Intervention Review

Aromatherapy for pain management in labour

  1. Caroline A Smith1,*,
  2. Carmel T Collins2,
  3. Caroline A Crowther3

Editorial Group: Cochrane Pregnancy and Childbirth Group

Published Online: 6 JUL 2011

Assessed as up-to-date: 28 APR 2011

DOI: 10.1002/14651858.CD009215


How to Cite

Smith CA, Collins CT, Crowther CA. Aromatherapy for pain management in labour. Cochrane Database of Systematic Reviews 2011, Issue 7. Art. No.: CD009215. DOI: 10.1002/14651858.CD009215.

Author Information

  1. 1

    University of Western Sydney, Centre for Complementary Medicine Research, Penrith South DC, New South Wales, Australia

  2. 2

    Women's and Children's Health Research Institute, Flinders Medical Centre and Women's and Children's Hospital; Discipline of Paediatrics, The University of Adelaide, Child Nutrition Research Centre, Bedford Park, South Australia, Australia

  3. 3

    The University of Adelaide, ARCH: Australian Research Centre for Health of Women and Babies, Discipline of Obstetrics and Gynaecology, Adelaide, South Australia, Australia

*Caroline A Smith, Centre for Complementary Medicine Research, University of Western Sydney, Locked Bag 1797, Penrith South DC, New South Wales, 2751, Australia. caroline.smith@uws.edu.au.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 6 JUL 2011

SEARCH

 

Abstract

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. Resumen
  5. Laički sažetak

Background

Many women would like to avoid pharmacological or invasive methods of pain management in labour and this may contribute towards the popularity of complementary methods of pain management. This review examined currently available evidence supporting the use of aromatherapy for pain management in labour.

Objectives

To examine the effects of aromatherapy for pain management in labour on maternal and perinatal morbidity.

Search methods

We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 October 2010), The Cochrane Complementary Medicine Field's Trials Register (October 2010), the Cochrane Central Register of Controlled Trials (The Cochrane Library 2010, Issue 4), MEDLINE (1966 to 31 October 2010), CINAHL (1980 to 31 October 2010), the Australian and New Zealand Trials Registry (31 October 2010), Chinese Clinical Trial Register (31 October 2010), Current Controlled Trials (31 October 2010), ClinicalTrials.gov (31 October 2010), ISRCTN Register (31 October 2010), National Center for Complementary and Alternative Medicine (NCCAM) (31 October 2010) and the WHO International Clinical Trials Registry Platform (31 October 2010).

Selection criteria

Randomised controlled trials comparing aromatherapy with placebo, no treatment or other non-pharmacological forms of pain management in labour.

Data collection and analysis

Two authors independently assessed trial quality and extracted data. We contacted study authors for additional information.

Main results

We included two trials (535 women) in the review. The trials found no difference between groups for the primary outcomes of pain intensity, assisted vaginal birth (risk ratio (RR) 1.04, 95% confidence interval (CI) 0.48 to 2.28, one trial, 513 women; RR 0.83, 95% CI 0.06 to 11.70, one trial, 22 women), and caesarean section (RR 0.98, 95% CI 0.49 to 1.94, one trial, 513 women; RR 2.54, 95% CI 0.11 to 56.25, one trial, 22 women); there were more babies admitted to neonatal intensive care in the control group of one trial (RR 0.08, 95% CI 0.00 to 1.42, one trial, 513 women) but this difference did not reach statistical significance. The trials found no differences between groups for the secondary outcomes of use of pharmacological pain relief (RR 0.35, 95% CI 0.04 to 3.32, one trial, 513 women; RR 2.50, 95% CI 0.31 to 20.45, one trial, 22 women), spontaneous vaginal delivery (RR 1.00, 95% CI 0.94 to 1.06, one trial, 513 women; RR 0.93, 95% CI 0.67 to 1.28, one trial, 22 women) or length of labour and augmentation (RR 1.14, 95% CI 0.90 to 1.45, one trial, 513 women). The risk of bias was low in the trials.

Authors' conclusions

There is a lack of studies evaluating the role of aromatherapy for pain management in labour. Further research is needed before recommendations can be made for clinical practice.

 

Plain language summary

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. Resumen
  5. Laički sažetak

Aromatherapy for pain management in labour

Aromatherapy draws on the healing power of plants with the use of essential oils to enhance physical and mental wellbeing. The oils may be massaged into the skin, in a bath or inhaled using a steam infusion or burner. The pain of labour can be intense, with tension, fear and anxiety making it worse. Many women would like to labour without using drugs, or invasive methods such as an epidural, and turn to complementary therapies to help reduce their pain perception Many complementary therapies are tried and include acupuncture, mind-body techniques, massage, reflexology, herbal medicines or homoeopathy, hypnosis, music and aromatherapy. The review identified two randomised controlled trials of aromatherapy. One trial involving 513 women compared one of Roman chamomile, clary sage, frankincense, lavender or mandarin essentials oils with standard care. The aromatherapy was applied using acupressure points, taper, compress, footbath, massage or a birthing pool. The second trial involved 22 women randomised to bathe for at least an hour in water with either essential oil of ginger or lemongrass added. All women received routine care and had access to pain relief. The trials found no difference between groups for pain intensity, assisted vaginal birth, caesarean section or the use of pharmacological pain relief (epidural). Overall, there is insufficient evidence from randomised controlled trials about the benefits of aromatherapy on pain management in labour. More research is needed.

 

Resumen

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. Resumen
  5. Laički sažetak

Antecedentes

Aromaterapia para el tratamiento del dolor durante el trabajo de parto

A muchas mujeres les gustaría evitar los métodos farmacológicos o invasivos para el manejo del dolor durante el trabajo de parto y esto puede contribuir a la popularidad de los métodos complementarios para el manejo del dolor. Esta revisión examinó las pruebas actualmente disponibles que apoyan el uso de aromaterapia para el tratamiento del dolor durante el trabajo de parto.

Objetivos

Examinar los efectos de la aromaterapia para el tratamiento del dolor durante el trabajo de parto sobre la morbilidad materna y perinatal.

Estrategia de búsqueda

Se hicieron búsquedas en el Registro Especializado de Ensayos Controlados del Grupo Cochrane de Embarazo y Parto (Cochrane Pregnancy and Childbirth Group) (31 octubre 2010), Cochrane Complementary Medicine Field's Trials Register (octubre 2010), Registro Cochrane Central de Ensayos Controlados (Cochrane Central Register of Controlled Trials, CENTRAL) (Cochrane Library 2010, número 4), en MEDLINE (1966 hasta 31 octubre 2010), CINAHL (1980 hasta 31 octubre 2010), Australian and New Zealand Trials Registry (31 octubre 2010), Chinese Clinical Trial Register (31 octubre 2010), Current Controlled Trials (31 octubre 2010), ClinicalTrials.gov (31 octubre 2010), ISRCTN Register (31 octubre 2010), National Center for Complementary and Alternative Medicine (NCCAM) (31 octubre 2010) y en la WHO International Clinical Trials Registry Platform (31 octubre 2010).

Criterios de selección

Ensayos controlados con asignación aleatoria que compararon aromaterapia con placebo, ningún tratamiento u otras formas no farmacológicas de tratamiento del dolor durante el trabajo de parto.

Obtención y análisis de los datos

Dos autores, de forma independiente, evaluaron la calidad de los ensayos y extrajeron los datos. Se contactó con los autores de los estudios para obtener información adicional.

Resultados principales

Se incluyeron dos ensayos (535 mujeres) en la revisión.Los ensayos no encontraron diferencias entre los grupos para las medidas de resultado primarias de intensidad del dolor, parto vaginal asistido (cociente de riesgos [CR] 1,04, intervalo de confianza [IC] del 95%: 0,48 a 2,28; un ensayo, 513 pacientes; CR 0,83, IC del 95%: 0,06 a 11,70; un ensayo, 22 mujeres) y cesárea (CR 0,98, IC del 95%: 0,49 a 1,94; un ensayo, 513 pacientes; CR 2,54, IC del 95%: 0,11 a 56,25; un ensayo, 22 pacientes); hubo más recién nacidos ingresados en cuidados intensivos neonatales en el grupo control de un ensayo (CR 0,08, IC del 95%: 0,00 a 1,42; un ensayo, 513 pacientes) pero esta diferencia no alcanzó significación estadística. Los ensayos no encontraron diferencias entre los grupos para las medidas de resultado secundarias uso de fármacos para la analgesia (CR 0,35, IC del 95%: 0,04 a 3,32; un ensayo, 513 pacientes; CR 2,50, IC del 95%: 0,31 a 20,45; un ensayo, 22 pacientes), parto vaginal espontáneo (CR 1,00, IC del 95%: 0,94 a 1,06; un ensayo, 513 pacientes; CR 0,93, IC del 95%: 0,67 a 1,28; un ensayo, 22 pacientes) o duración del trabajo de parto y estimulación (CR 1,14, IC del 95%: 0,90 a 1,45; un ensayo, 513 pacientes). El riesgo de sesgo fue bajo en los ensayos.

Conclusiones de los autores

Existe una falta de estudios que evalúen la función de la aromaterapia para el tratamiento del dolor durante el trabajo de parto. Se necesitan estudios de investigación adicionales antes de hacer recomendaciones para la práctica clínica.

Traducción

Traducción realizada por el Centro Cochrane Iberoamericano

 

Laički sažetak

  1. Top of page
  2. Abstract
  3. Plain language summary
  4. Resumen
  5. Laički sažetak

Aromaterapija za smanjenje porođajnih boli

Aromaterapija se oslanja na ljekovitu sposobnost biljaka uz korištenje eteričnih ulja za poboljšanje tjelesnog i duševnog blagostanja. Ulja se mogu umasirati u kožu, koristiti uz kupku ili inhalirati koristeći pare infuzijom ili plamenikom. Porođajna bol može biti intenzivna, a napetost, strah i tjeskoba je čine još i gorom. Mnoge žene žele iskusiti porođaj bez lijekova ili invazivnih metoda kao što je epiduralna anestezija i okreću se komplementarnim terapijama kako bi smanjile percepciju boli. Isprobane su mnoge komplementarne terapije i uključuju akupunkturu, tehnike koje djeluju na um i tijelo, masaže, refleksologiju,biljne lijekove i homeopatiju, hipnozu, terapiju glazbom i aromaterapiju. Ovaj Cochrane sustavni pregled uključio je dva randomizirana kontrolna pokusa o aromaterapiji. Jedno istraživanje uključilo je 513 žena kod kojih je uspoređeno korištenje eteričnog ulja od rimske kamilice, kadulje, tamjana, lavande ili mandarine sa standardnom skrbi. Aromaterapija je bila primjenjena koristeći točke akupresure, bockanje, kompresiju, kupku za stopala, masažu ili porođaj u bazenu. Drugo istraživanje je uključilo 22 nasumično odabranih žena, koje su se kupale najmanje jedan sat u vodi s eteričnim uljem limunske trave ili đumbira. Sve su žene imale rutinsku skrb i pristup sredstvima za ublažavanje boli. Ova istraživanja nisu pronašla razliku između pojedinih skupina po pitanju intenziteta boli pri potpomognutom vaginalnom porodu, carskom rezu ili korištenju farmakoloških sredstava za ublažavanje boli (epiduralna analgezija). Sve u svemu ne postoji dovoljno dokaza iz randomiziranih kontrolnih ispitivanja o prednostima aromaterapije u smanjenju porođajnih boli. Potrebno je više istraživanja.

Bilješke prijevoda

Cochrane Hrvatska
Prevela: Ivana Miošić