Factors Associated With Maternal Dissatisfaction towards Spinal Anesthesia among Parturients Give Birth with Cesarean Section at Hawassa University Comprehensive Specialized Hospital, 2023: Cross-Sectional Study

Abstract

Abstract Background: Assessing maternal satisfaction with spinal anesthesia is paramount to improve safe anesthesia practice. Hence, we investigated factors associated to decrease maternal satisfaction toward spinal anesthesia among mothers gives birth with receiving cesarean delivery. Objectives: To assess maternal dissatisfaction and associated factors toward spinal anesthesia among parturients who underwent cesarean delivery at HUCSH from July 6 to August 30, 2022. Methodology: an institutional-based cross-sectional study was conducted on 360 parturients who underwent cesarean delivery at the HUCSH obstetrics ward and were interviewed using an exit structured questionnaire. Univar ate and multivariate logistic regression analyses were used to identify factors associated with maternal dissatisfaction toward spinal anesthesia. The odd ratio was used to determine the strength of the association between dependent and independent variables. Finally, a p-value of 0.05 or less was considered statistically significant. We defined the satisfied group as those patients who answered "satisfaction" to the question on the 4-point Likert scale. Results: The overall dissatisfaction with spinal anesthesia was 34.2%. Furthermore, 28.8% of patients would not choose spinal anesthesia in the future for similar surgery, if required. The pain during needle insertion (odds ratio, 0.48; 95% confidence interval 0.41–0.74) at p-value 0.001, intraoperative nausea vomiting (odds ratio 0.8; 95% confidence interval 0.53–0.94) at p-value 0.02 and postoperative headache (odds ratio 0.28; 95% confidence interval, 0.09–0.87) at p-value 0.01, were associated with maternal dissatisfaction. Conclusion and recommendations: Respondents who have pain during Spinal anesthesia, those who feel intraoperative nausea-vomiting, and patients who get post-operative headaches were the major predictors of maternal dissatisfaction. So,attending anesthetists or practitioners must pay attention to the patient under spinal anesthesia, mainly preventing their perioperative complaints which can cause maternal dissatisfaction.