Does metoclopramide decrease the volume of gastric contents in patients undergoing cesarean section?

Abstract

On the basis of our results, we do not, however, recommend routine administration of metoclopramide to patients undergoing elective cesarean section. Before routine drug therapy can be recommended in the pregnant population, an extremely low risk/benefit ratio must be demonstrated. Although pharmacologic prophylaxis against aspiration (e.g., antacids) has decreased the number of patients with arbitrarily designated 'risk factors,' it has not yet demonstrably decreased maternal mortality.