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

Int J Environ Res Public Health. 2023 Jun 30;20(13):6262. doi: 10.3390/ijerph20136262.

Abstract

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.

Keywords: aromatherapy; clary sage essential oil; complementary and alternative medicine; footbath; jasmine oil; lavender essential oil; pregnant women; salivary cortisol; salivary oxytocin; stimulation of labor.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aromatherapy*
  • Female
  • Humans
  • Hydrocortisone
  • Labor Onset
  • Oils, Volatile* / pharmacology
  • Oils, Volatile* / therapeutic use
  • Oxytocin
  • Pregnancy
  • Pregnant Women

Substances

  • Oxytocin
  • Hydrocortisone
  • Oils, Volatile

Grants and funding

Please add: This study was financially supported by MEXT/JSPS KAKENHI Grants-in-Aid for Scientific Research B (26293475), A (17H01613), and Young Scientists (18H06351); the Society for Women’s Health Science Research; and the Yamaji Fumiko Nursing Research Fund.