The incidence of headache, shivering and nausea-vomiting in hypothyroid patients undergoing caesarean section with spinal anesthesia

Document Type : Original Article

Authors

1 Assistant Professor, Department of Internal Medicine, Fellowship of Endocrinology and Metabolism, Non-Communicable Diseases Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

3 Associate Professor, Department of Anesthesiology, Anesthesiology and Pain Research Center, Faculty of Medicine, Jahrom University of Medical Sciences, Jahrom, Iran.

10.22038/ijogi.2024.79428.6069

Abstract

Introduction: Hypothyroidism is a common disease in pregnant women, which may affect their cesarean section process. Since spinal anesthesia is a more suitable option for pregnant women with hypothyroidism, the present study was conducted with aim to investigate the complications of spinal anesthesia in patients with hypothyroidism undergoing cesarean section with spinal anesthesia.
Methods: This case-control study was conducted in 2021-2022 on 83 patients who referred to Motahari Hospital in Jahrom, Iran for cesarean section. The patients were divided into two groups: hypothyroidism (n=42) and control (n=41). The incidence of headache, shivering, nausea, vomiting, pain, and back pain were measured and recorded at different times during and after the operation. Data were analyzed using SPSS software (version 21) and t-test, chi-square and Mann-Whitney tests. P<0.05 was considered significant.
Results: At 15, 30, 45, and 60 minutes after the start of the operation and at the time of entering and leaving the recovery room, the frequency of headache was lower in the control group than the case group, but the difference was not significant (p>0.05). At 15 minutes after the operation and at the time of entering the recovery room, the frequency of shivering was significantly lower in the control group than the case group (p<0.05). At 30 minutes after the start of the operation, the frequency of nausea and vomiting was significantly higher in the control group than the case group (p<0.05).
Conclusion: Since in the case group, only at some moments during surgery, there was an increase in shivering and nausea-vomiting compared to the control group, and at most moments, there was no significant difference in complications between the two groups, it seems that spinal anesthesia can be used without concern for more complications in patients with hypothyroidism.

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References

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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 27, Issue 11
January 2025
Pages 1-12

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