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Effect of aromatherapy blend essential oils (lemongrass and lemon) on sleep quality in pregnant women's third trimester


Introduction: Many studies have provided non-pharmacological therapies to overcome health problems, including maternal and child health. One is how to overcome sleep disorders often complained about in pregnant women's third trimester. Some previous studies have analyzed aromatherapy using floral fragrances by inhaling aromatherapy oil directly or applied to cotton and using one type of aroma only, while inhalation using a diffuser and combining two or more similar scents have not been studied. The combination of both compositionally and beneficial aromas can complement each other, for example, lemongrass and lemon. This study aimed to examine the impact of essential oils diffuser and mix aromatherapy lemon grass on sleep quality and anxiety levels in pregnant women in their third trimester.

Methods: This study used quasi-experimental studies with one group pre-test and post-test. The research sample is 48 pregnant women in the third trimester of Wonokromo were selected with simple random sampling. The Independent variable is aromatherapy interventions (blended lemongrass and lemon) inhalation using diffuser, while the dependent variables are sleep quality. Data collection instrument using Pittsburg Sleep Quality Index (PSQI). Data analysis using Wilcoxon test with α=0.05.

Results: After being given aromatherapy intervention, almost all respondents have good sleep quality, 8-point increase in average sleep quality score. The results of the Wilcoxon test obtained a value of ρ = 0.01.

Conclusion: Essential oils diffuser blend aromatherapy of lemongrass and lemon effectively improves the sleep quality of third-trimester pregnant women. Aromatherapy makes participants feel relaxed, comfortable, and feel sleepy better. For health workers, this technique can be one of the practical options for non-pharmacological therapy to decrease discomfort during pregnancy.


  1. Dement, W., Kryger and Roth T. Principles and Practice of Sleep Medicine. Elsevier Ltd. 2017;
  2. Zafarghandi N, Hadavand S, Davati A, Mohseni SM, Kimiaiimoghadam F, Torkestani F. The effects of sleep quality and duration in late pregnancy on labor and fetal outcome. J Matern Neonatal Med. 2012;25(5):535–7.
  3. Ali B, Al-Wabel NA, Shams S, Ahamad A, Khan SA, Anwar F. Essential oils used in aromatherapy: A systemic review. Asian Pac J Trop Biomed. 2015;5(8):601–11.
  4. Yu P-J, Chiou A-F. The Effects of Aromatherapy on Sleep Quality in Diabetes Patients with Restless Leg Syndrome in Taiwan. Eur Sci Journal, ESJ. 2018;14(30):371.
  5. Qodri Udrika Lailatul. Quantitative Analysis Of Essential Oil From Lemongrass (Cymbopogon sp) As Aromaterapy. J Farm Tinctura. 2020;1(2):64–70.
  6. Muchtaridi MMW. Aroma Terapi; Tinjauan Aspek Kimia Medisinal. yogyakarta: graha ilmu; 2015.
  7. El Hajj M, Sitali DC, Vwalika B, Holst L. Herbal medicine use among pregnant women attending antenatal clinics in Lusaka Province, Zambia: A cross-sectional, multicentre study. Complement Ther Clin Pract. 2020;40:101218.
  8. Sarris J, Byrne GJ. A systematic review of insomnia and complementary medicine. Sleep Med Rev. 2011;15(2):99–106.
  9. Feriyanto Y, Feriyanto YE, Sipahutar PJ, Mahfud M, Prihatini P. Pengambilan Minyak Atsiri dari Daun dan Batang Serai Wangi (Cymbopogon winterianus) Menggunakan Metode Distilasi Uap dan Air dengan Pemanasan Microwave. J Tek ITS. 2013 Mar;2(1):F93–7.
  10. Owais S, Chow CHT, Furtado M, Frey BN, Van Lieshout RJ. Non-pharmacological interventions for improving postpartum maternal sleep: A systematic review and meta-analysis. Vol. 41, Sleep Medicine Reviews. Elsevier Ltd; 2018. 87–100 p.
  11. Mindell JA, Cook RA, Nikolovski J. Sleep patterns and sleep disturbances across pregnancy. Sleep Med. 2015;16(4):483–8.
  12. Lillehei AS, Halcon LL. A systematic review of the effect of inhaled essential oils on sleep. J Altern Complement Med. 2014;20(6):441–51.
  13. Rezaie-Keikhaie K, Hastings-Tolsma M, Bouya S, Shad FS, Sari M, Shoorvazi M, et al. effect of aromatherapy on post-partum complications: A systematic review. Complement Ther Clin Pract. 2019;35(December 2018):290–5.
  14. Karadag E, Samancioglu S, Ozden D, Bakir E. Effects of aromatherapy on sleep quality and anxiety of patients. Nurs Crit Care. 2017;22(2):105–12.

How to Cite

Anggraini , F. D. ., Abidah, S. N. ., Rahayu, E. P. ., & Nisa, F. . (2022). Effect of aromatherapy blend essential oils (lemongrass and lemon) on sleep quality in pregnant women’s third trimester. Bali Medical Journal, 11(3), 1099–1102.




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Fritria Dwi Anggraini
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Siska Nurul Abidah
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Esty Puji Rahayu
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Fauziyatun Nisa
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