Yıl 2024,
Cilt: 1 Sayı: 2, 81 - 88, 14.06.2024
Dilek Yeniay
,
Mehmet Değermenci
Kaynakça
- Turkish Ministry of Health Statistics Yearbook 2021, Ankara, 2021.
- Şahin Ş, Owen MD. Anesthesia in Painless Childbirth and Cesarean section. Bursa: Nobel & Güneş Medical Bookstore; 2006. 69-90.
- Gürsoy C, Ok G, Aydın D, et al. Effects of Anesthesia Methods on Return to Daily Vital Activities in Cesarean Section Cases. Turk J Anesth Reanim 2014;42:71-9.
- American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Practice guidelines for obstetric anesthesia:an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Anesthesiology 2016; 124:270-300
- Katircioglu K, Hasegeli L, Ibrahimhakkioglu HF, Ulusoy B, Damar H. A retrospective review of 34109 epidural anesthetics for obstetric and gynecologic procedures at a single private hospital in Turkey. Anesth Analg 2008; 107: 1742-5.
- Pelinka LE, Hartmut P, Leixnering M, Mauritz W. Why patients choose regional anesthesia for orthopedic and trauma surgery. Arch Orthop Trauma Surg 2003; 123: 164-7.
- Batislam Y. Obstetric Anesthesia. In: Tulunay M, Cuhruk H, Eds. Clinical Anesthesiology. Ankara: Güneş Medical Bookstores, 2008: 890-922.
- Erdem MK, Özgen S, Coşkun F. Obstetric Anesthesia and Analgesia. In: Kişnişci H, Gökşin E, Eds. Basic Gynaecology and Obstetrics. Ankara: Melisa Printing, 1996: 173-186.
- Sak S, Peker N, Uyanıkoğlu H, Binici O, İncebıyık A, Sak ME. Should General Anesthesia or Spinal Anesthesia be Applied in Elective Cesarean Section?. Zeynep Kamil Medical Bulletin 2018;49(1):44- 48
- Lai HY, Tsai PS, Fan YC, Huang CJ. Anesthetic practice for Cesarean section and factors influencing anesthesiologists’ choice of anesthesia: a population-based study. Acta Anesthesiol Scand 2014;58:843-50.
- Karaca, Ü., Özgunay, Ş. E., Ata, F., Kılıçarslan, N., Yılmaz, C., & Karasu, D. Our anaesthesia experience in emergency caesarean sections. JARSS 2020; 28(4): 275-280.
- Beckmann M, Calderbank S. Mode of anesthetic for category 1 cesarean sections and neonatal outcomes. Aust N ZJ Obstet Gynaecol 2012;52:316–20.1
- Shevde K, Panagopoulos G. A Survey of 800 patients’ knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg 1991;73:190-8.
- Carvalho B1, Cohen SE, Lipman SS, Fuller A, Mathusamy AD, Macario A. Patient preferences for anesthesia outcomes associated with cesarean delivery. Anesth Analg 2005 ;101:1182-7.
- Fassoulaki A, Staikou C, Melemeni A, Kottis G, Petropoulos G. Anesthesia preference, neuraxial vs general, and outcome after cesarean section. Journal of Obstetrics & Gynaecology 2010;30:818-21.
- Afolabi BB, Lesi FE, Merah NA. Regional versus general anesthesia for cesarean section. Cochrane Database Syst Rev. 2006 ;18(4):CD004350.
- Kızılkaya S, Tavlan A, Hacıbeyoğlu G, Arıcan Ş, Uzun ST. The Effect of Anesthesia Method Used in Elective Cesarean Section Operations on Pain Anxiety and Patient Satisfaction. Selcuk Med J 2020;36(3):192-19
- Mordecai MM, Brull SJ. Spinal anesthesia. Curr Opin Anesthesiol 2005;18(5):527-33.
Evaluation of satisfaction with general and spinal anesthesia in cesarean section surgery
Yıl 2024,
Cilt: 1 Sayı: 2, 81 - 88, 14.06.2024
Dilek Yeniay
,
Mehmet Değermenci
Öz
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.
Etik Beyan
Bu çalışma için Giresun Eğitim ve Araştırma Hastanesi Klinik Araştırmalar Etik Kurulu'ndan izin alınmıştır.(KAEK-219, 20.11.2023/02 numaralı)
Kaynakça
- Turkish Ministry of Health Statistics Yearbook 2021, Ankara, 2021.
- Şahin Ş, Owen MD. Anesthesia in Painless Childbirth and Cesarean section. Bursa: Nobel & Güneş Medical Bookstore; 2006. 69-90.
- Gürsoy C, Ok G, Aydın D, et al. Effects of Anesthesia Methods on Return to Daily Vital Activities in Cesarean Section Cases. Turk J Anesth Reanim 2014;42:71-9.
- American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Practice guidelines for obstetric anesthesia:an updated report by the American Society of Anesthesiologists Task Force on Obstetric Anesthesia. Anesthesiology 2016; 124:270-300
- Katircioglu K, Hasegeli L, Ibrahimhakkioglu HF, Ulusoy B, Damar H. A retrospective review of 34109 epidural anesthetics for obstetric and gynecologic procedures at a single private hospital in Turkey. Anesth Analg 2008; 107: 1742-5.
- Pelinka LE, Hartmut P, Leixnering M, Mauritz W. Why patients choose regional anesthesia for orthopedic and trauma surgery. Arch Orthop Trauma Surg 2003; 123: 164-7.
- Batislam Y. Obstetric Anesthesia. In: Tulunay M, Cuhruk H, Eds. Clinical Anesthesiology. Ankara: Güneş Medical Bookstores, 2008: 890-922.
- Erdem MK, Özgen S, Coşkun F. Obstetric Anesthesia and Analgesia. In: Kişnişci H, Gökşin E, Eds. Basic Gynaecology and Obstetrics. Ankara: Melisa Printing, 1996: 173-186.
- Sak S, Peker N, Uyanıkoğlu H, Binici O, İncebıyık A, Sak ME. Should General Anesthesia or Spinal Anesthesia be Applied in Elective Cesarean Section?. Zeynep Kamil Medical Bulletin 2018;49(1):44- 48
- Lai HY, Tsai PS, Fan YC, Huang CJ. Anesthetic practice for Cesarean section and factors influencing anesthesiologists’ choice of anesthesia: a population-based study. Acta Anesthesiol Scand 2014;58:843-50.
- Karaca, Ü., Özgunay, Ş. E., Ata, F., Kılıçarslan, N., Yılmaz, C., & Karasu, D. Our anaesthesia experience in emergency caesarean sections. JARSS 2020; 28(4): 275-280.
- Beckmann M, Calderbank S. Mode of anesthetic for category 1 cesarean sections and neonatal outcomes. Aust N ZJ Obstet Gynaecol 2012;52:316–20.1
- Shevde K, Panagopoulos G. A Survey of 800 patients’ knowledge, attitudes, and concerns regarding anesthesia. Anesth Analg 1991;73:190-8.
- Carvalho B1, Cohen SE, Lipman SS, Fuller A, Mathusamy AD, Macario A. Patient preferences for anesthesia outcomes associated with cesarean delivery. Anesth Analg 2005 ;101:1182-7.
- Fassoulaki A, Staikou C, Melemeni A, Kottis G, Petropoulos G. Anesthesia preference, neuraxial vs general, and outcome after cesarean section. Journal of Obstetrics & Gynaecology 2010;30:818-21.
- Afolabi BB, Lesi FE, Merah NA. Regional versus general anesthesia for cesarean section. Cochrane Database Syst Rev. 2006 ;18(4):CD004350.
- Kızılkaya S, Tavlan A, Hacıbeyoğlu G, Arıcan Ş, Uzun ST. The Effect of Anesthesia Method Used in Elective Cesarean Section Operations on Pain Anxiety and Patient Satisfaction. Selcuk Med J 2020;36(3):192-19
- Mordecai MM, Brull SJ. Spinal anesthesia. Curr Opin Anesthesiol 2005;18(5):527-33.