Prevention of postoperative nausea and vomiting after cesarean delivery under neuraxial anesthesia and postpartum analgesia in Japan: A cross‐sectional study

• DOI: 10.1111/jog.16087
• Publication Date: 2024-09-17T18:19:44Z
• Authors: Daisuke Sakamaki; Yuki Shiko; Yusuke Ikeda; Kaede Watanabe; Shohei Noguchi; Yohei Kawasaki; Yusuke Mazda
• Keywords: Cesarean delivery

Abstract Aims This study aims to investigate the clinical practice of physicians working in obstetric setting toward postoperative nausea and vomiting (PONV) parturients undergoing cesarean delivery (CD) with neuraxial anesthesia. Methods We conducted this online survey all active members Japan Society Obstetric Anesthesiology Perinatology (JSOAP), where leads academic society anesthesia Japan. The questionnaire was developed using Delphi method. included questions about routine practices for PONV prevention, use opioids, optimal practices, perceived obstacles. email sent three times every 2 weeks as a reminder. Results A total 1046 e‐mails were sent, 307 JSOAP responded (29.3%). More than half responders (62.7%) used opioids intrathecal morphine being most frequent. They had higher rate multimodal prophylaxis compared who did not analgesia (19.9% vs 6.7%). Metoclopramide commonest medication there significant difference 5‐hydroxytryptamine receptor antagonists vs. 8.6%, p = 0.012). observed that 80% reported administration CD. Among these, 20% indicated two or more agents. Conversely, cohort administering only 6.7% Conclusion showed CD proportion management involving