Evaluation of satisfaction and associated factors among women who underwent cesarean section using spinal anesthesia and their satisfaction with the operation in general hospitals.

Abstract

Background:Spinal anesthesia is widely used for cesarean delivery due to its advantages, including reduced neonatal depression, fewer maternal complications, and the ability for mothers to remain conscious during the procedure. Maternal satisfaction with this anesthesia technique and the overall surgical experience is a key indicator of care quality, encompassing factors such as pain management, patient-anesthetist interaction, and infection prevention practices. Critical elements like hand hygiene compliance among surgical technicians and adherence to instrument sterilization protocols significantly influence patient outcomes and satisfaction. Poor compliance with these practices can lead to complications such as surgical site infections, negatively impacting maternal perceptions of safety and care quality. Understanding and addressing these factors is essential for improving patient satisfaction and enhancing the overall experience of cesarean delivery in general hospitals.
Methods:This study was conducted at General Hospital . The study involved 120 parturients who underwent cesarean section under spinal anesthesia. Sociodemographic, obstetric, and clinical factors were assessed through a structured questionnaire. Data were collected preoperatively, intraoperatively, and postoperatively, using a Likert scale to measure satisfaction across four areas: preoperative information, pain management, postoperative care, and patient-anesthetist interaction. Bivariable and multivariable logistic regression analyses were used to identify factors influencing satisfaction.
Results:Of the 120 participants, 80% were under 30 years old, and 19.2% expressed dissatisfaction with anesthesia services. Most participants (84.2%) had emergency cesarean sections, and 55.8% were multiparous. Postoperative nausea and vomiting (PONV) were common complications, reported by 45.8% of participants. Satisfaction with anesthesia services was high for pain management and patient-anesthetist interaction, with 83.3% satisfied with overall care. However, preoperative communication was less satisfactory, with only 64.2% of participants expressing satisfaction with the information provided. Previous exposure to anesthesia was the primary factor associated with higher satisfaction.
Conclusion:Overall satisfaction with spinal anesthesia for cesarean sections was moderate. While pain management and anesthetist interaction were well-received, preoperative communication needs improvement. Enhancing preoperative education on anesthesia, surgical procedures, and potential complications is essential for improving maternal satisfaction and care quality during cesarean delivery.