Evaluation of satisfaction with general and spinal anesthesia in cesarean section surgery

Abstract

Objective: We aimed to investigate the satisfaction of pregnant women scheduled for caesarean section with the anesthesia method applied after being informed about their preferred anesthesia method. Materials and Methods: This study was conducted on patients who applied to the anesthesia outpatient clinic of our hospital in June-July-August 2023 after obtaining Giresun Training and Research Hospital Clinical Research Ethics Committee Permission. A questionnaire was administered to the patients to inquire about their preoperative knowledge and fears about general and spinal anesthesia, and postoperative satisfaction with the type of anesthesia they preferred. Results: Pregnant women were divided into groups according to the method they preferred and whether there was a change in their preferences after information. Of the patients who underwent elective caesarean section, 94.1% underwent regional anesthesia and 5.8% under general anesthesia. When the groups were evaluated in terms of anesthesia experience, there was a statistically significant difference between the groups (p=0.011). The general anesthesia experience was significantly lower in the SS group compared to the GS and GG groups (p<0.05). In addition, the experience of spinal anesthesia in the GS group was lower than the other groups and this difference was significantly different from the SS group (p<0.05). A significant difference was found between the groups when the parameter of the method that the patients would prefer in case of reoperation was analysed (p<0.001). When the groups were compared for subgroup analysis, "Spinal anesthesia preference" was statistically significantly higher in the SS and GS groups than in the GG group (p<0.05). According to their new preferences after the information, 92.3% of the SS group, 77.8% of the GS group and 100% of the GG group stated that they were satisfied with the application. Conclusion: Lack of information and having wrong information due to negative sensations from the environment cause patients to prefer general anesthesia. We think that by determining the preoperative concerns of pregnant women about anesthesia and providing more effective information, pregnant women's preference for spinal anesthesia, which is safer for themselves and their babies in cesarean section operations, can be increased and their satisfaction can be increased by providing a better experience.

Keywords

• general anesthesia
• spinal anesthesia
• cesarean
• satisfaction
• postspinal headeche

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