Maternal Satisfaction after Spinal Anesthesia for Cesarean Delivery
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Date
2015-07
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Addis Abeba University
Abstract
Background:
Spinal anesthesia for caesarean section is an old and well established method. It was first used in
obstetrics in 1901 for pain relief during vaginal delivery and also became popular for caesarean
delivery because of its rapid onset and a high frequency of successful blockade. Even if spinal
anesthesia for cesarean section has become increasingly popular and the recent decade has been the
preferred technique for the majority of anesthetists, Patient satisfaction toward spinal anesthesia is vital
monitor to the quality care in anesthesia.
Objectives:
To determine patients' perspective regarding spinal anesthesia, their level of satisfaction and the factors of
dissatisfaction during caesarean deliveries at Gandhi Memorial hospital Addis Ababa , Ethiopia from
March20 -May30, 2015.
Methodology:
Cross-sectional study of 175 patients who underwent caesarean section under spinal anesthesia at Gandhi
Memorial hospital from March20- May 30,2015. post-operative survey of patients on the day after
surgery(24hours) was conducted by collecting pre-operative , intra-operative and Post-operative data, on
a constructed questionnaire ,data was transported to SPSS version 20 for further analysis. data was
analyzed by binary regression; all factors to identify what factors and to what extent those factors
influence overall satisfaction.
Results:
A total of 175 patients were incorporated in the study. The distribution of cases on the basis of age
groups it was found that majority of the patients 113(64%) were aged between 25 and 34years. The
overall satisfaction of spinal anesthesia divided into108 (62%) of patient was satisfied an 67(38 %) of
the patient was dissatisfied. Furthermore, 143( 82 % ) patients would opt for spinal anesthesia in future
for similar surgery, if required; 32( 18% )of patient would not. The reasons for refusal to receive spinal
anesthesia were as follows: fear of complication like headache, backache and, awareness during
operation and baby sound.
Conclusion and recommendations:
patient compliant(backache, nausea/vomiting, headache and pain), inadvertent mistakes and unskillful
techniques, can negatively affect patient perspectives about spinal anesthesia. Some factors which can
increase the satisfaction rate of patients who are undergoing a surgery with spinal anesthesia are as
follows; a patient’s opinion is very important when deciding the anesthetic method ,the anesthetists must
provide complete explanations regarding spinal anesthesia before surgery and the anesthetists should have
good rapport with their patients. Finally, the anesthetist should manipulate the patient skillfully and sedate
the patients if they wish.
Keywords: spinal, anesthesia, patient satisfaction, caesarean section
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Keywords
Spinal; Anesthesia; Patient satisfaction; Caesarean section