A study of the incidence of shivering after cesarean section surgery, a comparative study between general and spinal anesthesia

Abstract

Abstract Introduction: Shivering is an involuntary, spontaneous, and repetitive contraction of the skeletal muscle and increases patients’ discomfort, oxygen-consuming, wound infection; increased surgical bleeding, and morbid cardiac events. The aim of this study was to determine the magnitude and associated factors of intraoperative shivering after cesarean sec Methods and materials: An institution-based cross-sectional study was conducted. A total of 80 willing patients were included in the study after obtaining ethical consent and we have used consecutive sampling techniques. Axillary temperature was recorded preoperatively and in the intra-operative period every 5 min. Descriptive statistics, cross-tabs, and binary logistic regression analysis were performed to identify the association shivering and independent variables. The strength of the association was presented using an adjusted odds ratio with a 95% confidence interval and a p-value < 0.05 was considered as statistically significant. Results In this study, the incidence of intraoperative shivering after cesarean section under spinal anesthesia was similar to several studies [7.5%], the incidence of intraoperative shivering after cesarean section under general anesthesia was [31.3%], hypothermia, and hypotension. Blood pressure, duration of surgery, age, body mass index, and type of anesthesia are factors strongly associated with shivering. Conclusion In this study duration of surgery, hypothermia and hypotension were the independent associated risk factors for intraoperative shivering.