Effect of Lemon Aromatherapy on Sleep Quality among Third-Trimester Pregnant Women: A Pre-Experimental Study
DOI:
https://doi.org/10.35816/jiksh.v15i1.255Keywords:
Aromatherapy, Citrus limon, Pregnancy, Sleep quality, Third trimesterAbstract
Introduction: Sleep disturbances are commonly experienced by pregnant women during the third trimester due to physiological, hormonal, and psychological changes. Poor sleep quality during late pregnancy may increase the risk of adverse maternal and fetal outcomes, including hypertension, fatigue, and complications during delivery. Non-pharmacological interventions are recommended to manage sleep problems during pregnancy because pharmacological therapies may pose potential risks to the fetus. Aromatherapy using lemon essential oil (Citrus limon) is considered a safe complementary therapy that may promote relaxation and improve sleep quality. This study aimed to analyze the effect of lemon aromatherapy on sleep quality among third-trimester pregnant women.
Research Methodology: This study employed a quasi-experimental design with a one-group pretest–posttest approach. The research was conducted at PMB Theresia Anggraini Medan Deli from January to April 2025. A total of 30 pregnant women in the third trimester were recruited using total sampling. Sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Participants received lemon aromatherapy inhalation for approximately 15 minutes before bedtime for seven consecutive days. Data were analyzed using descriptive statistics and paired statistical tests to compare sleep quality before and after the intervention with a significance level of 0.05.
Results: The findings indicated an improvement in sleep quality following the aromatherapy intervention. Before the intervention, all participants experienced poor sleep quality. After receiving lemon aromatherapy, most participants reported improved sleep patterns characterized by easier sleep initiation, reduced nighttime awakening, and greater feelings of relaxation before sleep. The statistical analysis demonstrated a significant improvement in sleep quality after the intervention.
Conclusion: Lemon aromatherapy may serve as a safe, simple, and accessible complementary intervention to improve sleep quality among pregnant women in the third trimester. Integrating aromatherapy into routine antenatal care may support maternal comfort and contribute to holistic maternal health services.
References
Alabrahim, O. A. A., Lababidi, J. M., Fritzsche, W., & Azzazy, H. M. E.-S. (2024). Beyond aromatherapy: can essential oil loaded nanocarriers revolutionize cancer treatment? Nanoscale Advances, 6(22), 5511–5562. https://doi.org/10.1039/D4NA00678J
Ali, M. K., Jon, P. H., Shourove, J. H., Rahman, O., & Islam, G. R. (2025). Optimization of sonication-assisted hydrodistillation for essential oil extraction from Citrus macroptera peel: A comparative study of RSM and ANN. Applied Food Research, 5(2), 101446. https://doi.org/10.1016/j.afres.2025.101446
Amala Dev, A. R., & Sonia Mol, J. (2024). Volatile chemical profiling and distinction of Citrus essential oils by GC analyses with correlation matrix; evaluation of its in vitro radical scavenging and microbicidal efficacy. Results in Chemistry, 7, 101460. https://doi.org/10.1016/j.rechem.2024.101460
Asnita, A., Pujiati, W., Sari, K., & Nirnasari, M. (2023). Lavender And Lemon Aromatherapy Against Anxiety III Trimester Pregnant Women Facing Labor. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 376–382. https://doi.org/10.35816/jiskh.v12i2.1098
Ayub, M. A., Fatima, A., Alanazi, Y. M., Javaid, M. A., Hussain, A. I., Shahid, M., Zubair, M., & Thomspon, K. D. (2025). Optimization of superheated steam extraction of essential oil from Citrus limetta Peel by response surface methodology. Innovative Food Science & Emerging Technologies, 105, 104238. https://doi.org/10.1016/j.ifset.2025.104238
Basha, S., KS, P., Pai, A. R., & Mahato, K. K. (2025). Citrus phytochemicals in neurodegenerative diseases: Preclinical evidence and clinical potential. Trends in Food Science & Technology, 166, 105390. https://doi.org/10.1016/j.tifs.2025.105390
Biachi, F. B., de Oliveira Faria, M. F., Oliveira, R. A., de Brito Poveda, V., & Rizzo Gnatta, J. (2025). Effect of Aromatherapy for Postoperative Pain Management in the Postanesthesia Recovery Room: A Systematic Review. Journal of PeriAnesthesia Nursing, 40(4), 1016-1023.e2. https://doi.org/10.1016/j.jopan.2024.09.011
Bonku, E. M., Yang, R.-F., & Yang, Z.-H. (2026). Valorizing Citrus maxima peel waste into bioactive essential oil: Sustainable extraction and antimicrobial efficacy. Biomass and Bioenergy, 206, 108641. https://doi.org/10.1016/j.biombioe.2025.108641
Deka, S., Gogoi, R., Das, S. S., Kashyap, B., Talukder, A., Bora, N. S., Dua, T. K., & Dutta, K. N. (2025). Chemical composition, antimicrobial activity and in silico analysis of essential oils from Citrus limon (Kaji Nemu) and Citrus hystrix (Hati Nemu) peels indigenous to north east India. In Silico Research in Biomedicine, 1, 100125. https://doi.org/10.1016/j.insi.2025.100125
Dev A.R, A., & Joseph, S. M. (2025). Chemical diversity and correlation analysis of volatiles from Citrus peels: Evaluation of toxicity, antioxidant and microbial inhibition efficacy. The Microbe, 7, 100370. https://doi.org/10.1016/j.microb.2025.100370
Falck, C. L. (2025). Introduction to Veterinary Medical Aromatherapy. Veterinary Clinics of North America: Small Animal Practice, 55(6), 1063–1084. https://doi.org/10.1016/j.cvsm.2025.07.003
Geusens, F., Van Dooren, H., De Langhe, H., Ceulemans, M., & Bogaerts, A. (2026). YouTube as a source of (mis)information for morning sickness self-help – A content analysis and literature review of recommendations for nausea and vomiting in pregnancy. Midwifery, 156, 104729. https://doi.org/10.1016/j.midw.2026.104729
Gonçalves, S., Castro, J., Almeida, A., Monteiro, M., Rodrigues, T., Fernandes, R., & Matos, R. S. (2025). A systematic review of the therapeutic properties of lemon essential oil. Advances in Integrative Medicine, 12(3), 100433. https://doi.org/10.1016/j.aimed.2024.10.009
Guo, J., Mäkinen, M., & Jänis, J. (2025). Comprehensive chemical profiling of citrus peel essential oils by direct‑infusion ultrahigh‑resolution FT‑ICR MS and high‑resolution GC–QTOF MS. Journal of Food Composition and Analysis, 148, 108204. https://doi.org/10.1016/j.jfca.2025.108204
Kaur, S., Singh, V., Vern, P., & Panesar, P. S. (2025). From citrus waste to value-added products: Exploring biochemical routes for sustainable valorization. Process Biochemistry, 158, 81–98. https://doi.org/10.1016/j.procbio.2025.08.009
Lamine, M., Hamdi, Z., Zemni, H., Rahali, F. Z., Melki, I., Mliki, A., & Gargouri, M. (2024). From residue to resource: The recovery of high-added values compounds through an integral green valorization of citrus residual biomass. Sustainable Chemistry and Pharmacy, 37, 101379. https://doi.org/10.1016/j.scp.2023.101379
Li, X., Zhang, M., Liu, Y., Feng, Y., Yang, J., Xie, Y., Li, Y., Xu, Y., & Huang, Z. (2026). Recent advances in the development of bergamot (Citrus bergamia Risso) essential oil: From extraction, chemical composition, function to potential applications. Industrial Crops and Products, 240, 122617. https://doi.org/10.1016/j.indcrop.2025.122617
Mascarenhas, V. H. A., Caroci-Becker, A., Nick, J. M., Sahin, S., Drigo, R. T. da C., Riesco, M. L., & Lima, M. de O. P. (2025). Effectiveness of aromatherapy on physiological and psychological symptoms during pregnancy: a systematic review and meta-analysis. Complementary Therapies in Medicine, 95, 103279. https://doi.org/10.1016/j.ctim.2025.103279
Men, L., Liang, L.-L., Wu, S.-W., Sun, Y., Liu, H., Mi, Q., Mazhar, M., Luo, G., Liu, Q.-Y., & Liu, M.-N. (2025). A narrative review of aromatherapy: Mechanisms and clinical value in physiological and psychological regulation. Complementary Therapies in Medicine, 94, 103261. https://doi.org/10.1016/j.ctim.2025.103261
Palangasinghe, P. C., Liyanage, W. K., Wickramasinghe, M. P., Palangasinghe, H. R., Shih, H.-C., Shiao, M.-S., & Chiang, Y.-C. (2024). Reviews on Asian citrus species: Exploring traditional uses, biochemistry, conservation, and disease resistance. Ecological Genetics and Genomics, 32, 100269. https://doi.org/10.1016/j.egg.2024.100269
Safajou, F., Bagherinia, M., Qaderi, K., Haseli, A., Yazdani, F., & Mortezapoor, M. (2025). Efficacy of aromatherapy for reducing nausea and vomiting of pregnancy: a systematic review and meta-analysis. Journal of Herbal Medicine, 54, 101056. https://doi.org/10.1016/j.hermed.2025.101056
Salehi-Pourmehr, H., Mojtahedi, M., Asnaashari, S., Farshbaf-Khalili, A., & Ostadrahimi, A. (2025). The impact of aromatherapy with Citrus bergamia- Lavandula angustifolia essential oil and/or mindfulness-based therapy on postmenopausal health: A factorial randomized controlled trial. Complementary Therapies in Medicine, 91, 103190. https://doi.org/10.1016/j.ctim.2025.103190
Sales Junior, R. A. de, Lima Maniçoba, A. K. de, Bessa, M. S. de, Barbosa, B. F. de S., de Boa, P. W. M., & Borges, B. C. D. (2026). Aromatherapy with essential oils to reduce anxiety, pain, and discomfort during in-office dental procedures: A scoping review. Journal of Dentistry, 167, 106515. https://doi.org/10.1016/j.jdent.2026.106515
Sanli, I., Ozkan, G., & Şahin-Yeşilçubuk, N. (2025). Green extractions of bioactive compounds from citrus peels and their applications in the food industry. Food Research International, 212, 116352. https://doi.org/10.1016/j.foodres.2025.116352
Sivamaruthi, B. S., Kesika, P., Sisubalan, N., & Chaiyasut, C. (2025). The Role of Essential Oils on Sleep Quality and Other Sleep-related Issues: Evidence from Clinical Trials. Mini-Reviews in Medicinal Chemistry, 25(3), 234–258. https://doi.org/10.2174/0113895575315700240821054716
Yeasmin, M. S., Uddin, M. J., Dey, S. S., Barmon, J., Ema, N. T., Rana, G. M. M., Rahman, M. M., Begum, M., Ferdousi, L., Ahmed, S., Khan, M. S., Khatun, M. H., & Muzahid, A. A. (2024). Optimization of green microwave-assisted extraction of essential oil from lemon (Citrus limon) leaves: Bioactive, antioxidant and antimicrobial potential. Current Research in Green and Sustainable Chemistry, 8, 100413. https://doi.org/10.1016/j.crgsc.2024.100413
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Suci Nanda Resti Tarigan, Friska Margaret Parapat, Elisa Silvia Aritonang

This work is licensed under a Creative Commons Attribution 4.0 International License.
Statement:
The authors retain the copyright of this work and grant Jurnal Ilmiah Kesehatan Sandi Husada the right of first publication. The work is simultaneously licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original author(s) and the initial publication in this journal are properly credited.
The authors are permitted to copy and redistribute the published version of the work, including posting it to an institutional repository or including it in a book, with acknowledgment of its initial publication in Jurnal Ilmiah Kesehatan Sandi Husada.
Similar Articles
- Ellysa Okky Gusma, Gatot Sunarto, Gian Lisuari Adityasiwi, Nathan Agwin Khenda, Nicolas Adi Perdana Susanto, Quality of life and physical activity participation in adolescent girls with idiopathic scoliosis treated with bracing , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Mulyanti, Dian Meiliani Yulis, Hairuddin K, Analysis of social determinants with quality of life in people with HIV/AIDS at the voluntary counseling test clinic , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 13 No. 2 (2024): July - Desember
- Suriyanti, Sulfianti, Mustar, Effectiveness of ginger drink in reducing emesis gravidarum among first-trimester pregnant women , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Uliarta Marbun, Irnawati, Lili Purnama Sari, Dahniar, Arisna Kadir, Effect of Home Care Services on Anxiety in Pregnant Women Facing Childbirth: A Quasi-Experimental Study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Hermin Husaeni, Boby Nurmagandi, Nur Amaliah Sawal, Aco Mursid, Muhammad Amin R, Maryati, Ika Muzdali, From Expectations to Experience: Prioritizing Quality Improvement in Inpatient Nursing Care Through Importance–Performance Analysis , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Ichsan Trisutrisno, Effect of service quality on inpatient satisfaction at Cibinong Regional General Hospital , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Awatiful Azza, Zusana A Sasarari, Nurafriani, Irmawati S, Muh Yunus, Effect of implementing childbirth preparation classes on women's self-efficacy and pregnancy outcomes , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 1 (2025): January - June
- Hasni, Saman, Novica Ariyanti Putri, Sova Evie, Enggar, Determinants of Antenatal Care Utilization Among Pregnant Women: A Qualitative Study , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 15 No. 1 (2026): January - June
- Riska Sabriana, Jusni, Hartati, Muh. Faizal Mardi Saleh, Effectiveness of Antenatal Class Education in Improving Early Detection of Pregnancy Danger Signs , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
- Yuniharce Kadang, Gerfan Patandung, Lemongrass oil-based aromatherapy balm innovation for muscle pain reduction and body relaxation , Jurnal Ilmiah Kesehatan Sandi Husada: Vol. 14 No. 2 (2025): July - December
You may also start an advanced similarity search for this article.






















