Evaluation of the Effect of Aromatherapy with Geranium Essence on Anxiety and Labor pain in Nulliparous Women

To determine the effect of aromatherapy with aromatic geranium (geranium) on the anxiety and labor pain of primiparous women

The clinical trial has a control group, double-blind, randomized, on 100 patients, and SPSS 22 statistical software will be used for data analysis.

Place of execution: Imam Jafar Sadiq (AS) maternity hospital, Aligudarz city, Lorestan province. Aromatherapy starts from the dilation of 4-5 cm and the intensity of pain and anxiety are measured and recorded before and 20 minutes after aromatherapy; Then the aromatherapy is repeated every 20 minutes until the end of delivery. The intensity of anxiety will be measured in dilatations of 4 to 5 and 8 to 10 cm and the intensity of pain in dilatations of 4 to 5, 6 to 7 and 8 to 10 cm. In this study, neither the researcher responsible for data entry into the software and data analysis, nor the researcher (using a nose clip during the intervention) will be aware of the allocation of patients to the experimental or control group.

Inclusion criteria: Iranian race and first birth; singleton pregnancy with an age of 37 to 42 weeks; Mother's age is 18-35 years; Dilatation 4-5 cm at the time of entering labor. Exclusion criteria: fetal distress or labor progress disorder; existence of medical and obstetrical problems in the current pregnancy; Incidence of sensitivity to geranium essential oil in a person during study; use of pain reliever or anti-anxiety medication at least 3 hours before the intervention

In the aromatherapy group, 2 drops of geranium essential oil soaked in gas, and in the control group, 2 drops of distilled water soaked in gas are attached to the collar of the samples and the administration will be repeated every 20 minutes.

Labor pain and anxiety

The sampling method is accessible and based on the study entry criteria. In this way, after obtaining written consent from the samples, people are assigned to 2 intervention and control groups using block random allocation method and blocks of 4. By using this method, it can be ensured that an equal number of participants enter the intervention and control groups in consecutive time intervals. Entry of people into each of the groups is done according to the number of selected blocks and the arrangement inside the block. In order to prevent the possibility of the effect of the aroma spread in the air on the people of the studied groups, the department manager will be requested to place the studied samples in a separate room based on randomization and the same type of intervention received. For blocks of 4, six modes are considered as follows, and the said blocks will be used approximately 4 times (24 people are allocated each time) so that the final sample size is allocated to two treatment and intervention groups: 1. TTCC 2. TCTC 3. TCCT 4. CCTT 5. CTCT 6. CTTC

This research will be double-blind in such a way that neither the researcher responsible for data entry into the software and data analysis nor the researcher (using a nose clip during the intervention) will be aware of the allocation of patients to the experimental or control group; Also, due to the possibility of the release of essential oil molecules in the environment, the release of pleasant odors (scented sprays) and sometimes the windows being open, we place the patients in separate LDR rooms and avoid opening the windows during the intervention; We also ask the hospital services to postpone the cleaning of the room, which is done using detergent solutions and may have an unpleasant smell, to before or after the intervention. The data will be collected by the researcher and the research assistant.