, Taipei Medical University, Zhonghe District, New Taipei City, Taiwan |
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| Keywords | Aromatherapy Labour pain Labour process Labour duration Meta-analysis |
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