The effect of rose water aromatherapy on breastfeeding womenꞌs sleep quality in early Puerperium period: A ranodmized clinical trial

Document Type : Original Article

Authors

1 M.Sc. Student of Midwifery Counseling, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.

2 Associate Professor, Department of Reproductive Health, Traditional and Complementary Medicine Research Center (TCMRC)، Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.

3 Assistant Professor, Department of Reproductive Health, Faculty of Medicine, Arak University of Medical Sciences, Arak, Iran.

Abstract

Introduction: Most women experience some degree of sleep disorder during the postpartum period. Since rose water essence is effective in depression, nervous tension and drowsiness, this study was performed with aim to investigate the effect of rose water aroma on the quality of sleep in breastfeeding women.
Methods: In this randomized clinical trial study, 84 women at the puerperium period who referred to the five selected health centers in Arak in 2019 were studied. Aromatherapy with rose water essence was performed for three nights in the intervention group. The control group didn't receive any intervention. Sleep quality was collected in the two groups before and at the end of the study by the Pittsburgh questionnaire. Data were analyzed by SPSS software (version 21) and independent paired t, covariance and chi-square tests. P <0.05 was considered statistically significant.
Results: After the intervention group, sleep quality increased in the aromatherapy group)p<0.05), while in the control group, the quality of sleep did not change before and at the end of the study (0.824) . Also, at the end of the study, sleep quality significantly increased in the intervention group compared to the control group (p<0.05).
Conclusion: It seems that women's sleep quality during puerperium period improved with rose water aromatherapy. Therefore, the use of rose water aromatherapy during lactation is recommended to improve the sleep quality of women during puerperium period.

Keywords

References

  1. Aksu A, Vefikulucay Yilmaz D. The relationship of postpartum sleep quality and breastfeeding self‐efficacy of Turkish mothers. Scandinavian journal of caring sciences 2019; 33(4):833-9.
  2. Owais S, Chow CH, Furtado M, Frey BN, Van Lieshout RJ. Non-pharmacological interventions for improving postpartum maternal sleep: a systematic review and meta-analysis. Sleep Medicine Reviews 2018; 41:87-100.
  3. Okun ML, Mancuso RA, Hobel CJ, Schetter CD, Coussons-Read M. Poor sleep quality increases symptoms of depression and anxiety in postpartum women. Journal of behavioral medicine 2018; 41(5):703-10.
  4. Khadka R, Hong SA, Chang YS. Prevalence and determinants of poor sleep quality and depression among postpartum women: a community-based study in Ramechhap district, Nepal. International health 2020; 12(2):125-31.
  5. Babakhanian M, Rashidi Fakari F, Mortezaee M, Bagheri Khaboushan E, Rahimi R, Khalili Z, et al. The Effect of Herbal Medicines on Postpartum Depression, and Maternal-Infant Attachment in Postpartum Mother: A Systematic Review and Meta-Analysis. International Journal of Pediatrics 2019; 7(7):9645-56.
  6. Nath S, Pearson RM, Moran P, Pawlby S, Molyneaux E, Challacombe FL, et al. The association between prenatal maternal anxiety disorders and postpartum perceived and observed mother-infant relationship quality. Journal of anxiety disorders 2019; 68:102148.
  7. Cangöl E, Şahin N. Emzirmeyi Etkileyen Faktörler ve Emzi̇rme Danışmanlığı (Factors Affecting Breastfeeding and Breastfeeding Counselling). Zeynep Kamil Tıp Bülteni 2014; 45(3):100-5.
  8. Yang Y, Li W, Ma TJ, Zhang L, Hall BJ, Ungvari GS, et al. Prevalence of poor sleep quality in perinatal and postnatal women: a comprehensive meta-analysis of observational studies. Frontiers in psychiatry 2020; 11:161.
  9. Siebern AT, Suh S, Nowakowski S. Non-pharmacological treatment of insomnia. Neurotherapeutics 2012; 9(4):717-27.
  10. Najar S, Sharafi F, Afshari P, Haghighizadeh MH. The relationship between sleep disorders during pregnancy and premature labor and low birth weight. Iran J Obstet Gynecol Infertil 2017; 20(7):44-9.
  11. Jafarimanesh H, Vakilian K, Mobasseri S. Effects of Warm and Cold Footbath on Sleep Quality in Pregnant Women with Restless Legs Syndrome. Iran J Obstet Gynecol Infertil 2020; 23(6):51-60.
  12. Wang WL, Chen KH, Pan YC, Yang SN, Chan YY. The effect of yoga on sleep quality and insomnia in women with sleep problems: a systematic review and meta-analysis. BMC psychiatry 2020; 20:1-9.
  13. Kathol RG, Arnedt JT. Cognitive behavioral therapy for chronic insomnia: confronting the challenges to implementation. Annals of internal medicine 2016; 165(2):149-50.
  14. Chang SM, Chen CH. Effects of an intervention with drinking chamomile tea on sleep quality and depression in sleep disturbed postnatal women: a randomized controlled trial. Journal of advanced nursing 2016; 72(2):306-15.
  15. Muz G, Taşcı S. Effect of aromatherapy via inhalation on the sleep quality and fatigue level in people undergoing hemodialysis. Applied Nursing Research 2017; 37:28-35.
  16. Afshar MK, Moghadam ZB, Taghizadeh Z, Bekhradi R, Montazeri A, Mokhtari P. Lavender fragrance essential oil and the quality of sleep in postpartum women. Iranian Red Crescent Medical Journal 2015; 17(4).
  17. Vakilian K, Keramat A, Gharacheh M. Controlled breathing with or without lavender aromatherapy for labor pain at the first stage: a randomized clinical trial. Crescent J Med Biol Sci 2018; 5(3):172-5.
  18. Williams TI. Evaluating effects of aromatherapy massage on sleep in children with autism: a pilot study. Evidence-Based Complementary and Alternative Medicine 2006; 3(3):373-7.
  19. Chien LW, Cheng SL, Liu CF. The effect of lavender aromatherapy on autonomic nervous system in midlife women with insomnia. Evidence-based complementary and alternative medicine 2012; 2012.
  20. Nikbakht A, Kafi M. A study on the relationships between Iranian people and Damask rose (Rosa damascena) and its therapeutic and healing properties. InVIII International People-Plant Symposium on Exploring Therapeutic Powers of Flowers, Greenery and Nature 790. 2004:251-254.
  21. Momeni T, Shahrokhi N. Essential oils and their therapeutic actions. Tehran, Iran: University of Tehran; 1991.
  22. Boskabady MH, Shafei MN, Saberi Z, Amini S. Pharmacological effects of Rosa damascena. Iran J Basic Med Sci 2011; 14(4):295-307.
  23. Vakilian K, Keramat A. The effect of the breathing technique with and without aromatherapy on the length of the active phase and second stage of labor. Nurs Midwifery Stud 2013; 1(3):115-9.
  24. Daneshmandi M, Neiseh F, SadeghiShermeh M, Ebadi A. Effect of eye mask on sleep quality in patients with acute coronary syndrome. Journal of caring sciences 2012; 1(3):135-43.
  25. Gholamalian F, Tadayon M, Abedi P, Haghighizadeh MH. The effect of lavender aromatherapy on sleep quality in postmenopausal women. Iran J Obstet Gynecol Infertil 2015; 18(157):18-25.
  26. Mohaddes AF, Abdollahi F, Najafi T, Hosseini F. The Effect of Aaromatherapy with Bitter orange extract on Sleep quality in Patient with type 2 diabetic. Complementary medicine journal of faculty of nursing & midwifery 2017; 7(2):1851-61.
  27. Moghaddam JF, Nakhaee N, Sheibani V, Garrusi B, Amirkafi A. Reliability and validity of the Persian version of the Pittsburgh Sleep Quality Index (PSQI-P). Sleep and Breathing 2012; 16(1):79-82.
  28. Abbasinia H, Alizadeh Z, Vakilian K, Ranjbaran M. Effect of Chamomile extract on sleep disorder in menopausal women. Iran J Obstet Gynecol Infertil 2016; 19(20):1-7.
  29. Izadi AF, Adib HM, Afazel MR. Quality of sleep and it's related factors in the hospitalized elderly patients of Kashan hospitals in 2007. FEYZ 2009; 12(4):52-59.
  30. Jafarimanesh H, Vakilian K, Mobasseri S. Effects of Warm and Cold Footbath on Sleep Quality in Pregnant Women with Restless Legs Syndrome. Iran J Obstet Gynecol Infertil 2020; 23(6):51-60.
  31. Rakhshandah H, Hosseini M. Potentiation of pentobarbital hypnosis by Rosa damascena in mice; 2006.
  32. Akram M, Riaz M, Munir N, Akhter N, Zafar S, Jabeen F, et al. Chemical constituents, experimental and clinical pharmacology of Rosa damascena: a literature review. Journal of Pharmacy and Pharmacology 2020; 72(2):161-74.
  33. Sadeghi N, Azizi A, Asgari S, Mohammadi Y. The effect of inhalation aromatherapy with damask rose essence on pain intensity and anxiety in burned patients: A single-blind randomized clinical trial. burns 2020; 46(8):1933-41.
  34. Bikmoradi A, Roshanaei G, Moradkhani S, Fatahi A. Impact of inhalation aromatherapy with damask rose on anxiety of patients undergoing coronary angiography: A single-blind randomized controlled clinical trial. Avicenna Journal of Nursing and Midwifery Care 2020; 28(2):93-102.
  35. Liu Y, Guo N, Li T, Zhuang W, Jiang H. Prevalence and associated factors of postpartum anxiety and depression symptoms among women in shanghai, China. Journal of Affective Disorders 2020; 274:848-56.
  36. Tazakori Z, Babaee S, Karimolahi M, Bayat F, Taghizadeh-Kashani L. The effect of damask rose extract on sleep quality in patients undergoing angiography admitted to cardiac care unit. Cardiovascular Nursing Journal 2016; 5(1):52-57.
  37. Babaii A, Adib-Hajbaghery M, Hajibagheri A. The effect of aromatherapy with damask rose and blindfold on sleep quality of patients admitted to cardiac critical care units. Iran Journal of Nursing 2015; 28(93):96-105.
  38. Dennis CL, Falah-Hassani K, Shiri R. Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. The British Journal of Psychiatry 2017; 210(5):315-23.
  39. Fallon V, Halford JC, Bennett KM, Harrold JA. Postpartum-specific anxiety as a predictor of infant-feeding outcomes and perceptions of infant-feeding behaviours: new evidence for childbearing specific measures of mood. Archives of women's mental health 2018; 21(2):181-91.
The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 24, Issue 5
July 2021
Pages 69-77

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