Actively Recruiting

Age: 18Years +
FEMALE
ID06927830

Incidence and Risk Factors of Postoperative Nausea and Vomiting (PONV) During Elective C-Section Under Spinal Anesthesia With Multimodal Antiemetic Prophylaxis

Led by University of Liege · Updated on 2025-04-15

400

Participants Needed

2

Research Sites

4 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying the frequency and risk factors of nausea and vomiting after planned caesarean sections performed under spinal anesthesia. This observational study focuses on patients receiving intrathecal morphine and multimodal antiemetic preventive treatment to understand how often these symptoms occur and what might increase the risk. It aims to provide detailed insights into postoperative nausea and vomiting during elective caesarean delivery. Participants will undergo their caesarean section following the standard care protocol, including spinal anesthesia with intrathecal morphine and preventive anti-nausea medications. There are no experimental treatments or interventions beyond this usual care. The study will observe and record nausea and vomiting from the time of surgery through the first 24 hours post-operation. Patients will be asked specific questions about nausea and vomiting shortly after surgery in the recovery room and during two additional visits within the first 24 hours following their caesarean. The main outcome measured is the occurrence of nausea and vomiting during this period, while secondary outcomes focus on identifying risk factors. This study is sponsored by the University of Liege and will continue until April 2026.

CONDITIONS

Brief Title

Frequency of Occurrence and Risk Factors of Postoperative Nausea and Vomiting During Elective C-section Under Spinal Anesthesia With Preventive Medication

Who Can Participate

Age: 18Years +
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Female patients requiring elective caesarean section under spinal anesthesia
  • Gestational age greater than 37 weeks of amenorrhea
  • Single-fetal pregnancy
  • Ability to understand French language
Not Eligible

You will not qualify if you...

  • Inability to understand French language
  • Contraindication to locoregional anesthesia
  • Nausea and/or vomiting in the 24 hours before the procedure
  • Type 1 or type 2 insulin-requiring non-gestational diabetes
  • Allergy or contraindication to any product used in the usual management protocol
  • Severe preeclampsia
  • Height less than 150 cm

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

1
2
3
+1

Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring

Duration - From cesarean section to the 24th postoperative hour

Participants who undergo elective cesarean section under spinal anesthesia are observed for nausea and vomiting during and after surgery.

1 perioperative visit and observation until 24 hours post-surgery

Trial Site Locations

Total: 2 locations

1

CHU de Liège - site de Notre-Dame des Bruyères

Chenée, Belgium, 4032

Actively Recruiting

2

Hôpital de la Citadelle - site Citadelle

Liège, Belgium, 4000

Not Yet Recruiting

Loading map...

Research Team

T

Thibault Michot, M.D.

F

Fernande J Lois, M.D., PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

0

Similar Trials

Labor Induction in Low-risk Women at 39 Weeks of Gestation: ...

Cesarean Delivery

Actively Recruiting

1 location

Adding Aprepitant to a Multimodal Strategy for Prevention of...

Nausea and Vomiting, Postoperative

Actively Recruiting

1 location

A Randomized Controlled Trial Comparing Aprepitant to Standa...

Spinal Fusion

Actively Recruiting

1 location

Frequently Asked Questions

Have more questions? Get in touch with our team for quick support

Not the Right Trial for You?

Explore thousands of other clinical trials that might be a better match.
Sign up to get personalized trial recommendations delivered to your inbox.

Already have an account? Log in here

Published Research Related To This Trial

A simplified risk score for predicting postoperative nausea and vomiting: conclusions from cross-validations between two centers.

C C Apfel, E Läärä, M Koivuranta...

https://pubmed.ncbi.nlm.nih.gov/10485781

Society for Obstetric Anesthesia and Perinatology: Consensus Statement and Recommendations for Enhanced Recovery After Cesarean.

Laurent Bollag, Grace Lim, Pervez Sultan...

https://pubmed.ncbi.nlm.nih.gov/33177330

Intrathecal morphine 100 and 200 μg for post-cesarean delivery analgesia: a trade-off between analgesic efficacy and side effects.

J Y Wong, B Carvalho, E T Riley

https://pubmed.ncbi.nlm.nih.gov/23159009

PROSPECT guideline for elective caesarean section: updated systematic review and procedure-specific postoperative pain management recommendations.

E Roofthooft, G P Joshi, N Rawal...

https://pubmed.ncbi.nlm.nih.gov/33370462

Guidelines for intraoperative care in cesarean delivery: Enhanced Recovery After Surgery Society Recommendations (Part 2).

Aaron B Caughey, Stephen L Wood, George A Macones...

https://pubmed.ncbi.nlm.nih.gov/30118692