The Effect of Ylang Ylang Oil and Lemon Oil

Study Overview
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Brief Summary
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This study was conducted as a randomized controlled experimental study.To evaluate the effects of aromatherapy, one of the non-pharmacological pain methods, on labor pain and anxiety in the active phase in primiparous pregnant women. The main questions it aims to answer are: Is ylang ylang oil applied as an inhaler effective in reducing labor pain and anxiety? Is lemon oil applied as an inhaler effective in reducing labor pain and anxiety? Participants randomized according to the closed envelope method into the lemon oil group (n=15), ylang ylang oil group (n=15) and control group (n=15). In the active phase (cervical dilatation ≥5), a drop of essential oil was instilled onto square cotton balls to the intervention groups and renewed as one drop every hour until labor occurred. In the control group, 1 drop of saline was dripped onto square cotton balls. Visual pain scale (VAS) and state anxiety ınventory were applied to the intervention groups and control groups before the application. After the application, VAS and state anxiety ınventory were evaluated at 5-7 cm dilatation, and only with VAS at 8-10 cm dilatation. The trait anxiety ınventory was administered to the volunteers after birth.

Official Title
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The Effect of Ylang Ylang Oil and Lemon Oil Inhalation on Active Phase Labor Pain and Anxiety in Primiparous Pregnant Women

Conditions
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Pain, Labor, Anxiety, Aromatherapy

Intervention / Treatment
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* Other: essential oils (Ylang ylang oil)
* Other: placebo (saline solutions)
* Other: essential oils (lemon oil)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Term pregnancy (37-41 weeks) Pregnant women between the ages of 18-35 had singleton pregnancy with cephalic presentation of the fetus Not allergic to ylang ylang oil, flower/lemon or oil or anything Absence of any pregnancy complications No previous miscarriage, no abortion Not having any diagnosed systemic disease ≥ 5 cm (cm) (active phase) cervical dilatation Pregnant women who do not take any analgesia, anesthesia or anxiolytic drugs Spontaneous onset of labor Pregnant women who can speak and write Turkish well Pregnant woman's consent to participate in the study. Exclusion Criteria: Emergency cesarean section indication Use of analgesic, anesthetic and anxiolytic drugs by the pregnant woman The pregnant woman's desire to withdraw from the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: group 1 (Ylang ylang oil)<br>A square cotton ball impregnated with a drop of ylang-ylang oil was placed in the participants randomized to group I (cervical dilatation ≥ 5) with the help of safety pins of pregnant women. One hour after the intervention (in the range of 5-7 cm cervical dilatation), pain levels were measured again with the VAS and anxiety levels were measured with the State Anxiety Scale. The essential oil was renewed as 1 drop every hour until the birth of the baby. When cervical dilatation was in the range of 8-10 cm, pain level was re-evaluated only with VAS. Spielberger Continuity Anxiety Scale was applied with face-to-face interview technique within 4-24 hours following the birth. | Other: essential oils (Ylang ylang oil)<br>* inhaler aromatherapy<br>|
| Experimental: group 2 (Lemon oil)<br>A square cotton ball impregnated with a drop of lemon oil was placed in the participants randomized to group 2 (cervical dilatation ≥ 5) with the help of safety pins of pregnant women. One hour after the intervention (in the range of 5-7 cm cervical dilatation), pain levels were measured again with the VAS and anxiety levels were measured with the State Anxiety Scale. The essential oil was renewed as 1 drop every hour until the birth of the baby. When cervical dilatation was in the range of 8-10 cm, pain level was re-evaluated only with VAS. Spielberger Continuity Anxiety Scale was applied with face-to-face interview technique within 4-24 hours following the birth. | Other: essential oils (lemon oil)<br>* inhaler aromatherapy<br>|
| Placebo Comparator: group 3 (Control)<br>A square cotton ball impregnated with a drop of salin was placed in the participants randomized to group I (cervical dilatation ≥ 5) with the help of safety pins of pregnant women. One hour after the intervention (in the range of 5-7 cm cervical dilatation), pain levels were measured again with the VAS and anxiety levels were measured with the State Anxiety Scale. The essential oil was renewed as 1 drop every hour until the birth of the baby. When cervical dilatation was in the range of 8-10 cm, pain level was re-evaluated only with VAS. Spielberger Continuity Anxiety Scale was applied with face-to-face interview technique within 4-24 hours following the birth. | Other: placebo (saline solutions)<br>* placebo saline solutions<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| paın score | Determination of pain score before and after essential oil (lemon oil and ylang ylang oil) and saline inhalation with visual pain score (0=no pain, 10=worst pain) | pre-intervention | 
| paın score | Determination of pain score before and after essential oil (lemon oil and ylang ylang oil) and saline inhalation with visual pain score (0=no pain, 10=worst pain) | Between contractions within 1 hour after the intervention in the cervical dilatation range of 5-7 cm | 
| paın score | Determination of pain score before and after essential oil (lemon oil and ylang ylang oil) and saline inhalation with visual pain score (0=no pain, 10=worst pain) | Between contractions in about 3-4 hours after the intervention in the 8-10 cm cervical dilatation range | 
| anxiety level | Determination of anxiety level before and after essential oil (lemon oil and ylang ylang oil) and saline inhalation with STAI From TX-I and TX-II (State-Trait Anxiety Tests) (The highest possible score is 80 and the lowest possible score is 20) | pre-intervention | 
| anxiety level | Determination of anxiety level before and after essential oil (lemon oil and ylang ylang oil) and saline inhalation with STAI From TX-I and TX-II (State-Trait Anxiety Tests) (The highest possible score is 80 and the lowest possible score is 20) | Between contractions within 1 hour after the intervention in the cervical dilatation range of 5-7 cm | 
| anxiety level | Determination of anxiety level before and after essential oil (lemon oil and ylang ylang oil) and saline inhalation with STAI From TX-I and TX-II (State-Trait Anxiety Tests) (The highest possible score is 80 and the lowest possible score is 20) | postpartum 4-24 hours | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| apgar score | Apgar stands for Appearance, Pulse, Grimace, Activity, and Respiration. In the test, five things are used to check a baby's health. (0-10 point) | postnatal 5. minute | 
| apgar score | Apgar stands for Appearance, Pulse, Grimace, Activity, and Respiration. In the test, five things are used to check a baby's health. (0-10 point) | postnatal 10. minute | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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primiparous, labor pain, aromatherapy, lemon oil, ylang ylang oil