Magnitude of Nausea and or Vomiting and its Associated Factors Among Mothers Taking Spinal Anesthesia for Cesarean Section at Gandhi Memorial Hospital, Addis Ababa, Ethiopia
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Date
2017-06
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Addis Abeba University
Abstract
Background: Nausea and vomiting during regional anesthesia for cesarean section are very
common and unpleasant events. Can cause significant distress to the patient and interfere with
the surgical procedure. Identifying the factors of nausea and or vomiting during cesarean section
in specific context can help to reduce negative consequence of nausea and or vomiting during
cesarean section delivery.
Objective: The objective of this study was to assess Magnitude of nausea and or vomiting and
its associated factors among mothers taking spinal anesthesia for cesarean section at Gandhi
memorial hospital, Addis Ababa, Ethiopia
Methods: Institutional based cross sectional study was conducted on 140 obstetric mothers who
gave birth under cesarean section with spinal anesthesia at Gandhi memorial hospital from
March to May 2017. Systematic random sampling technique was used to select study participants
from operation order during arrival. Necessary information was obtained from each mother and
medications, producers and vital signs were recorded. Bivariate and multivariate regression
analyses were used to identify risk factor for the development of nausea and or vomiting. P value
blow 0.05 was considered statistically significant
Result: The overall magnitude of nausea and or vomiting was 54.3 %, Factors associated with
postoperative nausea and or vomiting were mothers who did not took metoclopramide
prophylaxis (AOR=2.958, 95% CI: (1.084-8.072), long duration of uterus exteriorization
(AOR=1.387, CI=1.109-1.734) and intraoperative shivering (AOR=6.133, CI=2.17-17.332)
showed strong odds of develop nausea and or vomiting than their counterpart.
Conclusion and recommendation: Nausea and or vomiting among mothers gave birth under
cesarean section with spinal anesthesia is significantly high. This study found that mothers who
did not took metoclopramide prophylaxis, long duration of uterus exteriorization and
intraoperative shivering were factors associated with nausea and or vomiting.
We recommended that metoclopramide prophylaxis should be administered before surgery
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Memorial Hospital