title: Comparing the effects of aromatherapy with rose oils and warm foot bath on anxiety in the first stage of labor in nulliparous women.
abstract: BACKGROUND
  Anxiety is the most common emotional response in women during delivery, which can be accompanied with adverse effects on fetus and mother.
  
  
  OBJECTIVE
  This study was conducted to compare the effects of aromatherapy with rose oil and warm foot bath on anxiety in the active phase of labor in nulliparous women in Tehran, Iran.
  
  
  METHODS
  This clinical trial study was performed after obtaining informed written consent on 120 primigravida women randomly assigned into three groups. The experimental group 1 received a 10-minute inhalation and footbath with oil rose. The experimental group 2 received a 10-minute warm water footbath. Both interventions were applied at the onset of active and transitional phases. Control group, received routine care in labor. Anxiety was assessed using visual analogous scale (VASA) at onset of active and transitional phases before and after the intervention. Statistical comparison was performed using SPSS software version 16 and P < 0.05 was considered significant.
  
  
  RESULTS
  Anxiety scores in the intervention groups in active phase after intervention were significantly lower than the control group (P < 0.001). Anxiety scores before and after intervention in intervention groups in transitional phase was significantly lower than the control group (P < 0.001).
  
  
  CONCLUSIONS
  Using aromatherapy and footbath reduces anxiety in active phase in nulliparous women.
authors.affiliation: Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Massomeh
authors.initials: M
authors.lastname: Kheirkhah
authors.affiliation: Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Nassimeh Setayesh
authors.initials: NS
authors.lastname: Vali Pour
authors.affiliation: Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Leila
authors.initials: L
authors.lastname: Nisani
authors.affiliation: Department of Midwifery, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, IR Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Haghani
keywords: Active Phase; Anxiety; Aromatherapy; Nulliparous; Warm Foot Bath