Report an error   


Submitted: 10 July 2018 Modified: 24 August 2018
HERDIN Record #: NCR-SBU-18071014164134

The effectiveness of the use of inhalational aromatherapy in reducing anxiety among healthy pregnant women in the normal course of pregnancy: A systematic review.

Ronel Mark  B. Bautista,
Patrick Andrew  G. Bayona,
Frances Karen S. Cabel,
Paula Bianca  M. Climacosa,
Dara Danica  M. Dañez,
EzraleeYhana  R. De Villa,
Angelika Mae  E. Encina,
Denise Patricia  M. Francisco,
Shirley  G. Garay,
Joon Chester  S. Guina,
Marianne Eleanor  N. Ilagan,
Mary Pompei  D. Inocencio

See More

BACKGROUND: Pregnancy is a period surrounded by biopsychosocial changes. During and after gravidity, studies have shown that mothers are more predisposed to psychiatric disturbances such as depressive disorder, anxiety disorder, panic disorder, OCD and psychosis. The most common of which being anxiety which had around 25% of women in one study.1,2 Anxiety and stress have been linked with premature delivery, low birth weight, and neonatal morbidity and mortality.9 Aromatherapy, yoga, acupuncture and massage are some of the more commonly-used therapies in pregnancy. Aromatherapy is a form of complementary medicine that seeks to reduce stress and induce a feeling of calmness by stimulating the olfactory system through the use of essential oils.13 However, their effects on mental health have been investigated only to a limited extent.


OBJECTIVES:  To determine the effectiveness of aromatherapy in reducing anxiety among healthy pregnant women in any stage of pregnancy using anxiety scales (e.g. Spielberger state-trait inventory, profile for mood states, visual analog scale for anxiety, verbal anxiety scale) and physiologic parameters (e.g. blood pressure, pulse rate, heart rate, electrocardiogram).


METHODOLOGY: Studies that shall be considered for this review are randomized controlled trials. All articles regardless of year of publication will be considered. Publications in foreign languages will be included provided an English version is accessible. Subjects are all pregnant woman who underwent any aromatherapy during the intranatal, puerperium, and postnatal period, are aged 15-50 years old, and regardless of their gravidity. Outcome measure for anxiety will be through the Spielberger State-Trait Anxiety Inventory (STAI). The Cochrane Database, PubMed, Herdin, Clinical Key, UpToDate, EBSCOHost, and Google Scholar will be used to search for relevant studies to be included in this review. The Review Manager 5.3 Software will be used to assess weighted mean difference using 95% confidence interval.

Publication Type
Research Report
Date
1. Smith, M.V. , Shao, L , Howell , H , Lin, H , Yonkers , K.A . "Perinatal depression and birth outcomes in a Healthy Start project." Matern. Child Health J (15): 401–409., 2011
2. Alipour, Z , Lamyian, M , Hajizadeh, E . "Anxiety and fear of childbirth as predictors of postnatal depression in nulliparous women." Women Birth (25): e37–e43, 2012
3. Glover , V . "Maternal depression, anxiety and stress during pregnancy and child outcome; what needs to be done. Best Pract. " Res. Clin. Obstet. Gynaecol (28): 25–35., 2014
4. Marcus , S.M . "Depression during pregnancy: rates, risks and consequences – motherisk Update 2008. " . Can. J. Clin. Pharmacol (16): e15–e22., 2009
5. Raisanen, S , Lehto, S.M , Nielsen, H.S , Gissler, M , Kramer , M.R , Heinonen, S . "Risk factors for and perinatal outcomes of major depression during pregnancy: a population-based analysis during 2002–2010 in Finland. " BMJ Open (4): e004883, 2014
6. Thombre, M.K , Talge, N.M , Holzman, C . "Association Between Pre-Pregnancy Depression/Anxiety Symptoms and Hypertensive Disorders of Pregnancy" Journal of Women’s Health 24(3): 228–236, 2015. Retrieved from: http://doi.org/10.1089/jwh.2014.4902
7. George, A , Luz, R.F , De Tychey, C , Thilly, N , Spitz, E . "Anxiety symptoms and coping strategies in the perinatal period. " BMC Pregnancy and Childbirth (13): 233, 2013. Retrieved from: http://doi.org/10.1186/1471-2393-13-233
8. Fairbrother, N , Young, A.H , Janssen, P , Antony, M.M , Tucker, E . "Depression and anxiety during the perinatal period" BMC Psychiatry (15): 206, 2015. Retrieved from: http://doi.org/10.1186/s12888-015-0526-6
9. Dhillon, A , Sparkes, E , Duarte, R.V . "Mindfulness-Based Interventions During Pregnancy" a Systematic Review and Meta-analysis. Mindfulness 8(6): 1421-1437., 2017
10. T, . "Physical and psychologic effects of aromatherapy inhalation on pregnant women: A randomized controlled trial. " Journal of Alternative and Complementary Medicine (New York, NY). 19(10): 805–810. D, 2013
11. de Mendoza , V , Harville, E , Savage, J , Giarratano, G . "Association of complementary and alternative therapies with mental health outcomes in pregnant women living in a post-disaster recovery environment. " Journal of Holistic Nursing 34(3): 259–270. d, September 2016
12. Strouss , L , Mackley , A , Guillen, U , Paul, DA , Locke, R . "Complementary and alternative medicine use in women during pregnancy: Do their healthcare providers know?" BMC Complementary and Alternative Medicine (14): 14:85-6882, 2014
13. Namazi, M.1 , Akbari, S , Mojab, F , Talebi , A , Majd, H , Jannesari , S . "Aromatherapy With Citrus Aurantium Oil and Anxiety During the First Stage of Labor. Iranian Red Crescent " Medical Journal 16(6): e18371. DO, June 2014
14. Valipour , NS , Kheirkhah, M , Neisani, L , Haghani, H . "Comparison of the effects of aromatherapy with essential oils of damask rose and hot footbath on the first stage of labor anxiety in Nulliparous women. " Complement Med J Faculty Nurs Midwife. 2(2): 1–9, 2012
15. Ozgoli, G , Aryamanesh, Z , Mojab, F , MajdAlavi, H . "A Study of Inhalation of Peppermint Aroma on the Pain and Anxiety. " Qom Univ Med Sci J 7(3): 2013
16. Tafazoli, M , Zaremobini, F , Mokhber, N , Emami, A . "Citrus aurantium Blossom and Preoperative Anxiety." J Fundamentals Mental Health 12(4): 720–4, 2011
17. Nasreen, H.E , Kabir, Z.N , Forsell, Y , Edhborg, M . "Prevalence and associated factors of depressive and anxiety symptoms during pregnancy: A population based study in rural Bangladesh. " BMC Women’s Health (11): 22, 2011. Retrieved from: http://doi.org/10.1186/1472-6874-11-22
18. Biaggi, A , Conroy, S , Pawlby, S , Pariante, C.M . "Identifying the women at risk of antenatal anxiety and depression: A systematic review. " Journal of Affective Disorders (191): 62–77, 2016. Retrieved from: http://doi.org/10.1016/j.jad.2015.11.014
19. Lv, X , Liu, Z , Zhang, H , Tzeng, C . "Aromatherapy and the Central Nerve System (CNS)" Therapeutic Mechanism and its Associated Genes. Current Drug Targets, 14(8): 872-879. d, 2013
20. Ali, B , Al-Wabel, N.A , Shams, S , Ahamad, A , Khan, S.A , Anwar, F . "Essential oils used in aromatherapy: A systemic review" Asian Pacific Journal of Tropical Biomedicine 5(8): 601-611, 2015. Retrieved from: http://doi:10.1016/j.apjtb.2015.05.007
21. Zhang, Y , Wu, Y , Chen, T , Yao, L , Liu, J , Pan, X , Jia, W . "Assessing the Metabolic Effects of Aromatherapy in Human Volunteers." Evidence-Based Complementary and Alternative Medicine, (1): 9 doi:10.1, 2013
22. Komiya, M , Takeuchi, T , Harada, E . "Lemon oil vapor causes an anti-stress effect via modulating the 5-HT and DA activities in mice. " Behavioral brain research 172(2): 240-249,
23. De Sousa, D . (2016, November 30). Anxiolytic essential oils. . Retrieved from: https://www.omicsonline.org/open-access/anxiolytic-essential-oils-2329-6836.1000e102.pdf
24. (2016, November 30). Pregnancy and Medication. . Retrieved from: https://adaa.org/living-with-anxiety/women/pregnancy-and-medication
25. (2016, November 30). Treating for Two. . Retrieved from: https://www.cdc.gov/pregnancy/meds/treatingfortwo/features/ssrisandbirthdefects.html
26. Yazdkhasti, M , Pirak, A . "The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. " , July 2015-December 2017. Retrieved from: http://https://www.ncbi.nlm.nih.gov/pubmed/27863615
27. Hanprasertpong, T , Kor-anantakul, O , Leetanaporn, R , Suwanrath, C , Suntharasaj, T , Pruksanusak, N , Pranpanus, S . "Reducing Pain and Anxiety during Second Trimester Genetic Amniocentesis Using Aromatic Therapy" A Randomized Trial , December 2017. Retrieved from: http://https://www.ncbi.nlm.nih.gov/pubmed/26437529
28. Chen, P J, Chou, C C, Yang, L , Tsai, Y L, Chang, Y C, Liaw, J J. "Effects of Aromatherapy Massage on Pregnant Women" A Longitudinal, Prospective, Randomized Controlled Trial , October 2017-December 2017. Retrieved from: http://https://www.ncbi.nlm.nih.gov/pubmed/28783372
29. Lis-Balchin, M . "Aromatherapy science: A guide for healthcare professionals" London: Pharmaceutical Press , 2006
30. Bagetta, G , Consentino, M , Sakurada, T . Aromatherapy. Basic Mechanisms and Evidenced Based Clinical Use (Clinical Pharmacognosy Series) Clinical Pharmacognosy Series, 2016. (1st Editio). Retrieved from: http://https://books.google.com.ph/books.
31. (2016, November 30). National Association for Holistic Aromatherapy. Exploring Aromatherapy Safety Information. . Retrieved from: https://naha.org/explore-aromatherapy/safety
32. Asghari, E , Faramarzi, M , Mohammmadi, A K. "The Effect of Cognitive Behavioural Therapy on Anxiety, Depression and Stress in Women with Preeclampsia. " Journal of Clinical and Diagnostic Research : JCDR, 10(11) , 2016. Retrieved from: http://doi.org/10.7860/JCDR/2016/21245.8879
33. , Koen N, Stein, D . "Pharmacotherapy of anxiety disorders: a critical review" Dialogues in Clinical Neuroscience 13(4): 423–437, 2011
34. Boettcher, J , Astrom, V , Pahlsson, D , Schenstromm, O , Andersson, G . "Internet-Based Mindfulness Treatment for Anxiety Disorders" A Randomized Controlled Trial , November 2013-March 2018. Retrieved from: http://https://www.sciencedirect.com/science/article/pii/S000578941300104

Copyright © One Window Project 2018. All rights reserved.