Maternal Satisfaction and Associated Factors among Parturient Who Undergon Cesarean Section Delivery Under Spinal Anesthesia in Selected Public Hospitals in Addis Ababa, Ethiopia: A Cross-Sectional Study.
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Date
2024
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Addis Ababa University
Abstract
Background: The concept of patient satisfaction has become more important in fields such as
anesthesiology, where the nature and modalities of services rendered to clients are changing from
time to time with the ever growing and advancement of technology in this field. It is with this
need in mind that this research aims to investigate patients’ level of satisfaction, their perspective
regarding the factors associated with dissatisfaction related to spinal anesthesia during caesarean
deliveries
Methodology: A survey was conducted on 332 pregnant women who underwent caesarean
section. The respondents were recruited using a simple random sampling technique until the
required sample size was achieved during the study period. The data collected was entered into
SPSS version 27. Descriptive statistics were utilized to examine the socio-demographic
characteristics of the patients. Binary logistic regression was employed to determine the
correlation between the dependent and independent variables. The variables that had a P-value <
0.05 in the multivariate analysis were considered statistically significant.
Result: The final analysis included a total of 332 parturients. The age group with the highest
number of participants was between 26-30 years, comprising 121 parturients, which accounts for
36.4% of the total. From the 332 parturient, 253(76.2%) was satisfied with administration of
Spinal Anesthesia and 79(23.8%) was dissatisfied with the administration of Spinal Anesthesia.
The reason why they are dissatisfied with Spinal Anesthesia were lack of appropriate
Explanation about the procedure(18.1%),Nausea and Vomiting(15.7%),Intraoperative
pain(17.2%),Pain at the puncture site(16.9%),post-operative back pain(17.5%),
Conclusion and recommendation: The overall maternal satisfaction among parturient underwent
cesarean section under spinal anaesthesia were 75.6 %.The satisfaction rate among parturient
regarding the information provided by the Anesthetist was 83.4%, while 72.9% expressed
satisfaction with the pain-free experience during surgery. Furthermore, 78.2% of parturient
reported being satisfied with the pain management therapy.
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Keywords
Spinal anesthesia, cesarean section, parturient, satisfaction.