Aromatherapy with oil of Lavandula angustifolia for pain in women: scoping review

Lisboa, Ivanete de Freitas; Carmo, Anne Caroline Nunes; Rocha, Priscilla Roberta Silva; Funez, Mani Indiana

doi:10.5935/2595-0118.20230035-en

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REVIEW ARTICLE • BrJP 6 (2) • Apr-Jun 2023 • https://doi.org/10.5935/2595-0118.20230035-en copy

Aromatherapy with oil of Lavandula angustifolia for pain in women: scoping review

Authorship SCIMAGO INSTITUTIONS RANKINGS

HIGHLIGHTS

The treatment of painful conditions in women using lavender essential oil has been shown to be effective and without unwanted effects;
The treatment modality addressed in the studies was aromatherapy, by inhalation and massage.

ABSTRACT

BACKGROUND AND OBJECTIVES:

Aromatherapy with

lavender essential oil has been used to reduce pain, anxiety, nausea and vomiting, among others. As the painful experience is unique, responses to therapeutic approaches may vary among individuals and there are specific conditions related to women’s health that deserve to be examined. The objective of this study was to analyze the uses of aromatherapy with essential oil of lavender (Lavandula angustifolia), by nurses, for pain control in women.

This is a scoping literature review. The search was carried out in the following portals and/or databases: BVS, Pubmed, Cochrane, on June 3, 2022, and was updated on June 9, 2023. The sample consisted of four controlled clinical trials addressing aromatherapy with lavender essential oil in the “inhalation” and “massage” modalities, to treat acute labor pain and dysmenorrhea. In all studies, the intervention provided a reduction in pain without unwanted effects (p<0.05) and the nurse participated as a member of the multidisciplinary team.

CONCLUSION:

Aromatherapy with lavender essential oil during labor and dysmenorrhea proved to be effective in reducing pain in the analyzed sample.

Keywords:
Cesarean section; Dysmenorrhea; Labor pain; Nursing care; Patient care team

Authors and Country	Identification Number	Objective/ Evidence level	Sample	Intervention	Outcomes of Interest
Han et al.¹⁶16 Han SH, Hur M-H, Buckle J, Choi J, Lee MS. Effect of aromatherapy on symptoms of dysmenorrhea in college students: A randomized placebo-controlled clinical trial. J Altern Complement Med. 2006;12(6):535-41. South Korea	1	Explore the effect of aromatherapy on menstrual cramps and symptoms of dysmenorrhea. Level: 1	Total 67 LIG: 25 PG: 20 CG: 22 Women with pelvic inflammatory pain, dysmenorrhea.	LIG: Aromatherapy was provided in the form of abdominal massage with lavender, sage and Damask rose es- sential oils in a 2:1:1 ratio, diluted in almond oil at the final concentration of 3%. PG: The same treatment, only with almond oil. CG: No treatment was provided.	Pain severity was significantly lower in LIG than in the other two groups at both post-intervention times: first and second days of menstruation after treatment. First day post-intervention: aromatherapy was most strongly associated with change in pain severity p<0.001 and lower level of menstrual cramps p<0.001. The trend was the same for day two with change in severity p<0.02 and baseline value of cramping level p<0.05. Placebo: p>0.76 compared to control.
Azima et al.¹⁷17 Azima S, Bakhshayesh HR, Kaviani M, Abbasnia K, Sayadi M. Comparison of the effect of massage therapy and isometric exercises on primary dysmenorrhea: a randomized controlled clinical trial. J Pediatr Adolesc Gynecol. 2015;28(6):486-91. Iran	2	To compare the effect of lavender massage and isometric exercises on primary dysmenorrhea. Level: 1	Total: 102 LIG: 34 EIG: 34 CG: 34 Women with pelvic inflammatory pain, dysmenorrhea.	LIG: Lavender extract was used in a 10% olive oil base and effleurage massage was performed. EIG: They were asked to perform the isometric exercises. CG: No treatment was provided. The interventions and variables were evaluated for all three groups in three consecutive cycles.	Significant difference was observed between the three groups regarding pain intensity in the second and third cycles; such that the decrease in pain intensity was more significant in the massage group (p<0.001). In addition, a significant difference was found between the three groups regarding the average pain duration after the third cycle (p<0.006). The results of the intra-group comparisons showed that pain duration decreased in both massage and exercise groups, with a greater reduction in LIG (p<0.001).
Yazdkhasti and Pirak¹⁸18 Yazdkhasti M, Pirak A. The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complement Ther Clin Pract. 2016;25:81-6. Iran	3	To investigate the effect of inhaling lavender essence on the severity of labor pain and labor duration. Level: 1	Total: 120 IG: 60 CG: 60 Women with acute pain (physiological labor).	IG: With a dropper, 10% lavender essence (1:10 with distilled water) was applied to the palm of the patient’s hand, and she was asked to rub her hands together and inhale the perfume for 3 min, at a distance of 2.5 and 5 cm from her nose. CG: was treated with distilled water in a similar manner.	IG: There was a significant difference for the mean pain intensity scores between the two groups, at 5 and 10 cm dilation, pain intensity was decreased in IG p<0.001. Apgar score at the first minute, IG: was 8/8±0/37. CG: 8/7±1/01. No significant difference p=0.4. Apgar score at the fifth minute, IG: 9/9±0/35, CG: 9/7±1/01. No significant difference p=0.33.
Abbasijahrom et al.¹⁹19 Abbasijahromi A, Hojati H, Nikooei S, Jahromi HK, Dowlatkhah HR, Zarean V, Farzaneh M, Kalavani A. Compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section: a double-blinded randomized clinical trial. J Complement Integr Med. 2020;23;17(3). Iran	4	To determine and compare the effect of aromatherapy with lavender and Damask rose essential oils on pain severity and anxiety after cesarean section. Level: 1	Total: 90 CG: 30 IG A: 30 IG B: 30 Women with postpartum pain (cesarean section).	CG (distilled water), IG A (la- vender) and IG B (Damask rose). Inhale cotton balls with three drops of each essential oil at a distance of 10 cm for 30 minutes.	There was a significant difference between the groups regarding pain intensity after the intervention (p<0.042). The mean pain levels of Intervention groups A and B were significantly lower than those of the control group.

Authors	Identification Number	Q1	Q2	Q3	Q4	Q5	Q6	Q7	Q8	Q9	Q10	Q11	Q12	Q13	% Y	Methodological quality
Han et al.¹⁶16 Han SH, Hur M-H, Buckle J, Choi J, Lee MS. Effect of aromatherapy on symptoms of dysmenorrhea in college students: A randomized placebo-controlled clinical trial. J Altern Complement Med. 2006;12(6):535-41.	1	Y	Y	N	Y	I	Y	I	Y	Y	Y	Y	Y	Y	77	High
Azima et al.¹⁷17 Azima S, Bakhshayesh HR, Kaviani M, Abbasnia K, Sayadi M. Comparison of the effect of massage therapy and isometric exercises on primary dysmenorrhea: a randomized controlled clinical trial. J Pediatr Adolesc Gynecol. 2015;28(6):486-91.	2	N	I	Y	N	N	N	N	Y	Y	Y	Y	Y	I	46	Low
Yazdkhasti and Pirak¹⁸18 Yazdkhasti M, Pirak A. The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complement Ther Clin Pract. 2016;25:81-6.	3	Y	Y	Y	Y	N	Y	I	Y	Y	Y	Y	Y	Y	84.6	High
Abbasijahromi et al.¹⁹19 Abbasijahromi A, Hojati H, Nikooei S, Jahromi HK, Dowlatkhah HR, Zarean V, Farzaneh M, Kalavani A. Compare the effect of aromatherapy using lavender and Damask rose essential oils on the level of anxiety and severity of pain following C-section: a double-blinded randomized clinical trial. J Complement Integr Med. 2020;23;17(3).	4	Y	Y	Y	I	I	Y	I	Y	Y	Y	Y	Y	Y	77	High

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Aromatherapy with oil of Lavandula angustifolia for pain in women: scoping review

HIGHLIGHTS

ABSTRACT

BACKGROUND AND OBJECTIVES:

CONTENTS:

CONCLUSION: