Assessment of satisfaction and associated factors of parturients underwent cesarean section with spinal anesthesia at the General Hospital, Ethiopia; 2019

Abstract

Background and aimSpinal anesthesia for cesarean section is now a day a popular plan of anesthesia because of its rapid onset and high frequency of successful blockade. It is a vital monitor to the quality of care in anesthesia. The main aim of this study was to assess the level of maternal satisfaction and associated factors after cesarean section under spinal. MethodsHospital-based cross-sectional study was conducted on mothers who underwent cesarean section with spinal anesthesia. Descriptive analysis and chi-square test were employed. Bivariable and multivariable logistic regression was used to measure the association of factors with the level of satisfaction. A p-value of ≤0.25 and ≤ 0.05 was used to decide statistical significance for bivariable and multivariable logistic regression respectively. FindingsThe overall satisfaction level of parturients after spinal anesthesia was 97(80.2%). The satisfaction level was 83.3% with PONV treatment, 98.3% with intraoperative analgesia, between 52.5% and 64.2% to preoperative activities, and 72.5% for postoperative patient care by the anesthetist. Having previous anesthesia was the independent factor that has a significant association with the level of satisfaction with AOR, 3.94; 95%CI, 1.24–12.45; P- 0.01. ConclusionIn general, the overall satisfaction of the mothers towards spinal anesthesia was fair with a satisfaction score of 80.2%. Parturients were highly dissatisfied with the preoperative visit and information subscale as compared to the other subscales.