Solmaz Heidari-Fard , Sedighe Amir Ali-Akbari , Faraz Mojab,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Anxiety is the most common emotional reaction of women during childbirth. Anti-anxiety effects of Chamomile are documented thanks to flavonoids compounds, Apigenin, and phyto-estrogen which influence central nervous system by bounding to benzodiazepine receptors and lead to reducing anxiety. According to the importance of reducing anxiety, this study aims to evaluate the effect of chamomile essential oil on reducing anxiety in nulliparous women during the first stage of childbirth.
Methods: This randomized clinical trial was performed on 130 nulliparous women (65in intervention group and 65 in control group) who were qualified and referred to Abhar Emdadi Hospital (Zanjan, Iran) in 2013. The researcher referred to labor ward of Abhar Emdadi Hospital after determining the validity and reliability of the study, receiving ethics committee approval at No.400/4013, and registering it in Iranian Registry Clinical Trial Center at No.IRCT201308066807N7. Sampling was conducted in Abhar Emdadi Hospital from September to March 2013. The samples were assigned to case or control group according to the days divided by pockets A and B; qualified nulliparous women were placed in one of the groups in random days. In aromatherapy group, 2 drops of chamomile essential oil, and in control group, 2 drops of distilled water were spilled on sterile gauze. They were inhaled by the patients at a distance of 7-10 cm from their noses and prescription of aroma and distilled water was repeated every half an hour. At first, the anxiety level was measured with researcher by using Spielberger questionnaire at dilatations of 3-4 and 8-10 cm and effacement of 40-50 and 70-100. In all processes the samples were positioned on the bed in the left lateral position.The tools for data collection included midwifery and demographic information checklist, and Spielberg’s questionnaire. Independent t-test, for normal quantitative data and Mann-Whitney and Chi-square tests for not normal quantitative data, were used to analyze the collected data. They were analyzed using SPSS 22. The significance level was considered 0.05.
Results: At baseline, both intervention and control groups showed moderate anxiety. But after intervention, the anxiety level in intervention group at dilatations of 3-4 and 8-10 cm was (46.12 ± 3.70) and (39 ± 3.70) respectively which in turn portrayed a significant decrease (P <0.005) in comparison with control group at dilatations of 3-4 and 8-10 cm which was (60.00 ± 4.3) and (61.24 ± 4.61) respectively.
Conclusions: The findings of this study showed that aromatherapy by chamomile essential oil reduces the anxiety level during childbirth; therefore, it is recommended in order to reduce anxiety.
Zohreh Shahhosseini, Forouzan Elyasi, Jamshid Yazdani-Charati, Farzaneh Babapour,
Volume 17, Issue 0 (4-2020)
Abstract
Background: Menstrual cycles in women are sometimes accompanied by symptoms that lead to a series of physical, cognitive, behavioral and mood changes called PMS. PMS generally leads to a decline in women's quality of life. Therefore, effective, safe and inexpensive treatment to relieve or improve these symptoms seems necessary. So the aim of this study is to review the complementary medicine and psychological interventions affecting premenstrual syndrome.
Methods: The present review study using the keywords Therapy, Pharmacy, Complementary medicine, Psychological, Premenstrual syndrome that extracted from Mesh-PubMed, was used in Web of Science, Scopous, Medline-PubMed, Cochrane Library, Clinical Key, Magiran, Scientific Information Database (SID) Data base, and the Google Scholar Search Engine for the period 2010-2019 within Apr and May 2018. Out of 338 articles found, 101 repetitive articles in EndNote, 180 articles with screening in the main title, 24 articles in abstract, 15 articles in full text, 1 article were evaluated by the quality of the journal in the source system, and 3 articles were evaluated by the quality of the article according to the scale of isolation. And ultimately, 8 English and 6 Persian articles were entered.
Results: Between 14 articles, 5 were quasi-experimental and 9 were clinical trials. The pharmaceutical interventions including estrogen-progesterone hormone combinations, zinc supplements, calcium and vitamin B6, respectively, hormone therapy and vitamin B6, had the most effect in reducing the symptoms of mild to moderate PMS. Herbal remedies including royal jelly, black bean, chamomile have the most positive effects for reducing PMS intensity. In category of non-pharmacological psychological interventions; PMS education, Cognitive-behavioral therapy, Stress management, and cognitive-based therapy. The most successful interventions for anxiety and depression in women with PMS have been given.
Conclusions: Different types of pharmaceutical and non-pharmaceutical interventions will be applied depending on the density of PMS in each individual and with regard to the change in PMS (physical, cognitive, behavioral, and mood).
