Korean J Women Health Nurs.  2022 Jun;28(2):87-99. 10.4069/kjwhn.2022.05.15.

Fatigue relief by aromatherapy use in prenatal and postnatal women: a systematic review and meta-analysis

• Song JA
• Yang H

• KMID: 2535426
• DOI: http://doi.org/10.4069/kjwhn.2022.05.15

Abstract

Purpose
The purpose of this systematic review was to examine aromatherapy interventions for prenatal and postnatal women, and to determine the effectiveness of these interventions on fatigue.
Methods
Six national and international databases were reviewed to retrieve and collect studies published up to September 7, 2021, describing randomized controlled trials and controlled clinical trials of aromatherapy interventions for prenatal and postnatal women’s fatigue. Of the 323 articles initially identified, 64 duplicates were excluded and 259 were screened. After further excluding 216 articles not related to PICO framework, 10 were selected for review. Two reviewers independently selected studies and conducted data extraction and quality appraisal using Cochran’s RoB (Risk of Bias) and RoBANS (Risk of Bias Assessment Tool for Non-randomized Studies).
Results
The quality of the 10 selected studies was overall satisfactory. A meta-analysis of three studies showed that aromatherapy with lavender oil? produced a 0.75-point reduction in postnatal mothers’ fatigue when compared to control groups. Sleep quality was also analyzed as a secondary outcome of fatigue. A meta-analysis of four studies using lavender and/or orange peel oil found that aromatherapy produced a 0.98-point improvement in postnatal mothers’ quality of sleep. Although a meta-analysis could not be conducted to synthesize the findings for fatigue in pregnant women, inhalation and massage therapy using lavender oil showed positive effects on prenatal fatigue and sleep quality.
Conclusion
Aromatherapy using lavender oil and orange peel oil is effective in improving prenatal and postnatal fatigue and sleep quality.

Keyword

Aromatherapy; Fatigue; Postnatal care; Prenatal care; Systematic review; 아로마테라피; 피로; 산후; 산전; 체계적 문헌고찰

Figure

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  Figure 1. Flow chart of the study selection process.

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  Figure 2. RIsk of bias for selected randomized controlled trials studies. (A) Risk of bias graph and (B) risk of bias summary.

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  Figure 3. RIsk of bias for selected non-randomized studies. (A) Risk of bias graph and (B) risk of bias summary.

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  Figure 4. Forest plot of the effects of aromatherapy for fatigue and quality of sleep in postnatal women. The outcomes of (A) fatigue and (B) quality of sleep. df: Degree of freedom; SD: standard deviation; SMD: standardized mean difference; 95% CI: 95% confidence interval.

Reference

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