Maternal Satisfaction of Spinal Anesthesia for Elective Cesarean Section in an Academic Hospital

Abstract

Background: Currently, spinal anesthesia is an acceptable method for cesarean section (CS) throughout the world, since general anesthesia is associated with higher maternal morbidity and mortality rates. The current study was performed to survey different factors for maternal satisfaction of spinal anesthesia. Methods: This cross sectional study was performed on women who were candidates for elective CS at Dr. Shariati hospital. Informed consents were obtained from all the patients, and the risks and side effects of both spinal and general anesthesia were explained preoperatively. The mothers were free to choose the anesthetic technique. One day after the operation, all mothers were examined with respect to the variables.

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

“…In the current study, even if needle prick pain had a higher frequency (191 (49.9%)), it is not significantly associated with maternal satisfaction. Our finding was parallel with the other study which showed that needle prick pain was not significantly associated with the level of maternal satisfaction [ 4 ].…”

“…Our result was similar to a study done by Sadaghi M and his colleagues regarding maternal satisfaction of spinal anesthesia for elective cesarean section which showed that 83.8% of parturients were satisfied. Additionally, 78.5% parturients showed willingness to choose spinal anesthesia in the future surgeries [ 4 ]. Another study done by Rashad Siddiqi and Syed Asadullah revealed that the overall level of satisfaction among the parturients who underwent cesarean delivery under spinal anesthesia was 81.4% and 53.66% who would opt for spinal anesthesia in the future [ 10 ].…”

“…Spinal anesthesia is a safe anesthetic technique for cesarean delivery which gained worldwide acceptance since the introduction to clinical practice [ 1 , 2 ]. It has good quality of analgesia and avoids general anesthesia-related maternal morbidity and mortality, decreased risk of gastric aspiration, avoids exposure of anesthetic depressant drugs to the neonate, less incidence of deep venous thrombosis, and decreases blood loss during surgery [ 2 – 4 ]. In addition, it has favorable effects on bonding the mother to the newborn [ 5 ].…”

“…Previous studies regarding maternal satisfaction after SA for cesarean delivery showed that paraesthesia, multiple prick attempts, needle prick pain, intraoperative hypotension, failed block, use of prophylactic antiemetic, intraoperative vomiting, inadequate analgesia, and headache were major obstacles for client satisfaction after spinal anesthesia [ 2 , 4 , 5 , 10 , 17 , 18 ].…”

Impact of Two Different Anesthetic Techniques on Immune Response and Postoperative Pain for Abdominal Hysterectomy

“…Ellakany [24] provided that patients received thoracic spinal anesthesia had better satisfaction than patients received general anesthesia with no significant difference between both groups in PONV, but surgeon satisfaction was higher for GA group than thoracic SA group. Also, studies done by (Acikel et al, and Mostafa et al, [25,26] provide higher patients satisfaction with spinal anesthesia.…”