THE EFFECT OF LEMON AROMATHERAPY ON EMESIS GRAVIDARUM IN PREGNANT WOMEN IN THE 1ST TRIMESTER

Nelisa Qadriyyah1 , Raden Maria Veronika Widia Trilupi 2

  • Nelisa Qadriyyah Institut Teknologi Sains dan Kesehatan RS dr. Soepraoen, Malang
Keywords: Keywords: lemon aromatherapy, emesis gravidarum, first trimester pregnant women

Abstract

BackgroundEmesis gravidarum is a condition of nausea and vomiting that is often experienced by pregnant women during the first trimester and can affect nutritional status and quality of life. Lemon aromatherapy is known to have calming and antiemetic effects, but scientific evidence regarding its effectiveness in reducing emesis gravidarum is limited.

Objective: This study was conducted to determine the effect of lemon aromatherapy on the level of emesis gravidarum in pregnant women in the first trimester.

Method: The research design used was an experimental pretest–posttest with a control group. The sample consisted of 30 respondents, namely 15 pregnant women in the treatment group and 15 in the control group, which were determined through consecutive sampling techniques. The level of emesis gravidarum was measured using the PUQE-24 instrument. Analysis of changes before and after the intervention was carried out using the McNemar test, while comparisons between groups used the Fisher's Exact test due to the relatively small sample size.

Results: The study results indicate that lemon aromatherapy significantly reduces the level of emesis gravidarum in pregnant women in the first trimester, as indicated by a p value of 0.001 (p < 0.05). Administering lemon aromatherapy every morning for 7 days has been shown to be effective in reducing nausea and vomiting in early pregnancy compared to the control group.

Conclusion: Lemon aromatherapy has been proven effective as an alternative therapy in treating emesis gravidarum in pregnant women in the first trimester. This intervention can be recommended to health workers, especially midwives, as a non-pharmacological approach in treating symptoms of nausea and vomiting during pregnancy.

References

Ahn, J. H., Kim, S. Y., & Park, M. J. (2024). Effects of aromatherapy on nausea and vomiting in patients with cancer: A systematic review and meta-analysis. Supportive Care in Cancer. Advance online publication.
Akyüz, A., & Kaya, T. (2021). The effect of lemon inhalation aromatherapy on nausea and vomiting during pregnancy. Complementary Therapies in Clinical Practice, 43, 101342.
Ayudia, P., & Ramadhani, N. (2020). Effectiveness of lemon aromatherapy on nausea and vomiting in pregnant women in the first trimester. Indonesian Midwifery Journal, 12(2), 78–85.
Badakhsh, M., Hashem-Dabaghian, F., & Ghods, R. (2020). A systematic review of aromatherapy in pregnancy. Journal of Obstetrics and Gynecology Research, 46(3), 480–492.
Citra, R., & Arwidiana, W. (2023). Prevalence of emesis gravidarum and influencing factors in pregnant women in the first trimester. Journal of Reproductive Health, 14(1), 22–30.
Ebrahimi, N., Maltepe, C., & Koren, G. (2010). Nausea and vomiting of pregnancy: Using the 24-hour PUQE. Canadian Journal of Obstetrics and Gynecology, 31(9), 803–807.
Ganong, L. H., & Coleman, M. (2021). Family health care nursing: Theory, practice, and research (7th ed.). F.A. Davis.
Hernandez, L.M., & Williams, D. (2020). Pregnancy-related nausea and vomiting: Pathophysiology and treatment strategies. Obstetrics & Gynecology Clinics, 47(1), 45–60.
Krisniyawati, N., Norhapifah, & Hadiningsih, S. (2022). The severity of emesis gravidarum in first trimester pregnant women. Indonesian Midwifery Journal, 10(1), 14–21.
Lee, M.S., & Shin, B.C. (2019). Aromatherapy for health care: An overview of systematic reviews. Maturity, 134, 29–36.
Lim, C., & Lee, J. (2020). Essential oil therapy in women's health. Journal of Alternative and Complementary Medicine, 26(4), 320–329.
Mangesi, L., & Hofmeyr, G. J. (2019). Nausea and vomiting in early pregnancy. BMJ Clinical Evidence, 2019, 1403.
Nuraini, S., & Fauziah, R. (2021). Predisposing factors for emesis gravidarum in pregnant women. Journal of Midwives, 8(2), 56–64.
Ozgoli, G., &Saei Ghare Naz, M. (2018). Complementary and alternative therapies for nausea and vomiting in pregnancy. Iranian Journal of Nursing and Midwifery Research, 23(1), 1–10.
Pujiati, N., & Lestari, S. (2022). The effect of lemon aromatherapy on reducing the frequency of nausea and vomiting. Journal of Healthy Midwifery, 6(3), 112–119.
Rahmah, F., & Sari, N. (2021). The relationship between parity and maternal age and emesis gravidarum. Journal of Obstetrics, 7(1), 44–51.
Sari, NP, Lestari, D., & Widodo, S. (2022). Age and risk of complications in pregnancy. Journal of Public Health, 17(2), 89–96.
Savitri, D. (2020). The use of essential oils in treating nausea and vomiting during pregnancy. Indonesian Aromatherapy Journal, 3(1), 20–28.
Smith, C.A., Collins, C.T., & Crowther, C.A. (2020). Aromatherapy for nausea and vomiting in pregnancy. Cochrane Database of Systematic Reviews, 3, CD007575.
Widyastuti, M., & Handayani, W. (2021). The effect of lemon aromatherapy on the level of nausea and vomiting in first trimester pregnant women. Journal of Midwifery and Health, 12(1), 55–63.
World Health Organization. (2016). WHO recommendations on antenatal care for a positive pregnancy experience. WHO Press.
Published
2025-12-24