Preference of anesthesia types and associated factors among pregnant mothers scheduled for elective cesarean section in Addis Ababa Governmental Hospitals, Ethiopia: A Cross-Sectional Study

Abstract

Abstract Background Caesarean section is one of the most common operations done for women patients. General and regional anesthesia are the types of anesthesia used for C/S at current time to simplify surgery in the operating room. The aim of the study is to assess the pregnant mothers’ preference and factors associated with their preference of anesthesia types for elective Cesarean Section at Addis Ababa Governmental MCH Hospitals.Method and material: Cross sectional study design was conducted. We collected data using interviewer administered questionnaire. Anxiety was measured using APAIS. Statistical analysis was done using the SPSS 26 version analysis tool. The descriptive statistic was used, to summarize data, tables and figures for displaying results. A multinomial logistic regression analysis was conducted to see the association between preference of anesthesia types and independent variables. Strength of association was measured by AOR within 95% confidence interval.Results Majority of the women, 62.3% preferred spinal anesthesia, 15.2% general anesthesia and 22.6% of them not decided anesthesia types. The odds of uneducated pregnant mothers not deciding anesthesia types rather than spinal anesthesia is nearly 8 times higher compared to mothers having college and above education status. (AOR = 7.760, 95% (CI 2.428, 24.803)). The odds of pregnant mothers who hadn’t information about different types not deciding anesthesia types rather than spinal anesthesia is 38 times more likely compared to mothers who had get information from media. (AOR = 38.302 (5.196,282.333))Conclusions Educational status, occupation, type of previous surgery, type of previous anesthesia, source of information, and having information about different anesthesia types for CS were identified to be significantly associated with anesthesia type preference.