iMedPub Journals ht tp://journals.imedpub.com Health Science Journal ISSN 1791-809X 2015 Vol. 9 No. 1:9 1 © Copyright iMedPub | This article is available in: www.hsj.gr/archive Efeciveness of Aromatherapy and Biofeedback in Promoion of Labour Outcome during Childbirth among Primigravidas Raju Janula 1 and Singh Mahipal 2 1 JJT University, Rajasthan, India 2 Akhil BharaiVidyapeeth Nursing College, Sikar, Rajasthan, India Corresponding Author: Janula Raju  janular@gmail.com Research Scholar, Department of Nursing, JJT University, Rajasthan, India Tel: +91 7415159891 Abstract Background: Labour pain is the most severe form of pain that every woman may experience during intranatal life. Severe pain makes stress response which may lead to harmful efects on both mother and her fetus. This study was carried out to evaluate the efect of aromatherapy and biofeedback in promoion of labour outcome during childbirth among primigravidas. Methods: This clinical trial was performed on 600 nulliparous women selected randomly who were expected to have a normal childbirth. Cases were randomly assigned to Aromatherapy group (n=200), biofeedback group (n=200) groups and control group (n=200). The invesigator rated the pain by using visual pain analog scale. Results: Sixty Nine percent (n=137) of cases in aroma massage group expressed it was helpful, provided pain relief and emoional wellbeing during labour. Our indings suggested, aromatherapy was helpful in reducion of duraion of labour (p<0.0001). Biofeedback is also an efecive in reducing pain and duraion of labour during childbirth compared with the non-experimental group. Conclusion: The results of this present study indicated that the use of Aromatherapy and Biofeedback were both efecive methods of reducing pain percepion and duraion of labour among women during labor. Keywords: Aromatherapy; Biofeedback; Childbirth; Labour pain; Primigravida Introducion Childbirth is considered a life-changing event for most women who are associated with great risks, and in certain cases it may cause disability and even death for the mother or child [1]. According to the World Bank report the maternal mortality raio in India was high as 200 maternal deaths per 100000 live births in 2013 [2]. Maternal mortality raio (MMR) is deined as the death of a woman while pregnant or within 42 days of terminaion of pregnancy and is received by dividing the number of maternal deaths per 100 000 live births. Women with adequate psychological support and relaxaion techniques had reduced the incidence of caesarean secion. Relaxaion techniques, mainly breathing exercises, had brought 50% reducion in caesarean secion for psychological indicaions [3]. During labour conlicing emoions are present; fear and unease that can be coupled with anicipaion and gladness. Tension, anxiety and fear are factors contribuing towards women’s percepion of pain and may also afect their labour and birth experience. Pain associated with labour has been described as one of the most intense forms of pain that can be experienced [4]. Many women would like to avoid invasive methods of pain management during labour and this may contribute to the development of complementary or non-pharmacological methods for pain management. This study examined the use of aromatherapy and biofeedback as non-pharmacological methods for pain management in labour [5]. In aromatherapy therapy, essenial oils from plants were massaged in the skin, in a form of bath or inhalaion using a steam or burner. Literature revealed that essenial oils were used to heal various ailments by therapeuically simulaing the nasal/ olfactory senses (smell) via mental responses, circulatory and respiratory funcions. Moreover it enhances physical and mental wellbeing of paients [6]. Biofeedback or biological feedback