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Journal of Midwifery and Reproductive Health، جلد ۱۳، شماره ۴، صفحات ۵۰۴۳-۵۰۵۳
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عنوان انگلیسی Comparing the Effects of Lavender Aromatherapy and Epidural Analgesia during the Active Phase of Labor on Fear of Childbirth: A Randomized Controlled Trial
چکیده انگلیسی مقاله Background & aim: While epidural analgesia is regarded as the gold standard for managing labor pain, some studies suggest it may be linked to increased postpartum fear of childbirth (FOC). We aimed to compare the effects of lavender aromatherapy and epidural analgesia on FOC during labor and postpartum.Methods: In this randomized trial, between October 2021 and June 2022, 56 women with full-term singleton pregnancies, admitted for vaginal delivery at Izadi Teaching Hospital in Qom, Iran were equally allocated to either the aromatherapy group (receiving essential oil of lavender) or epidural analgesia with ropivacaine group at the onset of active labor. Outcomes were assessed using the Delivery Fear Scale, the Wijma Delivery Expectancy Questionnaire, and the visual analog scale. Univariate general linear models were employed to compare the groups.Results: There was no significant difference in mean FOC scores between the two groups at one hour post-intervention (P = 0.629). Postpartum mean FOC scores were significantly lower in the aromatherapy group compared with the epidural group at both two hours (47.0 vs. 63.8, P < 0.001) and five weeks (40.0 vs. 66.1, P < 0.001) postpartum. The mean labor pain intensity was higher and the duration of the active phase was shorter in the aromatherapy group (Ps < 0.001).Conclusion: Although lavender aromatherapy is not as effective as epidural analgesia in alleviating labor pain intensity, it appears to reduce postpartum childbirth fear and may also shorten the first stage of labor. Larger trials with longer follow-ups are recommended to provide high certainty evidence in this area.
کلیدواژه‌های انگلیسی مقاله lavender aromatherapy, Epidural analgesia, Birth satisfaction, Childbirth, fear, Labor duration, Pain
نویسندگان مقاله | Zohreh Zakavi
MSc Student of Midwifery, Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran


| Maryam Parnian
Assistant Professor, Department of Anesthesiology, School of Medicine Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran


| Mojgan Mirghafourvand
Professor, Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Tabriz, Iran


| Sakineh Mohammad-Alizadeh-Charandabi
a) Professor, Social Determinants of Health Research Center, Tabriz University of Medical Sciences, Shariatie Ave, Tabriz, Iran b) Department of Midwifery, Faculty of Nursing and Midwifery, Tabriz University of Medical Sciences, Shariatie Ave, Tabriz, Iran
نشانی اینترنتی https://jmrh.mums.ac.ir/article_24673.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده Original Research Article
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