AROMATIC PLANTS AND ESSENTIAL OILS USED DURING LABOR WITH NOCICEPTIVE AND ANXIOLYTIC POTENTIAL
DOI:
https://doi.org/10.31512/vivencias.v18i37.559Resumo
Aromatherapy is a practice applied in different sectors such as post-operative care, pain treatment and anxiety reduction. However, in Brazil, the legislation allows the use of aromatherapy by nurses since 2018, but the use of essential oils during labor is not regulated. The aim of the study was to analyze the records of the benefits of using aromatherapy during labor and the chemical components of aromatic plants that contribute to the reducing pain, duration of contractions, anxiety and stress effects resulting from childbirth. The integrative review carried out in the Scopus, MEDLINE / PubMed and Science Direct databases specified between 2010 and 2020, in Portuguese, English and Spanish. The PICo methodology (Population, Interest and Context) was used to construct the research question and select controlled and uncontrolled descriptors, which were combined with the Boolean operators "AND", "OR" and "NOT". 17 articles were selected using aromatherapy during labor, individually or in conjunction with other therapies. The most used essential oil was Lavandula officinalis (53%), and the effects were related to the decrease in the pain of contractions and childbirth, followed by Rosa x damascena oil (23.5%), although the effect of the plant is more related to the reduction in the parturient’s anxiety and stress. Aromatherapy acts both on the physiological aspects of women in labor and on their subjectivity. Chemical evidence supports the relationship between the major compounds present in the essential oils of the aromatic plants used in the study and the beneficial effects of aromatherapy in labor.
Referências
AL-DABBAGH, B. et al. Antioxidant and anticancer activities of chamomile (Matricaria recutita L.). BMC Research Notes, v. 12, n. 1, p. 3, 3 dez. 2019.
BRASIL. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de atenção Básica. Política Nacional de Práticas Integrativas e Complementares no SUS: uma ação de inclusão. v. 11, Ciência & Saúde Coletiva. 2006. 92 p.
BRASIL. Ministério da Saúde. Portaria no 569 de 1o de junho de 2000. Brasília, DF: Ministério da Saúde, 2000.
BUTLER, A.; HALL, H.; COPNELL, B. A Guide to Writing a Qualitative Systematic Review Protocol to Enhance Evidence-Based Practice in Nursing and Health Care. Worldviews on Evidence-Based Nursing, v. 13, n. 3, p. 241–249, jun. 2016.
CHUGHTAI, A. et al. Comparing the effect of aromatherapy with essential oils of rosa damascena and lavender alone and in combination on severity of pain in the first phase of labor in primiparous women. Crescent Journal of Medical and Biological Sciences, v. 5, n. 4, p. 312–319, 2018.
COFEN, C. F. DE E. Resolução Cofen no 500/2015BrasilConselho Federal de Enfermagem, , 2015.
EL-KAREEM, M. S. M. A. et al. Mass Spectral Fragmentation of Pelargonium graveolens Essential Oil Using GC–MS Semi-Empirical Calculations and Biological Potential. Processes, v. 8, n. 2, p. 128, 21 jan. 2020.
EL EUCH, S. K. et al. Salvia officinalis essential oil: Chemical analysis and evaluation of anti-enzymatic and antioxidant bioactivities. South African Journal of Botany, v. 120, p. 253–260, jan. 2019.
ESMAELZADEH-SAEIEH, S. et al. The effects of inhalation aromatherapy with Boswellia carterii essential oil on the intensity of labor pain among nulliparous women. Nursing and Midwifery Studies, v. 7, n. 2, p. 45, 2018.
FAKARI, F. R. et al. Effect of Inhalation of Aroma of Geranium Essence on Anxiety and Physiological Parameters during First Stage of Labor in Nulliparous Women: a Randomized Clinical Trial. Journal of Caring Sciences, v. 4, n. 2, p. 135–141, 1 jun. 2015.
GALVÃO, C. M. EDITORIAL Evidence Hierarchies. Acta Paul Enferm, v. 19, n. 2, p. VI, 2006.
GAYESKI, M. E.; BRÜGGEMANN, O. M. Métodos não farmacológicos para alívio da dor no trabalho de parto: uma revisão sistemática. Texto & Contexto - Enfermagem, v. 19, n. 4, p. 774–782, dez. 2010.
GEESI, M. H. The Effect of Extraction Apparatus on the Chemical Composition of Essential Oil from the Endemic Damask Rose (Rosa Damascene Mill) With an Antioxidant Evaluation. Indo American Journal of Pharmaceutical Science, v. 5, n. 8, p. 7442–7451, 2018.
GHARABAGHI, P. M. et al. Evaluation of the effect of preemptive administration of Rosa damascena extract on post-operative pain in elective cesarean sections. African Journal of Pharmacy and Pharmacology, v. 5, n. 16, p. 1950–1955, 29 out. 2011.
HAMDAMIAN, S. et al. Effects of aromatherapy with Rosa damascena on nulliparous women’s pain and anxiety of labor during first stage of labor. Journal of Integrative Medicine, v. 16, n. 2, p. 120–125, mar. 2018.
HEIDARI-FARD, S.; MOHAMMADI, M.; FALLAH, S. The effect of chamomile odor on contractions of the first stage of delivery in primpara women: A clinical trial. Complementary Therapies in Clinical Practice, v. 32, p. 61–64, ago. 2018.
HUSSEN, R. A.; EL-ANSSARY, A. A. Plants secundary metabolities: The key drivers of pharmacological action of medicinal plants. In: Herbal medicine. [s.l: s.n.]. p. 11–28.
INSAWANG, S. et al. Essential Oil Compositions and Antibacterial and Antioxidant Activities of Five Lavandula stoechas Cultivars Grown in Thailand. Chemistry & Biodiversity, v. 16, n. 10, p. e19003, 19 out. 2019.
KARINO, M. E.; FELLI, V. E. A. Enfermagem baseada em evidências: avanços e inovações em revisões sistemáticas. Ciência, Cuidado e Saúde, v. 11, n. 5, p. 11–15, 2012.
KARO, H. Y. K. et al. Lavender (Lavandula Angustifolia) Aromatherapy As an Alternative Treatment in Reducing Pain in Primiparous Mothers in the Active First Stage of Labor. Belitung Nursing Journal, v. 3, n. 4, p. 420–425, 2017.
KAVIANI, M. et al. The effect of lavender aromatherapy on pain perception and intrapartum outcome in primiparous women. British Journal of Midwifery, v. 22, n. 2, p. 125–128, 2014a.
KAVIANI, M. et al. Comparison of the effect of aromatherapy with Jasminum offi cinale and Salvia offi cinale on pain severity and labor outcome in nulliparous women. Iranian Journal of Nursing and Midwifery Research, v. 19, n. 6, p. 666–672, fev. 2014b.
KHEIRKHAH, M. et al. Comparing the effects of aromatherapy with rose oils and warm foot bath on anxiety in the first stage of labor in nulliparous women. Iranian Red Crescent Medical Journal, 2014.
LENARDÃO, E. J. et al. Antinociceptive Effect of Essential Oils and Their Constituents: an Update Review. Journal of the Brazilian Chemical Society, v. 27, n. 3, p. 435–474, 2015.
LIBERATI, A. et al. The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration. PLoS Medicine, v. 6, n. 7, p. e1000100, 21 jul. 2009.
LIMA, D. F. et al. Antinociceptive activity of the monoterpene α -phellandrene in rodents: possible mechanisms of action. Journal of Pharmacy and Pharmacology, v. 64, n. 2, p. 283–292, fev. 2012.
LIU, Y. et al. Chemical Composition and Antimicrobial Activity of the Essential Oils Extracted by Microwave-Assisted Hydrodistillation from the Flowers of Two Plumeria Species. Analytical Letters, v. 45, n. 16, p. 2389–2397, 2012.
LOWDERMIK, D. E.; PERRY, S. Enfermagem na Maternidade. 7. ed. Loures: Lusodidacta, 2009.
MELNYK, B. M.; FINEOUT-OVERHOLT, E. Evidence-based-practice in nursing and healthcare: a guide to best practice. 3th. ed. Baltimore: LWW, 2011.
MURTININGSIH, S. T. A. Difference Effect of The Combination of Lavender Aromatherapy and Effluerage with Breathing Relaxation on Pain Intensity During Labor among Primiparas. Journal of Maternity Care and Reproductive Health, v. 1, n. 1, p. 144–159, 14 ago. 2018.
NAMAZI, M. et al. Effects of citrus Aurantium (bitter orange) on the severity of first-stage labor pain. Iranian Journal of Pharmaceutical Research, 2014a.
NAMAZI, M. et al. Aromatherapy With Citrus Aurantium Oil and Anxiety During the First Stage of Labor. Iranian Red Crescent Medical Journal, v. 16, n. 6, 5 jun. 2014b.
NUNES, H. S.; MIGUEL, M. G. Rosa damascena essential oils: a brief review about chemical composition and biological properties. Trends in Phytochemical Research (TPR) Trends Phytochem. Res, v. 1, n. 3, p. 111–118, 2017.
NURSAHIDAH, A. A.; NOVELIA, S.; SUCIAWATI, A. The Effect of Lavender Aromatherapy on Labor Pain Among Delivery Women in Bandung 2020. Asian Community Health Nursing Research, v. 2, n. 1, p. 13–19, 2020.
OSÓRIO, S. M. B.; SILVA JÚNIOR, L. G. DA; NICOLAU, A. I. O. Assessment of the effectiveness of non-pharmacological methods in pain relief during labor. Revista da Rede de Enfermagem do Nordeste, v. 15, n. 1, 16 fev. 2014.
PAVIANI, B. A.; TRIGUEIRO, T. H.; GESSNER, R. The Use of Essential Oils in Labor and Childbirth: Scope Review. Reme Revista Mineira de Enfermagem, v. 23, p. 1–8, 2019.
ROWSHAN, V.; NAJAFIAN, S. Changes of Peel Essential Oil Composition of Citrus aurantium L. During Fruit Maturation in Iran. Journal of Essential Oil-Bearing Plants, v. 18, n. 4, p. 1006–1012, 2015.
SILVA, M. A. DA et al. Aromaterapia para alívio da dor durante o trabalho de parto. Journal of Nursing UFPE on line, v. 13, n. 2, p. 455–463, 2019.
SILVEIRA E SÁ, R. C. et al. Analgesic-like activity of essential oil constituents: An update. International Journal of Molecular Sciences, v. 18, n. 12, 2017.
SOUZA, S. R. R. K.; GUALDA, D. M. R. A experiência da mulher e de seu acompanhante no parto em uma maternidade pública. Texto & Contexto - Enfermagem, v. 25, n. 1, p. e4080014, 2016.
SRIASIH, N. G. K. et al. The effect of massage therapy using frangipani aromatherapy oil to reduce the childbirth pain intensity. International Journal of Therapeutic Massage and Bodywork: Research, Education, and Practice, 2019.
TANVISUT, R.; TRAISRISILP, K.; TONGSONG, T. Efficacy of aromatherapy for reducing pain during labor: a randomized controlled trial. Archives of Gynecology and Obstetrics, v. 297, n. 5, p. 1145–1150, 3 maio 2018.
TARSIKAH; SUSANTO, H.; SASTRAMIHARDJA, H. S. Penurunan Nyeri Persalinan Primigravida Kala I Fase Aktif Pascapenghirupan Aromaterapi Lavender. Majalah Kedokteran Bandung, v. 44, n. 1, p. 19–26, 2012.
TASHIRO, S. et al. Odour-induced analgesia mediated by hypothalamic orexin neurons in mice. Scientific Reports, v. 6, n. October, p. 1–11, 2016.
TORRES, K. G. et al. Synthesis and characterization of dihydrocaffeic acid grafted chitosan nanogel for nanoencapsulation of Matricaria recutita essential oil. Materials Today Communications, v. 24, n. April, p. 101252, set. 2020.
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. Nursing and Midwifery Studies, v. 1, n. 3, p. 115–9, 9 mar. 2013.
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 Journal of Medical and Biological Science, v. 5, n. 3, p. 172–175, 2018.
VERMA, S. Multipurpose Ornamental Plant Plumeria rubra Linn (Apocynaceae). International Journal of Scientific Research in Science, Engineering and Technology, v. 4, n. 4, p. 646–649, 2016.
WHITTEMORE, R.; KNAFL, K. The integrative review: updated methodology. Methodological issues in nursing research, v. 52, n. 5, p. 546–553, 2005.
WOOLLEY, C. L. et al. Chemical differentiation of Boswellia sacra and Boswellia carterii essential oils by gas chromatography and chiral gas chromatography–mass spectrometry. Journal of Chromatography A, v. 1261, p. 158–163, out. 2012.
YAZDKHASTI, M.; PIRAK, A. The effect of aromatherapy with lavender essence on severity of labor pain and duration of labor in primiparous women. Complementary Therapies in Clinical Practice, v. 25, p. 81–86, nov. 2016.
YUAN, C. et al. Physicochemical characterization and antibacterial activity assessment of lavender essential oil encapsulated in hydroxypropyl-beta-cyclodextrin. Industrial Crops and Products, v. 130, n. December 2017, p. 104–110, 2019.
ZAHRA, A. Lavender aromatherapy massages in reducing labor pain and duration of labor: A randomized controlled trial. African Journal of Pharmacy and Pharmacology, v. 7, n. 8, p. 456–430, 28 fev. 2013.
Downloads
Publicado
Como Citar
Edição
Secção
Licença
Este trabalho encontra-se publicado com a Licença Internacional Creative Commons Atribuição-NãoComercial-SemDerivações 4.0.
