Reducing post-dates induction numbers with post-dates complementary therapy clinics

Pauley, Tara; Percival, Rebecca

doi:10.12968/bjom.2014.22.9.630

Cited by 2 publications

(4 citation statements)

References 5 publications

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“…Considering our present findings and the results of previous studies, clary sage, lavender, and jasmine oils may exert gradual and accumulated effects on increasing the oxytocin level and stimulating the spontaneous onset of labor. In fact, repeated use of aromatherapy a few times a day or a week has been introduced to stimulate the spontaneous onset of labor [ 7 , 10 , 31 ]. Moreover, the repeated or continuous use of lavender or jasmine oil during labor until delivery shortened the duration of labor [ 9 , 15 , 16 , 17 ].…”

Section: Discussionmentioning

confidence: 99%

“…The effects of aromatherapy in reducing labor pain and anxiety in term pregnant women have also been investigated [ 9 , 15 , 16 , 17 , 25 , 26 , 27 , 28 ]. However, the effects of aromatherapy in stimulating the onset of spontaneous labor remain scarcely investigated, as there have been limited reports and reviews on such effects to date [ 7 , 8 , 10 , 22 , 23 , 24 , 29 , 30 , 31 ]. In the present study, we clarified the effects of an aromatherapy footbath prepared for enhancing the spontaneous onset of labor on the changes in the salivary oxytocin level of term pregnant women.…”

Section: Introductionmentioning

confidence: 99%

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Changes in Salivary Oxytocin Level of Term Pregnant Women after Aromatherapy Footbath for Spontaneous Labor Onset: A Non-Randomized Experimental Study

Tadokoro

Takahata

Shuo

et al. 2023

IJERPH

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Background: Aromatherapy is usually used to stimulate labor. However, its specific physiological effects have been scarcely examined. We evaluated whether an aromatherapy footbath increases oxytocin levels in term pregnant women. Methods: In this quasi-experimental study, low-risk term pregnant women in Japan underwent aromatherapy using a footbath (1) infused with clary sage and lavender essential oils, (2) infused with jasmine oil, or (3) with no infused oils (control group). The primary outcome was the salivary oxytocin level. The secondary outcomes were uterine contractions and cortisol levels. Results: In the clary sage and lavender group (n = 28), the oxytocin level increased significantly after the footbath (p = 0.035). The jasmine group (n = 27) and control group (n = 27) exhibited trends toward a respective increase and decrease in the oxytocin level; however, the changes in the oxytocin levels between the clary sage and lavender group and the control group showed no significance difference. There were no significant differences in the changes in the uterine contractions and cortisol levels between the experiment and control groups. Conclusions: The changes in the oxytocin levels in the clary sage and lavender group did not differ significantly with those in the control group, possibly because of the small sample size. Further studies are required to examine the effects of repeated aromatherapy footbaths to stimulate labor.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Changes in Salivary Oxytocin Level of Term Pregnant Women after Aromatherapy Footbath for Spontaneous Labor Onset: A Non-Randomized Experimental Study

Tadokoro

Takahata

Shuo

et al. 2023

IJERPH

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“…Stimulation of the foot reflexology point for the pituitary gland aims to facilitate oxytocin output [24]. From our initial data we observed a reduction in the number of post-dates inductions as a result of the clinic [18]. Patient feedback surveys obtained from women who attended the clinic were also extremely positive.…”

Section: Introductionmentioning

confidence: 92%

“…A study of 66 post-date women by Ingram and colleagues found that women using shiatsu were significantly more likely to labour spontaneously, with increased number going into labour if they used the three acupressure points (GB21, SP6, LI4) [16]. Other units have demonstrated some successes from post-dates CAM clinics [17, 18]. A Cochrane systematic review of the use of acupuncture for the inducing labour in post-dates pregnancies showed mixed results and concluded the need for well-designed randomised control trials to objectively assess outcomes [19].…”

Section: Introductionmentioning

confidence: 99%

Complementary therapy and alternative medicine: effects on induction of labour and pregnancy outcome in low risk post-dates women

Koh

Percival

Pauley

et al. 2019

Heliyon

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BackgroundComplementary therapy and Alternative medicine (CAM) is used worldwide for many ailments and is a popular option amongst pregnant women for general wellbeing and managing symptoms. Many studies investigating the use of CAM in the antenatal and intrapartum period have been conducted however there is a lack of evidence regarding its effects on induction of labour and delivery. We established a post-dates clinic comprising of an antenatal check and CAM for low risk pregnant women to determine the impact of CAM on these outcomes.MethodsThis was a cohort study with convenience sampling. A total of 1044 women were included. 397 received a combination of three CAM techniques (acupressure, reflexology and aromatherapy) and 647 women received standard clinical practice. The primary outcome was rate of induction of labour and secondary outcomes such as rates for epidural, length of labour, oxytocin use for induction or augmentation of labour, mode of delivery, blood loss during delivery, postpartum haemorrhage, significant perineal trauma, shoulder dystocia and admission of the baby to a special care unit were analysed.FindingsCAM did not have an effect on rates of induction of labour in nulliparous or multiparous women attending the post-dates clinic. However, we noted that nulliparous women who received CAM had shorter labours (mean 8.4 vs 10 h, p = 0.0002), less oxytocin augmentation (23% vs 35%, p = 0.0002), lower epidural rates (41% vs 50.5%, p = 0.02) and reduced blood loss regardless of mode of delivery (mean reduction 82ml, p = 0.03; 95%CI = -159 to -5). There were no significant differences in secondary outcomes when CAM was used in multiparous women apart from a 5.3 times increased risk of significant perineal trauma (6% vs 2%, p = 0.004) and those who had their labours induced after CAM had a higher risk of requiring an emergency caesarean section (5% vs 1%, p = 0.012). There was no difference on shoulder dystocia and neonatal admissions rates with CAM.ConclusionThere is no reduction in induction of labour rates with the use of CAM. The other effects of CAM on labour and delivery outcomes are varied and potentially only beneficial in a selected group of women. Further research must be carried out before making any clear recommendations on its use.

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Reducing post-dates induction numbers with post-dates complementary therapy clinics

Cited by 2 publications

References 5 publications

Changes in Salivary Oxytocin Level of Term Pregnant Women after Aromatherapy Footbath for Spontaneous Labor Onset: A Non-Randomized Experimental Study

Changes in Salivary Oxytocin Level of Term Pregnant Women after Aromatherapy Footbath for Spontaneous Labor Onset: A Non-Randomized Experimental Study

Complementary therapy and alternative medicine: effects on induction of labour and pregnancy outcome in low risk post-dates women

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