MATERNAL SATISFACTION AFTER SPINAL ANESTHESIA FOR CESAREAN DELIVERY IN GANDHI MEMORIAL HOSPITAL, ETHIOPIA

Hagos Gebregziabher Gebremedhin*, Desaleng Belay Mihrete and Kore menjie Binwe

ABSTRACT

Background: Spinal anesthesia for caesarean section is an old and well established method. It was first used in obstetrics in 1901 for pain relief during vaginal delivery. Patient satisfaction toward spinal anesthesia is vital monitor to the quality care in anesthesia. Objectives: To determine patients' perspective regarding spinal anesthesia, their level of satisfaction and the factors of dissatisfaction during caesarean deliveries at Gandhi Memorial hospital Addis Ababa , Ethiopia from March20 -May30, 2016 G.C. Methodology: Analytic Cross-sectional study was conducted at Gandhi Memorial hospital from March20-May30, 2016; G.C. Patients who underwent caesarean section under spinal anesthesia during the study period were used as a sample. Results: Majority of the patients 113(64%) were aged between 25 and 34years. Sixty two percent (62%) of patient was satisfied and thirty eight (38 %) of the patient was dissatisfied. Eighty two (82 %) patients would opt for spinal anesthesia in future for similar surgery, eighteen (18%) of patient would not require. Conclusion and recommendations: Postoperative backache, inadequate analgesia, nausea /vomiting and bad memory of post dural puncture headache and inadvertent mistakes and unskillful techniques are main contributor for dissatisfaction. Patient’s opinion is very important when deciding the anesthetic method; the anesthetists should have good rapport and must provide clear explanations regarding spinal anesthesia before surgery with their patients. They should manipulate the patient gently, sedate the patients if necessary.

Keywords: spinal anesthesia, patient satisfaction, caesarean section.