Iranian Journal of Pharmaceutical Research (2004): Supplement 2:39-39
2nd International Congress on Traditional Medicine and Materia Medica
Evaluation of acupressure effect on nausea and vomiting after ceasarian section under spinal anesthesia in pregnant women referred to Razi Hospital
Montazeri S., Pormehdi Z., Latifi M., Aghaie M.
Ahwas University of Medical Sciences, Ahwas, Iran
Nausea and vomiting are the common complication during and after spinal anesthesia antiemitic drugs reduce vomiting, but have some potential side effect. Acupressure is a nonagressive and without drug effect method that some the researcher suggest that this method can be used as a approach to reduce nausea and vomiting.
Objective: This study is a clinical trial which is aimed to evaluate the effect of the acupressure on the nausea and vomiting during and after cesarean section under spinal and was conducted at razi hospital in ahwas 1379.
In this study 100 pregnant women (age 18-35), were randomly assigned into either an acupressure group (n=50) or a control group (n=50). The patients were at term pregnancy; single gestation; uterine and abdominal incision transversal; and spinal anesthesiaed with lidocaine 5% pulls pethedin. Height, BMI, educat! ion, gravity, and gestational age, cause of cesarean section and nausea and vomiting in pregnancy were matched in two groups.
In acupressure group, at least 15 min before the induction of anesthesia, sea bands were placed on the Neiguan (p6) pointed hands. Control group did not receive any bands or antiemetic drugs.
All patient were assessed for incidence and severity; the incidence time of nausea and vomiting and antiemetic drug treatments during and two hours after cesarean section.
The results indicated that acupressure was not effective in decreasing nausea incidence during section (p=0.11) but acupressure reduced vomiting during operation, nausea and vomiting after operation, and severity of nausea and vomiting during and after operation (p<0.05). There was also a significant difference in administration antiemetic drugs between two groups (p<0.05) and acupressure group experienced a delayed nausea and vomiting (p<0.05).
Therefore acupressure as a effective nondrug method can be used for reduction of nausea and vomiting due to spinal anesthesia.