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Nausea and vomiting are common symptoms experienced during early pregnancy, especially in the first trimester, and can adversely affect maternal comfort, nutritional intake, and overall well-being. In primary health care settings, these symptoms are often managed with pharmacological treatments; however, such approaches may raise concerns regarding safety, potential side effects, and accessibility for pregnant women. Therefore, there is increasing interest in non-pharmacological interventions that are safer and more practical. One alternative method is lemon aromatherapy (Citrus limon), which is believed to reduce nausea and vomiting by stimulating the olfactory system and promoting a relaxing effect. This study aimed to assess the effectiveness of lemon aromatherapy in decreasing the frequency of nausea and vomiting among first-trimester pregnant women diagnosed with emesis gravidarum at the Rum Balibunga Community Health Center. The research applied a pre-experimental design using a one-group pretest–posttest approach. A total of 30 pregnant women in their first trimester were selected through purposive sampling. The intervention involved inhalation of lemon aromatherapy over a specified duration. Data on the frequency of nausea and vomiting were collected before and after the intervention using a structured observation instrument. The data were analyzed using both descriptive and inferential statistics, with the Wilcoxon signed-rank test employed to determine differences between pre- and post-intervention results. The findings revealed a significant reduction in nausea and vomiting frequency after the intervention. Overall, lemon aromatherapy proved to be an effective, safe, and practical non-pharmacological option to support antenatal care services.

Emesis gravidarum, or nausea and vomiting during early pregnancy, is a common condition affecting the health and comfort of first-trimester pregnant women. Persistent symptoms can lead to dehydration, electrolyte imbalance, reduced nutrient intake, and psychological distress, potentially affecting both maternal and fetal health. Although pharmacological treatments are available, many pregnant women prefer non-pharmacological approaches due to concerns about fetal safety. Aromatherapy, using essential oils such as lemon, peppermint, and lavender, has emerged as a complementary therapy that may reduce nausea and vomiting through olfactory stimulation and autonomic nervous system modulation. This study aimed to examine the effect of aromatherapy on reducing emesis gravidarum in first-trimester pregnant women at Puskesmas Pagatan. A quasi-experimental design with pretest-posttest control group was conducted, involving 40 participants divided into an intervention group (n=20) and a control group (n=20) using purposive sampling. The intervention group received lemon essential oil inhalation twice daily for seven consecutive days, while the control group continued standard antenatal care. Data were collected using the Visual Analog Scale (VAS) for nausea severity and a structured diary for vomiting frequency. Results showed that the intervention group experienced a significant reduction in nausea severity (pretest mean 6.8 ± 1.2, posttest mean 3.2 ± 1.0, p < 0.001) and vomiting frequency (pretest mean 5.2 ± 1.0, posttest mean 2.1 ± 0.9, p < 0.001). In contrast, the control group showed minimal, non-significant changes. These findings indicate that aromatherapy is an effective, safe, and culturally acceptable non-pharmacological intervention for managing emesis gravidarum. The study concludes that integrating aromatherapy into routine antenatal care can improve maternal comfort, adherence to nutritional intake, and overall well-being in first-trimester pregnancies, supporting holistic prenatal care practices.

Pregnancy is a natural process that occurs from conception to the growth of the fetus in the womb. Lemon aromatherapy is an alternative method to reduce nausea and vomiting. When essential oils are inhaled, volatile molecules will carry the aromatic elements contained in the oil to the tip of the nose. The aim is to determine the effect of lemon aromatherapy on the frequency of reducing nausea and vomiting in pregnant women in the first trimester at the Biru-Biru Community Health Center. This study used the Quasy Experiment method with a One Group Pretest Posttest Design by conducting a Pretest before giving treatment and a Posttest after giving treatment. The population of this study were pregnant women who experienced nausea and vomiting in pregnant women in the first trimester at the Biru-Biru Community Health Center. Sampling was carried out using a total sampling technique, resulting in 30 pregnant women experiencing nausea and vomiting. The results obtained from the study, respondents who did not experience nausea and vomiting after being given lemon aromatherapy were 14 people, 11 people experienced mild nausea and vomiting, and 5 people experienced moderate nausea and vomiting. The analysis used in this study was the Wilcoxon test, which obtained a value (p = 0.000 < 0.05) and there was an effect of lemon aromatherapy on the frequency of reducing nausea and vomiting in pregnant women at the Biru-Biru Community Health Center.

Pregnancy is a physiological condition that causes physical and psychological changes, one of which is nausea and vomiting (emesis gravidarum), which often occurs in the first trimester. If left untreated, this condition can lead to nutritional disorders, dehydration, weight loss, and impact the health of the mother and fetus. Management can be carried out with pharmacological and non-pharmacological therapies, one of which is lemon aromatherapy, which is known to have a relaxing and refreshing effect and help reduce nausea symptoms. The purpose of this study was to determine the effectiveness of lemon aromatherapy in reducing nausea and vomiting in pregnant women in the first trimester at the Bies Community Health Center, Bies District, Central Aceh Regency in 2022. The study used a quasi-experimental design with a one-group pretest-posttest design for pregnant women in the first trimester. Thirty respondents were selected using a purposive sampling technique. The research instrument used an observation sheet, and data analysis was performed using the Wilcoxon test. The results showed that before the intervention, the majority of respondents experienced severe nausea (53.3%) and moderate vomiting (50%). After receiving lemon aromatherapy, the majority of respondents experienced mild nausea (90%) and mild vomiting (93.3%). The statistical test results showed a p-value of 0.000 (p < 0.05), indicating a significant difference between before and after the intervention. The conclusion of this study is that lemon aromatherapy is effective in reducing nausea and vomiting in pregnant women in the first trimester. Lemon aromatherapy can be recommended as a safe, simple, and easy-to-implement non-pharmacological therapy alternative for treating emesis gravidarum.

Anxiety experienced by pregnant women is a common psychological problem and can have a significant negative impact on maternal health and fetal development. This anxiety can be caused by various factors, including physical changes, concerns about the delivery process, and new responsibilities as parents. Therefore, it is important to find effective ways to address this anxiety. One non-pharmacological approach that can be implemented is the use of lemon aromatherapy, which is known to have calming and relaxing properties. This activity aims to increase the knowledge and skills of pregnant women in utilizing lemon aromatherapy as a method to reduce their anxiety. This activity was held in June 2025 at PMB Lismarini, involving 20 pregnant women who actively participated in this program. The method used in this activity included several stages: education on the benefits of aromatherapy, demonstrations on how to use it, hands-on practice using lemon aromatherapy, and evaluation conducted through pre- and post-tests to measure changes in participants' anxiety levels. The results of this activity showed a significant decrease in participants' anxiety levels. Previously, many pregnant women were in the severe and moderate anxiety categories, but after participating in the activity, they shifted to mild anxiety and even no anxiety. Lemon aromatherapy has been proven effective in providing relaxation and reducing emotional tension experienced by pregnant women. Therefore, this activity is expected to become a promotional educational model in maternal health services. Through this approach, it is hoped that pregnant women will better understand and utilize aromatherapy as a way to maintain their mental health during pregnancy. Furthermore, this activity can also provide health workers with insight into the importance of non-pharmacological approaches in supporting the mental health of pregnant women.

Emesis gravidarum, characterized by nausea and vomiting during the first trimester of pregnancy, affects up to 80% of pregnant women. Although typically considered a normal physiological condition, persistent symptoms can significantly impact daily activities, nutritional intake, and quality of life. Concerns over fetal safety with pharmacological treatments have led to the exploration of non-pharmacological interventions, such as aromatherapy. Lemon (Citrus limon) aromatherapy, which contains limonene, is believed to reduce nausea by stimulating the limbic system through olfactory pathways. This observational study, conducted at Manembo-nembo Hospital in Bitung City in 2025, involved 30 first-trimester pregnant women selected through purposive sampling. The severity of emesis gravidarum was assessed using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) questionnaire before and after lemon aromatherapy. Results showed that most participants were aged 20–35 years (73.33%) and in the early first trimester (≤10 weeks). After lemon aromatherapy, the severity of nausea and vomiting decreased, with most participants shifting from moderate or severe to mild symptoms. Statistical analysis revealed a moderate negative correlation between lemon aromatherapy and the severity of emesis gravidarum (r = −0.586; p = 0.001). In conclusion, lemon aromatherapy was significantly associated with a reduction in nausea and vomiting severity in early pregnancy. This intervention offers a safe, simple, and complementary option in antenatal care to enhance maternal comfort during the first trimester.

WHO in 2015 also recorded that the number of cases of emesis gravidarum reached 12.5% ​​of all pregnancies in the world, while the incidence of hyperemesis gravidarum was between 0.3-3.2% of all pregnancies in the world. The aim of this research is to determine the effect of lemon aromatherapy on nausea and vomiting in pregnant women at the Public Health Center of Mersip in 2024. The research was conducted using a quasi-experimental approach with one group pre-post test. The location of this research was carried out at the Public Health Center of Mersip and when this research was carried out in January 2024. The population in this study was all 184 pregnant women who were or visited the Public Health Center of Mersip from November 2023 to January 2024. pregnant women, and a sample of 34 people using purposive sampling technique. The data analysis used is univariate and bivariate analysis using the Paired T-Test.The majority of 21 respondents (61.8%) before being given lemon aromatherapy, the majority of 20 respondents (58.8%) experienced moderate nausea and vomiting after being given lemon aromatherapy, and there was a significant difference between nausea and vomiting before and after using lemon aromatherapy as shown by a p value of 0.000. The conclution of these reaseach is an effect of lemon aromatherapy on nausea and vomiting at the Public Health Center of Mersip. It is hoped that lemon aromatherapy can be considered as a permanent SOP for the care of pregnant women with nausea and vomiting and lemon can be recommended as an intervention in midwifery care for pregnant women with nausea and vomiting.

Emesis gravidarum, or nausea and vomiting during early pregnancy, is common and affects the health and comfort of first-trimester pregnant women. Persistent symptoms can cause dehydration, electrolyte imbalance, reduced nutrient intake, and psychological distress, potentially impacting maternal and fetal health. Although pharmacological treatments exist, many pregnant women prefer non-pharmacological methods due to concerns about fetal safety. Aromatherapy, using essential oils such as lemon, peppermint, and lavender, has been explored as a complementary therapy to reduce nausea and vomiting through olfactory stimulation and autonomic nervous system modulation. This study aimed to assess the effect of aromatherapy on reducing emesis gravidarum in first-trimester pregnant women at Puskesmas Pagatan. A quasi-experimental design with pretest-posttest control group was employed, involving 40 participants divided into an intervention group (n=20) and a control group (n=20). The intervention group received lemon essential oil inhalation twice daily for seven days, while the control group continued standard antenatal care. Results showed significant reductions in nausea severity and vomiting frequency in the intervention group (p < 0.001). In contrast, the control group showed minimal, non-significant changes. These findings suggest that aromatherapy is an effective, safe, and culturally acceptable non-pharmacological approach for managing emesis gravidarum, enhancing maternal comfort and well-being during early pregnancy.

Background: Vertigo is a group of symptoms caused by a disturbance in the balance of the vestibular or central nervous system. Complaints of vertigo can come in the form of nausea, dizziness, spinning, or a feeling of being pulled or drawn in an upright position. Dizziness can also be caused by disturbances in the body's balance organs, including receptors in the eye (retina), in the vestibular and semicircular canals, as well as in tendons, joints, and internal sense organs. Objective: Identifying the characteristics of respondents including age, gender, and measuring the scale of moderate, mild and severe symptoms after performing brandt daroff combination therapy accompanied by lemon aromatherapy. Methods: Pre-experiment research design with one group pretest and post test design with purposive sampling technique, a total of 14 respondents with observation sheet instruments. Results: Based on the analysis, the average number of vertigo complaints experienced by respondents was a score of 32.9. After the respondents were given Brandt Deroff therapy accompanied by lemon, the level of vertigo headache decreased to a score of 1.50. wilcoxon test showed a significance value.2 marked 0.001 <0.05, also Ho is rejected and Ha is accepted. Conclusion: So it can be concluded that there is an average difference between the results of therapy before (pre-test) and after (post-test) which means that there is an effect of Brandt Daroff treatment accompanied by lemon aromatherapy on reducing the pain scale of vertigo patients in cases at RSI Sultan Agung Semarang.

Anxiety in children and adolescents can lead to academic, sports and social performance problems. Anxiety also causes disturbances in the thought process, learning concentration, perception and can cause obstacles in the lives of those who are still studying which of course will affect their academic achievement. The mental health of students is a variable that needs attention as soon as possible. Because in addition to emotional factors, external factors can also be non-academic support/obstacles to the success of the learning process. Students of the Diploma Three Nursing study program at the Batari Toja Bone Institute, Academic Year 2024 experience different anxieties, where they will face final semester exam preparations, or practical exams. One of the complementary therapies used to overcome anxiety is the use of lemon aromatherapy by inhalation which can be done through a spray bottle or inhaled through tissue or gloves. The purpose and method of this community service activity is to conduct a Pre-test and Post-test then demonstrate and conduct lectures or counseling to students to reduce their anxiety when they are about to face the final semester exam using lemon aromatherapy. Based on the results of the counseling activities, it can be stated that before the counseling was given, 9 respondents (37%) experienced severe anxiety, 7 respondents (2.91%) experienced moderate anxiety, due to lack of knowledge. After being given counseling, it can be stated that 9 respondents (37%) experienced moderate anxiety, 6 respondents (25%) experienced mianxiety currently,

Nausea and vomiting are symptoms that a reasonable and often happen in the first trimester of pregnancy. It usually occurs in the morning, but can occurs at any time including at night. This condition can cause dehydration or lack of fluid and electrolyte inbalance, hence the condition of pregnant mother's get worse. Lemon aromatherapy is one of alternative method to decrease nausea and vomiting in the first trimester of pregnancy. It provides relaxation and sedative by stimulating the limbic system. This study was conducted to find the effect of lemon aromatherapy to decrease nausea and vomiting in the first trimester of pregnancy. Design used in this study was pre-experiment (one-group pretest-posttest designed). The population were all pregnant women that have nausea and vomiting in the first trimester of pregnancy. The samples were 12 respondent taken by purposive sampling according to the inclusion criteria. The independent variable was lemon aromatherapy. While the dependent variables were nausea and vomiting in the first trimester of pregnancy. Data were collected using structured questionnaire and observation. Data were then analyzed using statistic test (wilcoxon signed rank test) with level of significance α≤0.05.