PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia

PONV (Postoperative Nausea and Vomiting) Incidence among Patients with Caesarean Section, Enhanced Recovery After Surgery (ERAS), and Subarachnoid Block (SAB) Anesthesia

mother, caesarean
section procedure,
ERAS, PONV

Introduction: ERAS has been widely demonstrated as an effective
postoperative pain, nausea, and vomiting control method. Pain
management that cuts the dosage of opioids up to 50%, involves
intravenous fluid administration, and engages antiemetic medication
combinations may propose a better outcome. This study aimed to know the
PONV incidence after the ERAS procedure among cesarean section patients
with subarachnoid Block (SAB) anesthesia.
Methods: This was a quantitative study with a descriptive design. This

study was conducted from 8th March to 30th April 2022, involving 60 post-
caesarean sections with SAB and ERAS patients. Univariate analysis that

presented a PONV incidence’s frequency distribution was applied to
address the study’s aim.
Results: The majority of participants were aged between 30 to 35 years (29;
48.3%), classified into the healthy weight group (33; 55%), and identified
with the Bromage score of 1 (60; 100%). Fifty participants (83.3%) were
not experiencing nausea and vomiting episodes after the procedure. Only
seven (11.7%) and three (5%) participants reported mild and moderate
nausea and vomiting episodes after the procedure, respectively.
Conclusion: ERAS method is a sufficient technique presented in the
caesarean section procedure. Findings confirmed its effectiveness in
alleviating nausea and vomiting incidence after the surgery.

Yustina Ni Putu Yusniawati1*, Emanuel Ileatan Lewar1, I Gde Agus Shuarsedana1, &
Valentine Claradicha1

https://doi.org/10.37363/bnr.2023.43112

21 June 2023

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