Key result
Sugar-free chewing gum significantly reduced the incidence of postoperative nausea and vomiting at 6 and 12 hours compared to ondansetron in women undergoing elective LSCS.
Why the study?
Pregnant women have a high incidence of nausea and vomiting, and the study evaluated whether chewing gum is an effective and safe alternative to ondansetron for prevention of PONV after elective LSCS under spinal anesthesia.
Does sugar-free chewing gum reduce post-operative nausea and vomiting compared to ondansetron in pregnant women undergoing elective LSCS?
RCT (n=100)
simple randomization
Does sugar-free chewing gum reduce post-operative nausea and vomiting compared to ondansetron in pregnant women undergoing elective LSCS?
Chewing gum is a safe, well-tolerated, and effective alternative to ondansetron for preventing post-operative nausea and vomiting and promoting rapid resumption of intestinal motility after elective cesarean section.
Answers are grounded in this paper and cite their sources.
Chewing gum may reduce early PONV and speed bowel recovery after cesarean; supports nonpharmacologic options in obstetric anesthesia while needing larger trials.
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Madhumala et al. (2020) conducted an RCT in Postoperative nausea and vomiting (PONV) (n=100). Sugar free chewing gum vs. Inj. Ondansetron 4mg twice a day was evaluated on episodes of post-operative nausea and vomiting at 6, 12, 18 and 24 hours. Sugar-free chewing gum significantly reduced the incidence of postoperative nausea and vomiting at 6 and 12 hours compared to ondansetron in women undergoing elective LSCS.
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