Survey on Maternal Satisfaction in Receiving Spinal Anaesthesia for Caesarean Section
2013
Background: This study was undertaken to evaluate patient satisfaction
after spinal anaesthesia, which is the most frequently administered
anaesthesia in obstetric patients. Method: A cross-sectional study of
patients who underwent caesarean section under spinal anaesthesia in
the operating rooms of Hospital Teluk Intan was conducted.
Post-operative survey of patients on the day after surgery was
conducted by collecting pre-operative and intra-operative data on a
constructed questionnaire. Post-operative data, including satisfaction
and understanding the anaesthetist’s explanation regarding
anaesthesia, satisfaction in receiving spinal anaesthesia and adverse
effects, and willingness to accept or refuse spinal anaesthesia for a
similar surgery again, were inquired by trained anaesthesia personnel.
Results: A total of 200 pregnant patients, with age ranging from 17 to
45 years, were surveyed: 64.5% Malay, 17% Indian, 14% Chinese and 4.5%
others. All (100%) the patients were satisfied with the explanation
provided regarding the choices of anaesthesia, but 2% could not
concentrate on the explanation because of labour pain. Overall, the
average satisfaction with spinal anaesthesia administration was divided
into 194 (97%) satisfied patients and 6 (3%) dissatisfied patients.
Factors associated with dissatisfaction were inadequate analgesia
during surgery and failed spinal anaesthesia. Post-operative
complications included spinal headache 5 (2.5%), post-operative nausea
and vomiting (PONV) 1 (0.5%), pain at the surgical site 2 (1%) and
backache 2 (1%). Furthermore, 177 (88.5%) patients would opt for spinal
anaesthesia in future for similar surgery, if required; 16 (8%) would
not; and 7 (3.5%) were not sure. The reasons for refusal to receive
spinal anaesthesia were as follows: awareness and failed regional
anaesthesia. Conclusion: The patients receiving spinal anaesthesia
demonstrated a high rate of patient satisfaction. Ensuring the quality
of spinal anaesthesia, improving clinical skill of the
anaesthesiologists, and prevention of side effects might improve
patient satisfaction.
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