Aromatherapy in Pregnancy

Written by Vicki Hobbs

Phoenix Therapies Pregnancy Centre
 AROMATHERAPY IN PREGNANCY
There is so much to write about Aromatherapy; however this is just a very
basic overview of aromatherapy in pregnancy, labour, birth and the
postnatal period highlighting the important things to help mums and their
birth partners understand how they can use essential oils confidently and
safely.

Aromatherapy is the use of 100% pure essential oils, which have been
extracted from roots, leaves, flowers, bark or stems of the plant.

They are not to be confused with fragrance oils that have no therapeutic
benefits at all except to smell nice.

Essential oils have the power to rejuvenate your mind, body, emotions and
spirit. It is based on the ancient practice of using essential oils to heal by
therapeutically stimulating the olfactory senses, mental responses,
circulatory and respiratory functions.

Aromatherapy provides benefits from stress and anxiety leading up to

conception, through your whole pregnancy, during labour and birth and
well into the postnatal period and beyond. Essential oils provide you with a
positive sensory environment for birth especially if you do not like the smell
of hospitals. Plant essences stimulate sensory cells in the nose, which send
chemical messages to the limbic area of the brain, which cause
neurochemicals to be released into the bloodstream.

These essences are energising and

stimulate the release of
endorphins, which are your bodys
natural healing hormones so you
may be less likely to use pain
medication.

As you inhale essential oils, notice

how your breathing becomes slow
and full, while when you are
experiencing fear or anxiety your
breathing will be short and rapid.

A study at Oxford Brookes

University during 199098 looked
at the effects that essential oils
can have on a mother to help her cope mentally with labour and more
deeply relax into that trance like state. During the eight-year study
involving 8,000 mothers, they found that aromatherapy was effective in
managing labour pains and using essential oils reduced maternal anxiety
and fear while helping to give a sense of overall well-being. Fear and anxiety
are two emotions which can slow or stall labour or make the labouring
mother unable to cope with the pain of labour. The study showed a drop in
the use of opiate pain relief by those mothers who used aromatherapy
during labour. The normal uptake of opiate pain relief would have been
expected to be 30% in the Oxford study this dropped to 0.4%.

The oils that were used included: Lavender, Clary Sage, Frankincense,
Rose, Jasmine, Eucalyptus, Peppermint, Lemon, Mandarin and the methods
of practice used were massage, added to baths and foot baths and then as
drops on the forehead and palms of the hand.

There has been a lot of negative publicity about using essential oils during
pregnancy. Franzesca Watson is one of the worlds leading authorities in
aromatherapy. She is the founder and principal for the International School
of Aromatherapy. She writes in her book titled Aromatherapy Blends and
Remedies that it is important to be aware of the potential hazards when
essential oils are used inappropriately, particularly if using the more powerful
oils such as pennyroyal and sage, however when essential oils are used
topically in low doses and not ingested the threat to pregnancy is minimal.

Ms Watson also states that the use of essential oils during pregnancy is
safer than some medicinal drugs, household chemicals and environmental
factors surrounding pregnant women.

Many of the reasons given for not using essential oils in pregnancy are
based on myths, misinformation and lack of education. There is also a lack
of understanding of how the body works in pregnancy. There are some oils
that should not be used but most of these are not readily available anyway.

Some oils are considered to be emmenenagogues which stimulate blood

flow in the pelvic area and uterus and stimulate menstruation. Oils such as
Mugwort have been used to cause an abortion or prevent pregnancy however
these would have had to be used in extremely high doses and ingested daily
for long periods of time.

Many women are advised not to use lavender during the first trimester,
however it is only spike lavender taken internally that may be a concern as
normal lavender is not a uterine stimulant according to Robert Tisserand,
who is a leader, world expert and advisor on aromatherapy and essential
oils. Tisserand also confirms that Rose essential oil can also be used during
all stages of pregnancy as it is a uterine relaxant and helps the ligaments to
soften, enabling the pelvic bones to expand, and also to regain elasticity
after birth. There is no sound evidence for you not to use Rose essential oil
during all stages of pregnancy. Turkish women spend many hours picking
rose flowers for distillation and enjoy using rose oil in massage daily and
consider it to be highly beneficial for pregnant women.

According to the National Association for Holistic Aromatherapy a common

myth in aromatherapy is that massage oils containing essential oils such as
Clary Sage, Rose or even Rosemary can cause a miscarriage and hence
should be avoided throughout pregnancy. Authors such as Ron Guba, Kurt
Schnaubelt, and Chrissie Wildwood have all pointed out that there have
been no recorded cases of miscarriage or birth defect resulting from
aromatherapy massage using therapeutic applications of any essential oil.

However, there is plenty of evidence to suggest that essential oils do

penetrate the body after application, no matter how you use the oil. Medical
professionals and herbalists will always exercise caution with drug
administration and herbal remedies during pregnancy, therefore a degree of
caution is also warranted when using essential oils, as not enough is known
about their pharmacodynamics (the physiological effects on the body) and
their pharmacokinetics (how they move through the body absorption,
distribution, metabolism and excretion).
There is also not enough information about the effects of ingesting oils
(taken orally). Traditional teachings advocate that therapists do not
prescribe the administering of essential oils orally. All cases of death due to
essential oils have been attributed to internal use. It is increasingly easier
to overdose when taking oils internally. A study in Germany showed that
essential oils can be detected in your mouth just 20 minutes after
application to your feet. When they are absorbed so readily, there is no
reason to take them internally.

Well known researcher and advisor of aromatherapy Ron Guba wrote the
article "Toxicity Myths The Actual Risks of Essential Oil Use" and it
became the most published paper ever in Aromatherapy. In his article he
wrote the oral ingestion of an essential oil is generally both fully and rapidly
absorbed into the portal blood circulation. However, all other types of
applications do not represent the same level of absorption and dosage.

When you are considering massage with you and your partner or support
person, we recommend that you use 25ml of carrier oil or cream and add a
total of 10 12 drops in total of 100% pure essential oils to make a blend for
massage. We give you a list of oils that are all safe to use in pregnancy but
it is wise to do a skin patch test first, especially if you have sensitive skin.

Simply apply some of the diluted oil or blend on the inside of your arm, and
wait to see if you have any reaction. If the area becomes red or itchy, rub
some vegetable oil over the area and dont use those essential oils again.
You could try pinpointing which oil you are sensitive to by doing a patch test
with each oil individually again blended with carrier oil.

It is not uncommon for pregnant women to develop hypersensitive skin

issues, so skin reactions may occur.

With skin application of essential oils chronic toxicity requires regular use at
high volumes over long periods of time (with the exception of Wintergreen
and Sweet Birch).

With inhalation, chronic toxicity could occur if someone were to sit in an

unventilated room everyday using a diffuser constantly with high doses of
essential oils.
 ESSENTIAL OILS CONSIDERED SAFE TO USE DURING PREGNANCY

The following essential oils have been listed by the International Federation
of Professional Aromatherapists as being safe to use during pregnancy, in
the correct low doses (as described on the previous page).

BENZOIN
BERGAMOT
BLACK PEPPTER
CHAMOMILE GERMAN
CHAMOMILE ROMAN
CLARY SAGE from 37 weeks
CYPRESS
EUCALYPTUS
FRANKINCENSE
GINGER
GRAPEFRUIT
GERANIUM
JUNIPER
LAVENDER
LEMON
MANDARIN
MARJORAM SWEET
NEROLI
PETITGRAIN
ROSE OTTO
SANDALWOOD
SWEET ORANGE
PATCHOULI
SANDALWOOD
TANGERINE
TEA TREE
YLANG YLANG
 CARRIER OR BASE OILS TO USE WITH ESSENTIAL OILS

As oil penetrates the skin it makes sense to use the best quality and least
processed oils, such as using organic, cold pressed and virgin wherever
possible. It is important to select carrier oils, creams or lotions which are
not made of mineral oils as these are petroleum-based products and are not
beneficial for the skin and may deplete it of Vitamin D.

It is also important to select lotions, which do not contain perfumes.

Many therapists prefer not to use a nut carrier oil to avoid allergies, however
research is not conclusive to support this caution as allergies are more
linked to peanuts, and there are some lovely nut oils such as macadamia,
almond, hazelnut, kukui and walnut.

Wheatgerm oil is rich in fatty acids and has the highest content of vitamin E
of any of the plant oils, and so will be effective in nourishing the skin and
helps minimise the appearance of stretch marks. Rosehip seed oil has
become very popular in massage for its wound-healing abilities and wrinkle
prevention. It has high levels of the essential fatty acids including Omega 3
and 6 as well as Vitamin C.

Wheatgerm and Rosehip Oils can be combined to make a beautiful blend.

There are so many different types of carrier oils that you can use to blend
with your essential oils.

A very luxurious carrier oil to use during pregnancy is the Camellia Oil (or
Tea Seed Oil). Geishas in Japan use Camellia Oil regularly to keep their
beautiful skin soft and supple. This very precious and luxurious oil has
been recognised for centuries in Eastern Asia for its highly restorative and
rejuvenating effect on the skin. Camellia Oil is rapidly absorbed and is also
high in fatty acids, Vitamins A, B, and E and other skin soothing minerals.
It also possesses a unique active constituent known as squalene which is
an important component of the skin's natural emollient system.
 ESSENTIAL OILS FOR LABOUR AND BIRTH

The aroma of essential oils helps to reduce anxiety during labour. The
benefits are increased if the labouring mum has been using the essential
oils for relaxation and stress management prenatally as she would have
already conditioned her subconscious mind to the smell promoting
relaxation.

The trigger for relaxation through aroma will also help to release
endorphins, therefore reducing the intensity of pain felt during labour and
birth.

NOTE - Essential oils should not be used in a birth pool or bath during
birth as a newborn surfaces the water with their eyes open and therefore the
essential oils could irritate their eyes or their new sensitive skin.

CLARY SAGE ESSENTIAL OIL

Clary Sage is a plant native to Italy, Syria and

Southern France and grows in dry soil. The
essential oil is distilled from the flowers and
flowering tips.

It is recommended that Clary Sage only be used

from 37 weeks onwards. It may be used to
induce labour if the body is ready to go into
labour. It may stimulate the release of oxytocin
in pregnant women; therefore it is highly
recommended for use during labour to help
contractions to intensify and become more
effective in pulling up the horizontal uterine
muscles to open the cervix and move baby down
into the pelvis and into the birth canal.

The simplest and most common way to use Clary Sage during labour is to
put a few drops onto a dry cloth or flannel and mum will inhale the aroma
when she needs it to help herself become more calm and relaxed during
contractions.

A great way to use Clary Sage essential oil is to soak a few cotton balls in
the oil and put them under the pregnant mums pillow. The aroma will
eventually make its way through to the mums olfactory system and will
have many benefits such as relaxation, reducing muscle tension, calming
the nerves and increase effectiveness of contractions of the uterus.

You can also put 20 drops of Clary Sage oil in 50ml carrier oil and massage
gently around the abdomen, hips, lower back and pelvis. This blend can be
rubbed onto the feet and palms of women in labour or if they are waiting to
go into labour. This is a great way of introducing the oil into the body.
Clary Sage oil can also be added to a bath for a relaxing soak.
Essential oils that form a beautiful synergy for massage during labour and
birth are:

Rose Is a uterine relaxant and helps the ligaments to soften,

enabling the pelvic bones to expand, and also to regain elasticity after
the birth.

Neroli Works on the nervous system and facilitates easy breathing,

especially during labour. Its calming effect increases the oxygen
supply to the blood and brain and helps the woman to avoid
hyperventilation.

Lavender Helps to stimulate the circulation and has a very calming

effect on the mother.

Clary Sage This essential oil facilitates birth and helps breathing by
calming the lower part of the spinal cord. It creates more effective
contractions, and helps labour to progress well when you put a few
drops on your labour focus points (see diagrams). You can also try
this as a natural way to induce labour remembering that your body
needs to be ready to go into labour. It can also be used to reduce pain
and aid in circulation.

Other oils that have been recommended by midwives and aromatherapists

to use during labour and birth include:

BERGAMOT
CHAMOMILE ROMAN
CLARY SAGE
EUCALYPTUS
GRAPEFRUIT
JASMINE
LEMON
MANDARIN
MARJORAM SWEET
ROSEMARY
SPEARMINT
YLANG YLANG
 MAKING YOUR OWN

So to give you an example of how easy it is to use essential oils for massage
during labour, you could make up your own.

Just use 50ml of carrier oil made from camellia seed, grapeseed, sunflower,
canola, apricot or jojoba oil and add the following pure essential oils to make
a beautiful, relaxing blend:

50ml Carrier Oil up to 25 drops total of essential oils (guide only)

8 drops Clary Sage

7 drops Lavender
5 drops Neroli
5 drops Rose

Not only can you use these essential oils while having a massage, they can
also be used in a bath, oil vaporiser, diffuser, compress or spray bottle (use
one drop of each essential oil).

Please note that your sense of smell is acute during pregnancy therefore it is
suggested that you use less drops of essential oils compared to what you
would use if you were not pregnant.
 OILS THAT ARE PHOTOTOXIC

Oils that are phototoxic are also referred to as photo sensitive, and this
refers to constituents in the essential oil that absorb sunlight, which then
increases the effect of the sun on your skin.

These oils shouldn't be used in any sort of application where the essential
oil will stay on your skin and be exposed to the sun for a long period of time,
such as going out to the beach and sunbaking.

Bergamot is perhaps the most well-known phototoxic essential oil. Other

cold pressed (not steam distilled) citrus essential oils (like lemon or lime) can
be phototoxic as well. But folded oils, such as Wild Orange have had much
of the terpenes removed, so they are much less phototoxic.

ANGELICA ROOT
BERGAMOT
BITTER ORANGE
CASSIA
CUMIN
GINGER
GRAPEFRUIT
LEMON
LIME
MANDARIN
TANGERINE
 ESSENTIAL OILS NOT TO USE DURING PREGNANCY

The following oils should not be used at all, regardless of whether the client
is pregnant or not, but they are not readily available from suppliers anyway:

SASSAFRAS
WORMWOOD
CASSIA
PENNYROYAL
MUSTARD
ELECAMPANE

Care should be taken with oils that contain high levels of phenols, ethers
and aromatic aldehydes, as they can irritate the skin due to their molecular
shape. This list is not exhaustive but gives an idea as to the types of oils
that should not be used during pregnancy.

ANISEED OREGANO
ANISE STAR PARSLEY
BASIL PEPPERMINT
BIRCH ROSEMARY
CAMPHOR SAGE
CLOVE SWEET BIRCH
CINNAMON TANSY
CUMIN TARRAGON
FENNEL THUJA
HYSSOP THYME
JUNIPER WINTERGREEN
MUGWORT WORMWOOD
 LABOUR FOCUS POINTS

There are some pressure points that are very powerful that may help to
speed things up if labour has slowed or is prolonged and to also reduce the
intensity of pain. Clary Sage oil can also be placed on these points and then
apply pressure to stimulate contractions.

SPLEEN 6 (SP6)
This point is often used by non-pregnant
women for easing period pains because it
regulates earth energies and has a strong
effect on muscle tension.

Place the tip of your little finger on top of

the point of the ankle bone (malleolus),
fingers pointing to the front of the leg. SP6
will then be beneath the second joint of
your forefinger, under the shin bone (tibia).

LIVER (LV3)
This point can be used any time during labour and is
also good to support the flow of energy in the second
stage so you can birth your baby. Working the point
may help release tension in the shoulders and neck and
is helpful for headaches, which can be common in
labour, and is often useful if the mother finds pressure
on her neck and shoulder points too intense.

This point lies on top of the foot between the first and
second toes, one-and-a-half to two thumb-widths back
from the margin of the web.

GALL BLADDER 21 (GB21)

Pressure on this point can be incorporated into a
shoulder massage to relax tension in the shoulder,
neck and jaw and to help with the opening of the
mouth and the perineum during second stage
labour. Because it is linked with the release of
oxytocin the hormone involved in the third stage
this point is particularly good to help with the
release of the placenta.

The point lies in the hollow on top of the shoulder, straight up from the
nipple when you are standing. It is in the highest point of the muscle of the
shoulder.
LARGE INTESTINE (LI4)
This point is known as the great
eliminator and is often used to relieve
pain.

This can be especially useful if the mother

is feeling sick or has diarrhoea, which is
often the case leading up to labour and
even during labour itself. It is also good
for headaches.

It is situated on the back of the hand, between the thumb and forefinger. To
locate it, have the thumb and index finger closed and the point is at the
highest spot of the muscle.

BLADDER 60 (BL60)
This point activates the whole
length of the bladder meridian, so it
can help ease any tightness in the
head, spine and legs.

It has a strong downward effect and

is very useful for inducing and
strengthening labour contractions,
and for the expulsion of the
placenta.

The point lies in the hollow midway between the knob of the anklebone on
the outside of the ankle and the outer Achilles tendon of the foot.
 POSTNATAL MASSAGE

Post-natal massage is designed to help restore the body to its pre-pregnant

condition. It also helps to relieve stress you may be experiencing from
carrying and caring for a newborn. It can speed up the recovery by bringing
relief of sore muscles and help the mother to relax more easily.

Abdominal massage helps shrink the uterus and relieve scar tissue. It may
be given as early as 24 hours after delivery in a vaginal delivery when
approved by your doctor or medical practitioner.

It is not uncommon for women to experience post natal blues after the
birth of their baby. This can be displayed with mood swings, tearfulness,
poor concentration, anxiety, irritation and despondency. Usually this
subsides once their milk letdown comes in, usually within 4 days after birth
and hormones are more balanced.

Post Natal depression differs in severity and duration. It affects around 10%
of women and usually is not evident until after the new mother returns
home and can last for several months.

In the tribal world, massage is the most accepted recovery procedure

immediately after birth. The abdomen was massaged for the first five days
and then intermittently for the next month to help restore the mothers
shape. A full body massage offers relief from the aches and pains of muscle
soreness, fatigue and promotes rapid healing. It also helps to reduce stress
that might prevent milk letdown. A mother can use self-massage to
stimulate milk letdown and offer relief in some cases of engorgement.

Essential oils are ideal to use after birth not only because of their antibiotic,
antiseptic and disinfectant properties, but because they are emotionally and
spiritually uplifting. You can use most essential oils in massage for
postnatal care, however the ones that are most uplifting and healing are:

CLARY SAGE
FRANKINCENSE
GERANIUM
GRAPEFRUIT
LAVENDER
MYRRH
NEROLI
PATCHOULI
ROSE
 HEALING AFTER CAESAREAN

One of the best treatments for healing after a caesarean is Calendula-

infused oil as it will help the area to heal at a much faster rate. You can
continue to use oils and butters to feed and nourish the tissue after the
stitches have dissolved, which will also continue to help the scar tissue.

Another way of healing is to gently massage essential oil cream into the
caesarean scar a combination of Bergamot, Lavender, Rose, Roman
Chamomile and Tea Tree. This stops it from drying out and itching and
helps with the discomfort and healing of the scar.

For example, if you were making this for yourself:

50mls of carrier oil 25 drops max added

Bergamot 5 drops
Lavender 5 drops
Rose 5 drops
Roman Chamomile 5 drops
Tea Tree 5 drops

Frankincense is also a good essential oil to use for scar tissue added to
some massage carrier oil.

Massage is a very under-utilised modality for healing of caesarean scars.

This can minimise the scar tissue dramatically and prevents that hardening
of the adhesion, and should be a necessity for healing gently to start with
using creams as discussed above, and then including the caesarean scar
regularly in postnatal massage. It encourages blood circulation and
promotes lymph drainage away from the area as well.

Arnica is also a natural anti-inflammatory that you can use on your wound
when it is stinging.

Reiki over the wound and surrounding area can really help speed up the
healing process. It may also help to balance your hormones and promote
ongoing healing.
Go for regular walks as this will increase endorphins (healing hormones)
through the body as well as circulation.

In the first few weeks you must support your tummy muscles as they are
healing so it is really helpful to hold a pillow against your belly while
coughing, laughing or sneezing for support.

Dont hunch over, allow your stomach muscles to stretch out while sitting or
standing, even though you may feel that they are stretching your wound, it
is not, it is actually helping with healing. You will have more problems if
you continually have a hunched over posture.

Rest and relaxation everything can wait. Accept any help and support
from others when offered. Dont feel too proud to accept help.

Drinking peppermint tea in the first few weeks helps with bowel movements,
keeps them soft and easy to push out so you are not straining against the
wound.

Drinking lots of water and eating fresh, organic fruit to help with regular
bowel movements which are not hard, but not runny.

Diet is really important, but some of the top anti-inflammatory food sources
that are beneficial are salmon, blueberries, turmeric, ginger, garlic, green
tea, sweet potato and cruciferous vegetables such as cauliflower, cabbage,
bok-choy, broccoli and other green leafy vegetables.

WHEN IN DOUBT

Always check with your natural therapist if you are unsure of anything
regarding natural remedies, herbs and essential oils.
 REFERENCES

The Illustrated Encylopedia of Essential Oils, (Julia Lawless), 1995

Aromatherapy Workbook, (Shirley Price), 2000
Aromatherapy for Health Professionals, (Shirley Price), 1999
Aromatherapy For Natural Health (Judith White & Karen Downes) 1998
The Natural Way to Better Babies (Francesca Naish & Janette Roberts) 1996
The Fragrant Pharmacy (Valerie Ann Worwood) 1996
Aromatherapy Blends & Remedies (Franzesca Watson) 1995
Aromatherapy For Scentual Awareness (Judith White & Karen Day) 1995
The Art of Aromatherapy (Robert Tisserand) 1997
The Essential Oil Safety Data Manual (Robert Tisserand) 1977
Aromatherapy Workbook (Shirley Price) 2000
The Natural Way to a Better Pregnancy (Francesca Naish & Janette Roberts)
Mother Massage (Elaine Stillerman) 2006
Shiatsu for Midwives (Suzanne Yates) 2003
Pregnancy and Childbirth A Holistic Approach to Massage and Bodywork
(Suzanne Yates), 2010
The New Pregnancy & Childbirth Choices & Challenges (Sheila Kitzinger)
Massage During Pregnancy (Bette Waters) 2003
Your Baby Your Way (Deborah Cooper) 2001
What to Expect When Youre Expecting (Heidi Murkoff) 2009
 WEBSITES / STUDIES REFERRED TO DURING RESEARCH

National Association for Holistic Aromatherapy

http://www.naha.org/explore-aromatherapy/safety/#pregnancy

International Federation of Professional Aromatherapists

http://www.naha.org/assets/uploads/PregnancyGuidelines-Oct11.pdf

Robert Tisserand
http://roberttisserand.com/2011/07/lavender-oil-and-pregnancy/

Aromatherapy Global Online Research Archives Ron Guba

http://www.agoraindex.org/Frag_Dem/toxicitymyths.html

Martin Watt, 2013

http://aromamedical.org/PDF/oils-in-pregnancy.pdf

www.yourchildbirthguide.com
www.wellmother.org
www.mothermassage.net
www.Suite101.com
www.babycentre.co.uk
www.pregnancyetc.com
www.thegoodbirth.co.uk
www.wisegeek.com
www.innterwestmassage.com.au
www.expectantmothersguide.com
www.isthmusacupuncture.com
www.mothering.com
www.pregnancy.about.com
www.massagetoday.com
www.dare-to-give-birth-naturally.com
www.altmd.com
www.medicalnewstoday.com
www.femail.com.au/breast_ducts

Vicki Hobbs
Phoenix Therapies Pregnancy Centre
Darch Plaza
Unit 16 / 225 Kingsway
DARCH WA 6065

Telephone: (08) 9303 9111

www.phoenixtherapies.com.au
[email protected]