Maternal Satisfaction and Its Associated Factors towards Spinal Anesthesia for Caesarean Section: A Cross-Sectional Study in Two Eritrean Hospitals

Abstract

Objective. Satisfaction of mothers during caesarean section is an important indicator for measuring quality of obstetric anesthesia. This study aimed to determine mothers’ level of satisfaction and the predicting factors of dissatisfaction towards spinal anesthesia during caesarean section. Methods. Cross-sectional study design was utilized in Orotta Maternity Hospital (OMH) and Sembel Hospital from December 2017 to February 2018, in Asmara, Eritrea. Satisfaction of the mothers was measured using a pretested questionnaire. Bivariate and multivariate logistic regression were utilized to identify predictors of dissatisfaction using SPSS (Version 22.0). Results. Involvement of mothers in the choice of anesthesia (3.3%) and explanation about the stay at operating theater (10%) were the two least reported items. As per the subscale analysis, the lowest satisfaction was observed for the preoperative assessment (16.7%). Overall, 87.9% of the mothers were satisfied with the spinal anesthetic service. Hospital at which anesthesia was administered (p<0.001), marital status (p<0.001), and intraoperative pain (p<0.001) were significant predictors of dissatisfaction towards spinal anesthesia. Moreover, the rate of refusal to have spinal anesthesia in the future was 12.5%. Conclusion. Though overall satisfaction can be considered as fair, preoperative assessment is considerably low. Hence, explaining the benefits and risks of the anesthetic techniques as well as considering patient’s opinion is very important while deciding the type of anesthesia.

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

“…Our results show that Postpartum headaches reduce maternal satisfaction in our study (OR 0.28, 95% CI 0.09, 0.87 p-values 0.03 that were consistent with other results of a prospective study (3,8,13,17,22). It was not surprising that the patients were not satis ed.…”

“…The overall maternal dissatisfaction with spinal anesthesia were123 (34.2%). It was relatively high when compared to studies in Malaysia 3-5%, Egypt (23.4%), Kenya (15%), Eritrea (13%), and even in another part of Ethiopian studies (4,5,8,13,14). The difference might be due to setup, capacity building, and/or the timing of data collection that leads to overestimation because patients like to please service providers by replying 'satis ed.…”

Pengaruh Premedikasi Midazolam 0,04 mg/kgBB sebelum Anestesi Spinal terhadap Respons Tubuh Saat Insersi Jarum Spinal dan Kepuasan

“…Ekspektasi lebih tinggi terjadi pada tingkat pendidikan yang lebih tinggi. 10 Literatur menyatakan pasien dengan tingkat pendidikan yang lebih tinggi mengalami kecemasan yang lebih tinggi karena kesadaran mereka terhadap komplikasi. 11 Midazolam itu mempunyai mula kerja yang cepat dan durasi kerja yang pendek setelah pemberian intravena.…”

“…Pada penelitian itu didapatkan pasien yang mengalami ketidakpuasan terhadap anestesi spinal, tetapi masih bersedia menjalani anestesi spinal kembali pada kesempatan berikutnya, apabila teknik anestesi spinal tersebut diperlukan. 10 Kepuasan pasien yang meningkat pada pemberian premedikasi midazolam sejalan dengan penelitian yang dilakukan di Mesir tahun 2014-2015 yang meneliti efek premedikasi midazolam terhadap kecemasan https://doi.org/10.15851/jap.v8n2.2035 preoperatif, hemodinamik perioperatif dan kepuasan pascaoperatif pasien hamil dengan preeklamsia yang dijadwalkan untuk operasi sectio caesaria elektif menggunakan anestesi spinal yang diberikan 30 menit sebelum dilakukan anestesi spinal didapatkan tingkat kecemasan yang lebih rendah, perbaikan kondisi hemodinamik preoperatif dan tingkat kepuasan pascaoperatif yang lebih tinggi, tanpa efek samping terhadap bayi. 14 Pada penelitian di Kolumbia tahun 2013 yang meneliti efikasi 3 panduan sedasi pada pasien yang menjalani anestesi spinal didapatkan semua pasien yang menerima premedikasi ansiolitik bersikap kooperatif saat dilakukan insersi jarum spinal dan menyatakan tidak takut untuk menjalani anestesi spinal kembali.…”

Cesarean section delivery rates, determinants, and indications: a retrospective study in Dekemhare Hospital

“…Nonetheless, a tremendous increase in C-section has been observed globally4. Similarly, the rate of C-section was shown to increase in Eritrea5. When medically justified, C-section can effectively prevent maternal and perinatal mortality and morbidity6.…”