%0 Journal Article
%T Satisfaction with spinal anaesthesia for Caesarean section at Tembisa Hospital, South Africa: a cross-sectional study
%A Doudou K Nzaumvila
%A Lebitsi M Modiba
%A Uziele M Makoko
%J South African Family Practice
%D 2019
%R https://doi.org/10.1080/20786190.2018.1531585
%X Background: The most recommended type of anaesthesia by many obstetric guidelines for Caesarean section (CS) is spinal anaesthesia. This to achieve a higher level of pain and comfort control for the patient during and after CS. Little scientific research has assessed mothers¡¯ satisfaction with spinal anaesthesia. Methods: This was a cross-sectional study conducted at the maternity unit of Tembisa Hospital, South Africa in March 2014. Results: Overall satisfaction with spinal anaesthesia was 77.1%. The mean age (SD) was 27.9 (5.8) years. CS was mostly done as an emergency 63 (76.8%). The level of satisfaction varied greatly. There was a linear regression between age and answer scores regarding preoperative explanations (r£¿=£¿0.2. R-squared£¿=£¿0.05, p-value of 0.03. There was an association between preoperative explanations and gravidity (OR 13.1; CL 95%; CI 1.9¨C41.7; p£¿=£¿0.0018). In perioperative time, elective CS was associated with verbal communication with the doctor administrating the spinal anaesthesia (OR 13.5; CL 95% CI 0.7¨C237.3; p£¿=£¿0.0017). Pain at the injection site of lumbar puncture (OR 4; CL 95% CI 1.2¨C13; p£¿=£¿0.025) and the atmosphere in the theatre (OR 4.1; CL 95% CI 1.1¨C15.5; p£¿=£¿0.02) were determinant for future choice of spinal anaesthesia. Conclusion: Integrating pre-anaesthesia explanations in antenatal care and pre-anaesthesia counselling during labour and the use of adequate medication to reduce discomfort, pain and shivering may increase maternal satisfaction with spinal anaesthesia for CS
%U https://www.tandfonline.com/doi/full/10.1080/20786190.2018.1531585