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| Analysis of the incidence and the influencing factors of the nausea and vomiting of women during cesarean section |
| The Second Affiliated Hospital of The Air Force Military Medical University, Xi 'an, Shanxi Province, 710000 |
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Abstract To analyze the incidence and the related influencing factors of the nausea and vomiting of women during cesarean section. Methods: The clinical data of 200 women after cesarean section from May 2021 to May 2023 were selected to analyze the incidence of the nausea and vomiting during cesarean section. These women were divided into group A (women with nausea and vomiting) and group B (women without nausea and vomiting) according to the presence or absence the intraoperative nausea and vomiting of the women. The data of the women were compared between the two groups. Logistic analysis was used to analyze the relevant influencing factors of the intraoperative nausea and vomiting of the women. Results: Among the 200 women, there were 65 cases with the gradeⅠnausea and vomiting, 89 cases with the grade Ⅱ nausea and vomiting and 46 cases with the grade Ⅲnausea and vomiting according to the World health organization classification of the nausea and vomiting. The incidence of the intraoperative nausea and vomiting of the women was 67.5% (135/200). There were significant differences in the emergency admission proportion, the scores of preoperative self-rating anxiety scale (SAS) and self-rating depression scale (SDS), the anesthesia method, the proportions of carboprost tromethamine used, the prophylactic medication and the intraoperative excessive traction of the women between the two groups. Multivariate analysis showed that the emergency admission, the high scores of the preoperative SAS and SDS, the intraspinal anesthesia, the carboprost tromethamine used, and the intraoperative excessive traction of the women were the risk factors of their intraoperative nausea and vomiting, and the prophylactic medication of the women was a protective factor of their intraoperative nausea and vomiting (all P<0.05). Conclusion: The incidence of the nausea and vomiting of the women during cesarean section in this study is high, and there are many related influencing factors. So, the corresponding preventive measures should be taken for the women to reduce their incidence of nausea and vomiting and improve their safety of cesarean section.
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