Abstract
31Aug 2016 SATISFACTION OUTCOMESAFTER SPINAL ANESTHESIA FOR CAESAREAN SECTION IN KAUH IN JEDDAH AND IN MCH IN MAKKAH. Ahmad A. Saifuddin , Abdullah T. Salem , *Ahmed H. Alhasan , Faisal T. Sugati , Raghad M. Namnqani and Safaa M. Al-Hasani. Aim:To determine the level of the satisfaction in terms of intra-operative pain and postoperative nausea, vomiting, headache, backache among patients receiving spinal anesthesia for caesarean section.Methodology:Cross-sectional survey conducted in maternity and children hospital in Makkah from January 2014 to December 2015. A total of 200 pregnant patients undergoing caesarean section under spinal anesthesia were surveyed. A questionnaire was given to patients to score their satisfaction on a four-point visual analogue scale regarding:1-Pain during surgery, 2-Postoperative Nausea, and Vomiting (PONV), and 3-postoperative headache. The average of responses to questionnaire questions in each of the three areas was taken as the “FundamentalArea Score"(FAS) and the average of these individual (FAS) scores was taken as the Patient Satisfaction score(PSS).Results: There was a high satisfaction score for PONV (90%); but satisfaction regarding intra-operative pain/discomfort, postoperative backache and headache has a lower satisfaction score plotted, as (88%, 87% and 55% respectively).Patient’s overall level of satisfaction with spinal anesthesia was 90%.Conclusion: Most of the patients in the study were satisfied with their experience with spinal anesthesia although there was a high frequency of postoperative backache.
Highlights
Caesarean section (LSCS) is one of the commonest operations performed in the developing world and is often carried out in difficult circumstances [1]
(90%); but satisfaction regarding intra-operative pain/discomfort, postoperative backache and headache has a lower satisfaction score plotted, as (88%, 87% and 55% respectively).Patient’s overall level of satisfaction with spinal anesthesia was 90%.Conclusion: Most of the patients in the study were satisfied with their experience with spinal anesthesia there was a high frequency of postoperative backache
The study included 200 patients, who received spinal anesthesia within the 1 year study period andresponded to the questionnaire
Summary
Caesarean section (LSCS) is one of the commonest operations performed in the developing world and is often carried out in difficult circumstances [1]. The technique is as quick as giving a general anesthesia and provide good operating conditions with some reduction in surgical hemorrhage[4]. It has the advantage of giving good pain relief for several hours after surgery and is straightforward to learn and teach. It is inexpensive and appropriate for virtually all cases except those with un-resuscitated preoperative hypovolemia, those with specific contraindications of a bleeding disorder, sepsis at the sight of the injection and allergy to a local
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