Preference of Spinal Versus General Anesthesia and Associated factors Among Pregnant Women Undergoing Elective c/s at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia, 2021.
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Date
2021-11
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Addis Ababa University
Abstract
Background: Cesarean section is mainly done under SA or GA. When used appropriately spinal anesthesia has many benefits. Client preference determine the mode of anesthesia to be given for cesarean section. In Ethiopia, the rate of spinal anesthesia for cesarean section is less than that of
developed world. There was no study that reported the womens’ preferences of anesthesia mode and factors affecting their preferences in Tikur Anbessa Specialized Hospital.
Objective: To assess factors associated with womens’ preferences of anesthesia type for elective C/S at TASH
Method: Institutional based prospective Cross-sectional study design was conducted on 200 clients who were scheduled for elective C/S at TASH, in Addis Ababa. This study was conducted from April 1 to September 30, 2021. Systematic random sampling technique was used to select the clients. Structured questionnaire was used to collect the data. Data was checked for
completeness and entered into Epi-data version 4.6 then imported to SPSS 25 software for analysis. Descriptive analysis was done for Socio demographic and clinical characteristics of the participants. Bi-variate logistic regression was done for each predictor variable and outcom variable. Multivariate logistic regression was done and statistical significance p-value less than 0.05 was taken as a determinant factor.
Results: Overall spinal anesthesia preference rate is about 90 %, while general anesthesia preference rate is 10 %. Clients with no previous anesthesia exposure are high likely to prefer spinal anesthesia as compared to those who previously took anesthesia (p = 0.028 AOR 4.94(1.19, 20.54). Multivariate logistic regression showed that literate women are high likely to
prefer spinal anesthesia as compared to illiterate women (p < 0.001 AOR 19.9(4.58, 87.27). There is no association found with age, parity, previous mode of delivery, previous information about anesthesia, employment status, partners preference and feared anesthesia related complications.
Conclusion: Majority of clients (90%) who were scheduled for elective c/s prefer spinal anesthesia in TASH. Educational level and lack of previous anesthesia exposure are found to be ssociated with anesthesia mode preference.
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Keywords
Pregnant women,Anesthesia,Spinal