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

Abstract

Background. Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and expansion of high-quality care services. We aimed to assess maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia. Methods. Institutional-based cross-sectional study was conducted from February to May 2019. A total of 383 parturients were enrolled to assess maternal satisfaction using a 5-point Likert scale. Both bivariable and multivariable logistic regression analyses were done. Variables of p value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A p value <0.05 was considered as significantly associated with maternal satisfaction at 95% CI. Results. This study revealed that 315 (82.3%) of the parturients were satisfied. Single spinal prick attempts (AOR = 2.08, 95% CI = 1.05–4.11), successful spinal block (AOR = 7.17, 95% CI = 3.33–15.43), less incidence of postdural puncture headache (AOR = 2.36, 95% CI = 1.33–4.20), and prophylactic antiemetic use (AOR = 0.35, 95% CI = 0.19–0.66) were positively associated with maternal satisfaction. Conclusions. The overall maternal satisfaction receiving spinal anesthesia was considerably low. Single spinal prink attempts, successful spinal block, and less incidence of postural puncture headache can increase maternal satisfaction. Therefore, effective perioperative management, skillful techniques, and using the small-gauge Quincke spinal needle (25–27 gauge) may increase the maternal satisfaction and quality of spinal anesthesia management.

Assessment of satisfaction and associated factors of parturients underwent cesarean section with spinal anesthesia at the General Hospital, Ethiopia; 2019

“…The predictors of the former level were a single spinal attempt, successful block, less level of PDPH, and prophylactic antiemetic. The type of surgery for the latter was only elective cesarean section [ 25 , 26 ].…”

Maternal satisfaction and practice of preoperative anaesthesia evaluation among pregnant who underwent elective caesarean section, cross-sectional study

“…Maternal satisfaction to current practice of preoperative anesthesia evaluation who received fasting instruction, Informed regarding PONV and type of anesthesia given were higher compared there counterpart similar to previous findings [ 15 , 16 ].Furthermore, a study found that an effective perioperative evaluation by the anesthetist had increased maternal satisfaction [ 17 ].…”

Factors Associated With Maternal Dissatisfaction towards Spinal Anesthesia among Parturients Give Birth with Cesarean Section at Hawassa University Comprehensive Specialized Hospital, 2023: Cross-Sectional Study

“…Studies show that there is various level of maternal satisfaction with spinal anesthesia in delivery care which ranged from 50-95% in developing and developed countries respectively. Maternal satisfaction rate reports were higher in high-setup countries, whereas satisfaction of mothers in low setups, like some African countries, is slightly not good; only 51.9-87.2% of mothers' were satis ed with spinal anesthesia during C/S delivery services in some sub-Saharan countries (2)(3)(4)(5).…”