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Aromatherapy for Labour Pain Management: Umbrella Review.

Nicole Breuninger1, Harald Abele1,2, Joachim Graf1

  • 1Department of Midwifery Science, Institute for Health Science, University Hospital Tuebingen, 72076 Tuebingen, Germany.

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Summary

Aromatherapy, particularly lavender and rose essential oils, may reduce labor pain. However, current evidence is limited by low study quality, preventing general recommendations for its use in midwifery.

Keywords:
alternative medicineanalgesiaaromatherapycomplementary medicineessential oilinhalationintrapartum painlabour painlavender oilmidwiferypain managementrose oilumbrella review

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Area of Science:

  • Midwifery and Complementary Medicine

Background:

  • Aromatherapy is frequently utilized in midwifery for pain management during labor.
  • This umbrella review synthesizes existing evidence on aromatherapy's effectiveness for labor pain relief.

Purpose of the Study:

  • To consolidate evidence from systematic reviews and meta-analyses on aromatherapy's efficacy in reducing labor pain.
  • To assess the quality of existing reviews and identify gaps in the evidence.

Main Methods:

  • Conducted an umbrella review of nine systematic reviews and meta-analyses (2011-2023) adhering to PRISMA guidelines.
  • Extracted data on populations, interventions, comparators, and outcomes.
  • Assessed the methodological quality of included reviews using AMSTAR 2.

Main Results:

  • Lavender and rose essential oils were commonly used via inhalation, massage, or bathing.
  • Aromatherapy demonstrated statistically significant effects in reducing labor pain, especially in early labor stages.
  • High heterogeneity and low methodological quality of reviews limit the strength of evidence; no adverse effects were reported.

Conclusions:

  • Aromatherapy shows potential as a non-invasive intervention for labor pain, but low evidence quality precludes general recommendations.
  • Further high-quality randomized trials are necessary to establish efficacy and safety for widespread clinical use.
  • While no increased adverse maternal or neonatal outcomes were identified, safety monitoring was limited by review quality.