Effects of spinal anaesthesia related complication and demographic distribution on patient satisfaction following caesarean section

Patient satisfaction is an important issue for patients overall health status and perception. Aim of the present study was to evaluate spinal anaesthesia related complications and other factors related with overall satisfaction level and compare satisfaction levels of patients’ from 3 different regions of Turkey whom underwent caesarean section (CS) procedure under spinal anesthesia. Satisfaction levels of 285 patients underwent caesarean section under spinal anaesthesia were evaluated at postoperative 1st and 3rd days using a questionnaire form. Also perioperative complications and possible correlations between satisfaction levels were investigated. Patients’ satisfaction levels were not affected by origins of patients. Most of the patients expressed satisfaction after spinal anaesthesia both at 1st and 3rd days postoperatively (82.1% vs 79.6% respectively). Postoperative pain at surgical site, backache and headache were top 3 factors related with decreased patient satisfaction. Also recurrent spinal puncture attempts, painful puncture attempts, inadequate analgesia, postoperative nausea and vomiting were correlated with decreased satisfaction levels (p

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OECD, Caesarean sections. indicator. 2018.

Akarsu RH, Mucuk S. Turkish women’s opinions about caesarean delivery. Pak J Med Sci 2014;30:1308-13.

Tsen LC. Anaesthesia for caesarean delivery. In: Chestnut DH,editor. Obstetric anaesthesia principles and practice.Philadelphia: Elsevier Inc.; 2009; 521.

Bucklin BA, Hawkins JL, Anderson JR, et al. Obstetricanaesthesia workforce survey: twenty-year update. Anaesthesiology. 2005;103:645–53.

Teoh WH, Shah MK, Mah CL. A randomized controlled trial on beneficial effects of early feeding post-caesarean delivery under regional anaesthesia. Singapore Med J. 2007;48:152-7.

Hawkins JL, Koonin LM, Palmer SK, et al. Anaesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anaesthesiology. 1997;86:277–84.

Dharmalingam TK, Ahmad Zainuddin NA. SSurvey on maternal satisfaction in receiving spinal anaesthesia for caesarean section. Malays J Med Sci. 2013;20:51-4.

Wallace DH, Leveno KJ, Cunningham FG, et al. Randomized comparison of generaland regional anaesthesia for caesarean delivery in pregnanciescomplicated by severe preeclampsia. Obstet Gynecol. 1995;86:193–9.

Yakupoğlu S, Büget Mİ, Tüzüner F, et al. Demographic distribution of complications after spinal anaesthesia and patient satisfaction. J Ist Faculty Med. 2014;77:3.

10. Spinal anaesthesia: how can we improve patient satisfaction? Jong Seok Lee Korean J Anesthesiol. 2010;59: 231-2.

11. Fassoulaki A, Staikou C, Melemeni A, et al. Anaesthesia preference, neuraxial vs general, and outcomeafter caesarean section. J Obstet Gynaecol. 2010;30:818–21.

12. Hemanth Kumar V, Jahagirdar SM, Athiraman UK et al. Study of patient satisfaction and self-expressed problems after emergency caesarean delivery under subarachnoid block. Indian J Anaesth. 2014;58:149-53

13. Siddiqi R, Jafri SA. Maternal satisfaction after spinal anaesthesia for caesarean deliveries. J Coll Physicians Surg Pak. 2009;19:77–80.

14. Charuluxananan S, Sriprajittichai P, Sirichotvithyakorn P, et al. Factors related to patient satisfaction regarding spinal anaesthesia. J Med Assoc Thai. 2003;86:338–43.

15. Bhattarai B, Rahman TR, Sah BP, et al. Central neural blocks: a quality assessment of anaesthesia in gynaecological surgeries. Nepal Med Coll J. 2005;7:93–6.

16. Rafique MK, Taqi A. The causes, prevention and management of post spinal backache: an overview. Anaesth Pain & Intensive Care. 2011;15:65-9.

17. Jabbari A, Alijanpour E, Mir M, et al. Post spinal puncture headache, an old problem and new concepts: review of articles about predisposing factors. Caspian J Intern Med. 2013;4:595-602.

18. Palanisamy A, Mitani AA, Tsen LC. General anaesthesia forcaesarean delivery at a tertiary care hospital from 2000 to 2005:a retrospective analysis and 10-year update. Int J Obstet Anesth. 2011;20:10–6.

19. Simmons SW, Cyna AM, Dennis AT et al. Combined spinal-epidural versus epidural analgesia in labour. Cochrane Database Syst Rev 2007;CD003401.

20. Smiley RM. Burden of proof. Anesthesiology. 2009;111:470–2.

21. Hu P, Harmon D, Frizelle H. Patient comfort during regionalanaesthesia. J Clin Anesth. 2007;19:67-74.

22. Bennett A. The birth of a first child: Do women’s reports change over time? Birth. 1985;12:153–8.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
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