Comparison of the Effects of Foot Trigger Reflexology with Aromatherapy on Anxiety, Pain, and Outcomes of Pregnancy in Women: A Randomized Controlled Trial

Shokrollahi, Peymaneh; Farahi, Farzaneh

doi:10.30476/whb.2022.96397.1191

Document Type : Randomized Clinical Trials (RCT)

Authors

School of Medical Sciences, Firoozabad Branch, Islamic Azad University, Firoozabad, Iran

https://doi.org/10.30476/whb.2022.96397.1191

Abstract

Background: Reducing labor pain is known to be a challenging topic in modern midwifery. To reduce this pain, complementary medicine methods have attracted a great deal of attention. The present study aimed to compare the effect of reflexology of sole with non-aromatic oil (Olive) and aromatic oil (Lavender) on reducing labor pain and anxiety.
Methods: This multi-arm consecutive randomized controlled trial study of reflexology with non-aromatic oil and aromatic oil was carried out in 2020 on 99 primigravid mothers. They were divided into one control and two intervention groups, selected through random allocation. The data related to the mothers’ pain and anxiety were collected via the Pain Visual Scale and Spielberger three times, once before and twice after the intervention at 4-5 and 7-8 cm dilation. This study was registered in the Iranian Registry of Clinical Trials with the code of IRCT20200810048357N1. The demographic characteristics, labor duration, and APGAR score were also recorded. Through the use of the SPSS version 16, parametric and non-parametric statistical tests, including paired and independent t-test, x² and ANCOVA, were utilized for analyzing the data.
Results: In the 99 participants with an average age of 25.98±5.80, there were no significant differences in terms of age (P=0.699), education level (P=0.504), or occupation (P=0.140). Additionally, no significant difference was seen in the duration of labor (P=0.194) and the APGAR score (P=0.066). According to the intergroup analysis of pain results in both stages of 4-5 cm and 7 -8 cm after the intervention, the aromatic oil group had a significant difference in terms of pain reduction with the other two groups (P˂0.001, P=0.007, respectively). Although there was no significant statistical difference in the intergroup analysis, the increase in the rate of anxiety was significant in control group in different stages (P=0.002) while this factor remained fixed in the intervention groups.
Conclusions: The reflexology with aromatic oil was found to be more effective than that with non-aromatic oil. Furthermore, the pain rate at the time of labor reduced in the intervention groups compared to that in the control group.

Keywords

References

1. Trout KK. The neuromatrix theory of pain: implications for selected nonpharmacologic methods of pain relief for labor. J Midwifery Womens Health. 2004;49(6):482-8. doi: 10.1016/j.jmwh.2004.07.009. PubMed PMID: 15544977. ## 2. Serçekuş P, Okumuş H. Fears associated with childbirth among nulliparous women in Turkey. Midwifery. 2009;25(2):155-62. doi: 10.1016/j.midw.2007.02.005. PubMed PMID: 17600599. ## 3. Abushaikha L, Oweis A. Labour pain experience and intensity: a Jordanian perspective. Int J Nurs Pract. 2005;11(1):33-8. doi: 10.1111/j.1440-172X.2005.00496.x. PubMed PMID: 15610342. ## 4. Mohammadkhani Shahri L, Abbaspoor Z, Aghel N, Mohammadkhani Shahri H. Effect of massage aromatherapy with lavender oil on pain intensity of active phase of labor in nulliparous women. J Med Plants. 2012;11(42):167-76. doi: 20.1001.1.2717204.2012.11.42.36.4. Persian. ## 5. Vakilian K, Karamat A, Mousavi A, Shariati M, Ajami ME, Atarha M. The effect of Lavender essence via inhalation method on labor pain. J Shahrekord Univ Med Sci. 2012;14(1):34-40. Persian. ## 6. Tiran D, Chummun H. Complementary therapies to reduce physiological stress in pregnancy. Complement Ther Nurs Midwifery. 2004;10(3):162-7. doi: 10.1016/j.ctnm.2004.03.006. PubMed PMID: 15279857. ## 7. Tiran D, Chummun H. The physiological basis of reflexology and its use as a potential diagnostic tool. Complement Ther Clin Pract. 2005;11(1):58-64. doi: 10.1016/j.ctnm.2004.07.007. PubMed PMID: 15984227. ## 8. Dolatian M, Hasanpour A, Heshmat R, Alavi Majd H. The effect of reflexology on pain intensity and duration of labor on primiparas. Iran Red Crescent Med J. 2011;13(7):475-9. PubMed PMID: 22737514; PubMed Central PMCID: PMC3371987. ## 9. Yılar Erkek Z, Aktas S. The effect of foot reflexology on the anxiety levels of women in labor. J Altern Complement Med. 2018;24(4):352-360. doi: 10.1089/acm.2017.0263. PubMed PMID: 29474093. ## 10. Steflitsch W, Steflitsch M. Clinical aromatherapy. Journal of Men's Health. 2008;5(1):74-85. ## 11. Cavanagh H, Wilkinson JM. Biological activities of lavender essential oil. Phytother Res. 2002;16(4):301-8. doi: 10.1002/ptr.1103. PubMed PMID: 12112282. ## 12. Tafazoli M, Zaremobini F, Mokhber N, Emami A. Citrus aurantium Blossom and Preoperative Anxiety. J Fundamentals Mental Health. 2011;12(4):720-4. ## 13. Tahmasbi H, Mahmoodi G, Mokhberi V, Hassani S, Akbarzadeh H, Rahnamai N. The impact of aromatherapy on the anxiety of patients experiencing coronary angiography. Zahedan Journal of Research in Medical Sciences. 2012;14(3):51-55. ## 14. Shahri P. Preliminary study of reliability and validity of Spielberger Trait Anxiety Inventory (STAI). Tehran: Tarbiat Modarres University; 1993. ## 15. Alipour N, Nikooseresht M, Zebarjadian AH. Effect of Pre-and Intraoperative Anxiety on Nausea and Vomiting during Spinal Anaesthesia in Cesarean Section Patients in a Hospital in Hamadan, Iran, in 2016. Avicenna J Neuro Psycho Physiology. 2021;8(3):162-166. doi: 10.32592/ajnpp.2021.8.3.108. ## 16. Pahlevan M, Besharat MA, Borjali A, Farahani H. Predicting the intensity of pain in patients with chronic pain based on alexithymia: The mediating role of the behavioral inhibition system. IJPCP. 2019;25(1):56-71. doi: 10.32598/ijpcp.25.1.56. ## 17. Zalmay P, Williams ACdC. How do medical students use and understand pain rating scales? Scand J Pain. 2017;15:68-72. doi: 10.1016/j.sjpain.2016.12.007. PubMed PMID: 28850349. ## 18. Pratici E, Nebout S, Merbai N, Filippova J, Hajage D, Keita H. An observational study of agreement between percentage pain reduction calculated from visual analog or numerical rating scales versus that reported by parturients during labor epidural analgesia. Int J Obstet Anesth. 2017;30:39-43. doi: 10.1016/j.ijoa.2017.02.001. PubMed PMID: 28284462. ## 19. Chughtai A, Navaee M, Hadi Alijanvand M, Yaghoubinia F. Comparing the effect of aromatherapy with essential oils of Rosa Damascena and Lavender Alone and in combination on severity of pain in the first phase of labor in prim parous women. Crescent J Med Biol Sci. 2018;5(4):312-19. ## 20. Rahim Ali ZA, Khamis MA, Mohammed NAHM, Salem MN. Effect of Back Massage and Reflexology on Labor Pain Reduction and Vital Signs During First Stage of Labor at Sohag University Hospital. Assiut Scientific Nursing Journal. 2020;8(21):103-12. ## 21. Abbaspoor Z, Mohammadkhani SL. Lavender aromatherapy massages in reducing labor pain and duration of labor: A randomized controlled trial. African Journal of Pharmacy and Pharmacology. 2013;7(8):456-430. doi: 10.5897/ajpp12.391. ## 22. Mirzaiinajmabadi K, Makvandi S, Mirteimoori M, Sadeghi R. An update on the effect of massage and inhalation aromatherapy with lavender on labor pain relief: A systematic review and meta-analysis. J J Obstet Gynecol Cancer Res. 2018;3(1):29-37. doi: 10.21859/joqcr.3.1.29. ## 23. Donelli D, Antonelli M, Bellinazzi C, Gensini GF, Firenzuoli F. Effects of lavender on anxiety: A systematic review and meta-analysis. Phytomedicine. 2019;65:153099. doi: 10.1016/j.phymed.2019.153099. PubMed PMID: 31655395. ## 24. Smith CA, Levett KM, Collins CT, Dahlen HG, Ee CC, Suganuma M. Massage, reflexology and other manual methods for pain management in labour. Cochrane Database Syst Rev. 2018;3(3):CD009290. doi: 10.1002/14651858.CD009290.pub3. PubMed PMID: 29589380; PubMed Central PMCID: PMC6494169. ## 25. Dyer J, Thomas K, Sandsund C, Shaw C. Is reflexology as effective as aromatherapy massage for symptom relief in an adult outpatient oncology population? Complement Ther Clin Pract. 2013;19(3):139-46. doi: 10.1016/j.ctcp.2013.03.002. PubMed PMID: 23890460. ## 26. Lamadah SM, Nomani I. The effect of aromatherapy massage using lavender oil on the level of pain and anxiety during labour among primigravida women. American Journal of Nursing Science. 2016;5(2):37-44. doi: 10.11648/j.ajns.20160502.11. ## 27. Levy I, Attias S, Lavee TS, Avneri O, Cohen G, Balachsan S, et al. The effectiveness of foot reflexology in reducing anxiety and duration of labor in primiparas: an open-label randomized controlled trial. Complement Ther Clin Pract. 2020;38:101085. doi: 10.1016/j.ctcp.2019.101085. PubMed PMID: 32056811. ##

Women’s Health Bulletin

Comparison of the Effects of Foot Trigger Reflexology with Aromatherapy on Anxiety, Pain, and Outcomes of Pregnancy in Women: A Randomized Controlled Trial

References

References

Volume 9, Issue 4 - Serial Number 36
October 2022
Pages 191-199

Comparison of the Effects of Foot Trigger Reflexology with Aromatherapy on Anxiety, Pain, and Outcomes of Pregnancy in Women: A Randomized Controlled Trial

References

References

Volume 9, Issue 4 - Serial Number 36October 2022Pages 191-199

Volume 9, Issue 4 - Serial Number 36
October 2022
Pages 191-199