The effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after surgery in cesarean section under spinal anesthesia

ObjectivePostoperative nausea and vomiting is one of the most common side effects after anesthesia in surgeries, such as cesarean section. This study aimed to investigate the effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after cesarean section.MethodsThis cl...

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Bibliographic Details
Main Authors: Hamideh Pakniat, Fatemeh Lalooha, Farideh Movahed, Aynaz Boostan, Marzieh Beigom Khezri, Caleb Hedberg, Mohammad Ali Hosseini
Format: Article
Language:English
Published: Korean Society of Obstetrics and Gynecology 2020-03-01
Series:Obstetrics & Gynecology Science
Subjects:
Online Access:http://www.ogscience.org/upload/pdf/ogs-63-173.pdf
Description
Summary:ObjectivePostoperative nausea and vomiting is one of the most common side effects after anesthesia in surgeries, such as cesarean section. This study aimed to investigate the effect of ginger and metoclopramide in the prevention of nausea and vomiting during and after cesarean section.MethodsThis clinical trial was conducted on 180 patients aged 18–40 years who underwent cesarean section under spinal anesthesia. The first group received 10 mg of metoclopramide via intravenous injection (metoclopramide group), and the second group received 1 g of oral ginger (ginger group) half an hour before spinal anesthesia. The frequency and severity of nausea and vomiting during surgery and at 2, 6, 12, and 24 hours postoperatively were compared in both groups. To analyze the results, the t-test, chi-square test, and Mann-Whitney test were used.ResultsThere was no significant difference in the frequency of nausea and vomiting between the 2 groups during operation, 2 hours and 6 hours after surgery (P=0.182, 0.444 and 0.563 respectively). The severity of nausea and vomiting was also similar in the 2 groups (P=0.487 and 0.652 respectively); however, the metoclopramide group had a lower systolic blood pressure (P<0.001; df=2.176; f=18.66) and mean arterial pressure (P<0.001; df=2.176; f=6.36) than the ginger group.ConclusionThe results revealed that ginger reduced nausea and vomiting to the same extent as metoclopramide in patients undergoing cesarean section.Trial RegistrationIranian Center for Clinical Trials Identifier: IRCT201611028611N3
ISSN:2287-8572
2287-8580