Maternal Satisfaction after Spinal Anesthesia for Cesearan Delivery

Belay, Dessalegn (2015) Maternal Satisfaction after Spinal Anesthesia for Cesearan Delivery. Masters thesis, Addis Ababa University.

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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.

Item Type: Thesis (Masters)
Uncontrolled Keywords: spinal, anesthesia, patient satisfaction, caesarean section
Subjects: Q Science > Q Science (General)
R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine
Divisions: Africana
Depositing User: Vincent Mpoza
Date Deposited: 19 Oct 2018 06:16
Last Modified: 19 Oct 2018 06:16

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