Preop Fluid Bolus Reduces Risk Of Post Op Nausea And Vomiting: A Pilot Study

2020 ◽  
Vol 8 (9) ◽  
pp. 4317-4323
Author(s):  
Priyanka 1 ◽  
Shreyes. S ◽  
Yogitha Bali M.R

Background: During pregnancy many demands are made by growing fetus, to meet these requirements maternal system has to undergo certain changes. Garbhinichardi (Emesis Gravidarum) is one among them and this has been termed as Gruhita Garbha Lakshanas (Immediate signs of conception) in Ayurvedic clas-sics. Approximately 80 % of pregnant women experience excessive salivation, nausea and vomiting during pregnancy, commonly known as “morning sickness”, which is seen frequently throughout the day. Design: This is single blind pilot study. 30 patients with complaints of Garbhinichardi (Emesis Gravidarum) in first trimester were included in this study. Patients were given Chaturjatachurna (Chatutjata powder)for a peri-od of 2 weeks in dose of 3gms thrice a day after meal with Anupana (Adjuvant) as Madhu (honey) of 5ml mixed with Tandulodaka (Raw rice water) Results: This pilot study showed statistically significant changes with Chaturjatachurna in reducing the complaints of pregnant women such as nausea (p<0.001), vomiting (p<0.001) and Aruchi (Anorexia) (p<0.001) in their first trimester of pregnancy. Conclusion: Chaturjata-churna was effective in the management of Garbhini Chardi (Emesis Gravidarum) and other symptoms in the first trimester of pregnancy.


2018 ◽  
Vol 32 (5) ◽  
pp. 781-785 ◽  
Author(s):  
Tatsunori Watanabe ◽  
Koji Moriya ◽  
Naoto Tsubokawa ◽  
Hiroshi Baba

2018 ◽  
Vol 7 (4) ◽  
pp. 385-392 ◽  
Author(s):  
Vithusha Ganesh ◽  
Stephanie Chan ◽  
Liying Zhang ◽  
Leah Drost ◽  
Carlo DeAngelis ◽  
...  

2019 ◽  
Vol 21 (5) ◽  
pp. 495-499
Author(s):  
Rebecca Benfield ◽  
Du Feng ◽  
Jan Salstrom ◽  
Melydia Edge ◽  
Denise Brigham ◽  
...  

Background: The first stage of labor is significantly longer with epidural analgesia use, implying an alteration in uterine contractility. Although the pre-epidural fluid bolus is used with every epidural and affects as many as 80% of laboring women, its effects on uterine contraction parameters are unknown. Design: Using a retrospective descriptive repeated measures design, we compared uterine contraction parameters including frequency, duration, peak intensity, resting tone, and Montevideo units at baseline and during the intravascular pre-epidural fluid bolus (Bolus) epochs for healthy laboring women at term gestation undergoing augmentation or induction. Method: Contraction parameters were compared using data from fetal monitor strips with intrauterine pressure catheter instrumentation. Results: No significant differences were found between epochs for women receiving constant Pitocin dosages ( n = 10) using Wilcoxon signed rank tests at .05 α level, but all parameters trended in the direction of improved contractility except frequency, which was unchanged. Conclusions: These pilot study findings do not support the proposal that the pre-epidural fluid bolus is a contributor to decreased uterine contractility in any parameter. It is possible that the bolus improved myometrial perfusion and metabolic function in the contracting and resting states in less hydrated women.


Sign in / Sign up

Export Citation Format

Share Document