Post operative nausea and vomiting Anaesthesia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Women aged 18 - 35 years, 38 weeks pregnant or more Scheduled for elective cesarean delivery ASA class II.
Exclusion criteria
Exclusion criteria: ASA III & IV as pregnancy-induced complications like eclampsia Acute obstetric hemorrhage, Fetal distress, Cord prolapse, Mothers having compromised fetus, Allergy to morphine or dexamethasone, Body mass index (BMI) >35 kg/m2 History of hyperemesis gravidarum or GERD during the pregnancy. parturients who required general anesthesia due to failure of spinal anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Levels of maternal satisfaction at 24 hours was assessed through a 5-point Likert scale (1 = completely dissatisfied, 2 = dissatisfied, 3 = neutral, 4 = satisfied, and 5 = completely satisfied) | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative nausea and vomiting (PONV) was assessed using the simplified PONV impact scale(SPONVIS) [7]. Episodes with a severity score =5 were recorded, and clinically significant vomiting was treated with 4 mg IV ondansetron, repeated after 12 hours if persistent;Analgesia duration was the time from intrathecal injection to first pain requiring rescue analgesia. Pain severity was measured using a 10-cm visual analogue scale (VAS; 0 = no pain, 10 = most severe), categorized as mild (<4), moderate (4–6), or severe (7–10). Breakthrough pain received 1 g IV acetaminophen, with total doses recorded.;Itching was rated on an ordinal scale: 0 (no itch), 1 (mild), 2 (moderate), 3 (severe) | — |
Countries
Egypt
Contacts
Aswan University Hospital