title: Prediction of intraoperative nausea and vomiting in caesarean delivery under regional anaesthesia.
abstract: Objectives This study aimed to predict patients who have caesarean operations under regional anaesthesia and are at risk for intraoperative nausea and vomiting (IONV), for ultimately prompting anaesthetists and surgeons to take preventive measures. Methods This was a retrospective study on 209 patients who had caesarean section under spinal-epidural combined regional anaesthesia. The relevant medical history, such as severe nausea and vomiting in the first trimester, smoking, a history of motion sickness, and premenstrual syndrome (PMS), were obtained from the patients' records and interviews. Results Patients who had a female neonate, a history of severe nausea and vomiting in the first trimester, and a history of PMS and motion sickness before pregnancy experienced a significantly higher rate of IONV. Smokers were less susceptible to IONV, but this was not significant. Conclusion This study shows that some factors in the medical history of a patient can help identify those who are more likely to suffer from IONV.
authors.affiliation: 1 Memorial Hospital, Fetal Medicine and Perinatology Unit, Istanbul, Turkey.
authors.forename: Altuğ
authors.initials: A
authors.lastname: Semiz
authors.affiliation: 2 Ankara Mevki Military Hospital, Department of Obstetrics and Gynecology, Ankara, Turkey.
authors.forename: Yaşam Kemal
authors.initials: YK
authors.lastname: Akpak
authors.affiliation: 1 Memorial Hospital, Fetal Medicine and Perinatology Unit, Istanbul, Turkey.
authors.forename: Necip Cihangir
authors.initials: NC
authors.lastname: Yılanlıoğlu
authors.affiliation: 3 GATA Haydarpasa Training Hospital, Department of Obstetrics and Gynecology, Istanbul, Turkey.
authors.forename: Ali
authors.initials: A
authors.lastname: Babacan
authors.affiliation: 4 Necip Fazıl State Hospital, Department of Obstetrics and Gynecology, Kahramanmaraş, Turkey.
authors.forename: Gökhan
authors.initials: G
authors.lastname: Gönen
authors.affiliation: 5 Necip Fazıl State Hospital, Department of Anesthesiology, Kahramanmaraş, Turkey.
authors.forename: Canan
authors.initials: C
authors.lastname: Çam Gönen
authors.affiliation: 6 GATA Haydarpasa Training Hospital, Department of Anesthesiology, Istanbul, Turkey.
authors.forename: Murat
authors.initials: M
authors.lastname: Asıliskender
authors.affiliation: 5 Necip Fazıl State Hospital, Department of Anesthesiology, Kahramanmaraş, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Karaküçük
mesh_terms: D000328:Adult; D000765:Anesthesia, Conduction; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D000932:Antiemetics / Q000627:therapeutic use*; D002585:Cesarean Section / Q000009:adverse effects*; D004311:Double-Blind Method; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009041:Motion Sickness / Q000503:physiopathology; D020250:Postoperative Nausea and Vomiting / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000517:prevention & control*; D011247:Pregnancy; D011293:Premenstrual Syndrome / Q000503:physiopathology; D011379:Prognosis; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D012907:Smoking / Q000503:physiopathology
chemical_list: D000932:Antiemetics
keywords: Caesarean delivery; intraoperative nausea and vomiting; obstetric surgery; prophylactic medication; regional anaesthesia