Assessment of awareness and attitude of pregnant women towards anesthesia techniques for cesarean section and associated factors at selected public hospital of Addis Ababa Ethiopia, 2021

Abstract

Objective: To assess awareness and attitude of pregnant women’s towards anesthesia techniques for cesarean section among women attending ANC at selected public Hospital of Addis Ababa, 2021. Method: During the study, 332 pregnant women attending ANC followup in selected public hospitals of Addis Ababa, Ethiopia were selected systematically selected. Pretested and structured questionnaire was administered to the patient and the data was entered to into Epi info 7.2.4 and transferred to SPSS version 26 for analysis. Both binary and multivariate logistic regression were used to measure association between the factors and outcomes at 95% CI and P value <0.05 was considered as statistically significant. Results: Among 332 participants, 206 (62%) pregnant mothers heard about anesthesia before. Out of those who heard about anesthesia before (206), 116 (56.3%) participants had good awareness of anesthesia techniques. Level of education and number of parity were significantly associated with awareness of anesthesia techniques. Respondents who were completed secondary school had good awareness of anesthesia techniques [AOR=6.785; 95% CI (1.01- 45.170)] and women with para three pregnancy had good awareness than null parity [AOR=6.453; 95% CI (1.612-25.825)]. The study also found, 146 (70.9%) of respondents had positive attitude towards anesthesia techniques but previous type of anesthesia and absence of anesthesia related complication had no significant association with parturient’s attitude towards anesthesia techniques. Among 43 respondents previously received GA, 13 (30.2%) respondents preferred again GA whereas out of 66 respondents received SA, 48 participants preferred spinal anesthesia. Conclusion: Awareness about anesthesia and anesthesia techniques among parturient were 62%. 126 (38%) were even not heard about anesthesia before. Keywords: Cesarean section, Anesthesia techniques, Awareness and Attitude Strength of the study The study was conducted at a multicenter. Four Public Hospitals were randomly selected from Addis Ababa City Administration. We obtain representative participant which arrive the health care facility from various geographic locations and neighboring regional states Limitation of the study: The conclusion was based on few samples obtain from those hospitals; a large scale survey is required in order to assess the attitude of mothers toward anesthesia techniques.