Empowering Women During Labor Through Lavender Aromatherapy: A Quasi-Experimental Study on Anxiety Reduction in the Latent Phase of Labor
Abstract
Background: Anxiety is one of the most common psychological problems experienced by women during labor, particularly in the latent phase of the first stage. Anxiety may increase physiological responses, prolong labor, and elevate the risk of obstetric interventions. Lavender aromatherapy relaxation is a non-pharmacological intervention known to produce calming and sedative effects through stimulation of the limbic system.
Objective: To determine the effect of lavender aromatherapy relaxation on anxiety levels among women in the latent phase of labor at Pulokulon II Community Health Center, Grobogan Regency.
Methods: This study employed a quasi-experimental design using a one-group pre test -post test design. Twenty-two women in the latent phase of labor were recruited through accidental sampling. Anxiety levels were assessed using a modified Hamilton Rating Scale for Anxiety (HRS-A) questionnaire. Data were analyzed using the Paired t-test after fulfilling the Shapiro–Wilk normality assumption.
Results: Before the intervention, 14 participants (63.6%) experienced moderate anxiety, while 8 participants (36.4%) had mild anxiety. Following lavender aromatherapy relaxation, 10 participants (45.5%) reported no anxiety and 12 participants (54.5%) experienced mild anxiety. The Paired t-test demonstrated a statistically significant reduction in anxiety levels (p = 0.001).
Conclusion: Lavender aromatherapy relaxation effectively reduced anxiety levels among women in the latent phase of labor and may serve as an effective non-pharmacological intervention in maternal healthcare services.
Keywords: lavender aromatherapy, anxiety, labor, latent phase, relaxation
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Badan Pusat Statistik. (2022). Statistik Indonesia 2022. Badan Pusat Statistik. https://www.bps.go.id/id
Dinas Kesehatan Provinsi Jawa Tengah. (2021). Profil Kesehatan Provinsi Jawa Tengah Tahun 2021.
Fakari, F. R., & Simbar, M. (2020). Coronavirus pandemic and worries during pregnancy; a letter to editor. Archives of Academic Emergency Medicine, 8(1), e21.
Grigoriadis, S., Graves, L., Peer, M., Mamisashvili, L., Tomlinson, G., Vigod, S. N., Dennis, C.-L., Steiner, M., Brown, C., & Cheung, A. (2018). Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. The Journal of Clinical Psychiatry, 79(5), 17r12011-17r12011.
Hareng, L., Kolle, S. N., Gomes, C., Schneider, S., & Wahl, M. (2024). Critical assessment of the endocrine potential of Linalool and Linalyl acetate: proactive testing strategy assessing estrogenic and androgenic activity of Lavender oil main components. Archives of Toxicology, 98(1), 347–361.
Kim, M., Nam, E. S., Lee, Y., & Kang, H.-J. (2021). Effects of lavender on anxiety, depression, and physiological parameters: systematic review and meta-analysis. Asian Nursing Research, 15(5), 279–290.
Lamadah, S. M., & Nomani, I. (2016). The effect of aromatherapy massage using lavender oil on the level of pain and anxiety during labour among primigravida women. Am J Nurs Sci, 5(2), 37–44.
Liao, C.-C., Lan, S.-H., Yen, Y.-Y., Hsieh, Y.-P., & Lan, S.-J. (2021). Aromatherapy intervention on anxiety and pain during first stage labour in nulliparous women: a systematic review and meta-analysis. Journal of Obstetrics and Gynaecology, 41(1), 21–31. https://doi.org/10.1080/01443615.2019.1673707
Mirazanah, I., Carolin, B. T., & Dinengsih, S. (2021). Pengaruh aromaterapi lavender terhadap kecemasan ibu bersalin. JKM (Jurnal Kebidanan Malahayati), 7(4), 785–792.
Pujiati, W., & Saribu, H. J. D. (2022). Aromaterapi Lavender terhadap Kecemasan Ibu Hamil dengan Hipertensi. Malahayati Nursing Journal, 4(9), 2194–2205.
Roddy Mitchell, A., Gordon, H., Atkinson, J., Lindquist, A., Walker, S. P., Middleton, A., Tong, S., & Hastie, R. (2023). Prevalence of perinatal anxiety and related disorders in low-and middle-income countries: a systematic review and meta-analysis. JAMA Network Open, 6(11), e2343711.
Roniati, R., Sari, W. I. P. E., & Esmianti, F. (2021). Pengaruh Aroma Terapi Lavender Terhadap Penurunan Kecemasan Ibu Bersalin Pada Kala I Fase Aktif. Journal Of Midwifery Sicence and Women’s Health, 2(1), 20–25.
Vidal-Garcia, E., Vallhonrat-Bueno, M., Pla-Consuegra, F., & Orta-Ramirez, A. (2024). Efficacy of lavender essential oil in reducing stress, insomnia, and anxiety in pregnant women: a systematic review. Healthcare, 12(23), 2456.
WHO. (2019). Maternal mortality: Levels and trends 2000 to 2017. https://www.who.int/publications/i/item/9789241516488
Yuniasri, K., Dewianti, N. M., Adnyani, N. W. S., & Widiastuti, N. M. R. (2025). Pengaruh Aromaterapi Lavender Terhadap Tingkat Kecemasan Ibu Hamil Trimester III Dalam Menghadapi Persalinan. Jurnal Genta Kebidanan, 15(1), 27–33.
Badan Pusat Statistik. (2022). Statistik Indonesia 2022. Badan Pusat Statistik. https://www.bps.go.id/id
Dinas Kesehatan Provinsi Jawa Tengah. (2021). Profil Kesehatan Provinsi Jawa Tengah Tahun 2021.
Fakari, F. R., & Simbar, M. (2020). Coronavirus pandemic and worries during pregnancy; a letter to editor. Archives of Academic Emergency Medicine, 8(1), e21.
Grigoriadis, S., Graves, L., Peer, M., Mamisashvili, L., Tomlinson, G., Vigod, S. N., Dennis, C.-L., Steiner, M., Brown, C., & Cheung, A. (2018). Maternal anxiety during pregnancy and the association with adverse perinatal outcomes: systematic review and meta-analysis. The Journal of Clinical Psychiatry, 79(5), 17r12011-17r12011.
Hareng, L., Kolle, S. N., Gomes, C., Schneider, S., & Wahl, M. (2024). Critical assessment of the endocrine potential of Linalool and Linalyl acetate: proactive testing strategy assessing estrogenic and androgenic activity of Lavender oil main components. Archives of Toxicology, 98(1), 347–361.
Kim, M., Nam, E. S., Lee, Y., & Kang, H.-J. (2021). Effects of lavender on anxiety, depression, and physiological parameters: systematic review and meta-analysis. Asian Nursing Research, 15(5), 279–290.
Lamadah, S. M., & Nomani, I. (2016). The effect of aromatherapy massage using lavender oil on the level of pain and anxiety during labour among primigravida women. Am J Nurs Sci, 5(2), 37–44.
Liao, C.-C., Lan, S.-H., Yen, Y.-Y., Hsieh, Y.-P., & Lan, S.-J. (2021). Aromatherapy intervention on anxiety and pain during first stage labour in nulliparous women: a systematic review and meta-analysis. Journal of Obstetrics and Gynaecology, 41(1), 21–31. https://doi.org/10.1080/01443615.2019.1673707
Mirazanah, I., Carolin, B. T., & Dinengsih, S. (2021). Pengaruh aromaterapi lavender terhadap kecemasan ibu bersalin. JKM (Jurnal Kebidanan Malahayati), 7(4), 785–792.
Pujiati, W., & Saribu, H. J. D. (2022). Aromaterapi Lavender terhadap Kecemasan Ibu Hamil dengan Hipertensi. Malahayati Nursing Journal, 4(9), 2194–2205.
Roddy Mitchell, A., Gordon, H., Atkinson, J., Lindquist, A., Walker, S. P., Middleton, A., Tong, S., & Hastie, R. (2023). Prevalence of perinatal anxiety and related disorders in low-and middle-income countries: a systematic review and meta-analysis. JAMA Network Open, 6(11), e2343711.
Roniati, R., Sari, W. I. P. E., & Esmianti, F. (2021). Pengaruh Aroma Terapi Lavender Terhadap Penurunan Kecemasan Ibu Bersalin Pada Kala I Fase Aktif. Journal Of Midwifery Sicence and Women’s Health, 2(1), 20–25.
Vidal-Garcia, E., Vallhonrat-Bueno, M., Pla-Consuegra, F., & Orta-Ramirez, A. (2024). Efficacy of lavender essential oil in reducing stress, insomnia, and anxiety in pregnant women: a systematic review. Healthcare, 12(23), 2456.
WHO. (2019). Maternal mortality: Levels and trends 2000 to 2017. https://www.who.int/publications/i/item/9789241516488
Yuniasri, K., Dewianti, N. M., Adnyani, N. W. S., & Widiastuti, N. M. R. (2025). Pengaruh Aromaterapi Lavender Terhadap Tingkat Kecemasan Ibu Hamil Trimester III Dalam Menghadapi Persalinan. Jurnal Genta Kebidanan, 15(1), 27–33.
DOI: https://doi.org/10.35720/tscbid.v11i01.989
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