title: Survey on maternal satisfaction in receiving spinal anaesthesia for caesarean section.
abstract: BACKGROUND
  This study was undertaken to evaluate patient satisfaction after spinal anaesthesia, which is the most frequently administered anaesthesia in obstetric patients.
  
  
  METHODS
  A cross-sectional study of patients who underwent caesarean section under spinal anaesthesia in the operating rooms of Hospital Teluk Intan was conducted. Post-operative survey of patients on the day after surgery was conducted by collecting pre-operative and intra-operative data on a constructed questionnaire. Post-operative data, including satisfaction and understanding the anaesthetist's explanation regarding anaesthesia, satisfaction in receiving spinal anaesthesia and adverse effects, and willingness to accept or refuse spinal anaesthesia for a similar surgery again, were inquired by trained anaesthesia personnel.
  
  
  RESULTS
  A total of 200 pregnant patients, with age ranging from 17 to 45 years, were surveyed: 64.5% Malay, 17% Indian, 14% Chinese and 4.5% others. All (100%) the patients were satisfied with the explanation provided regarding the choices of anaesthesia, but 2% could not concentrate on the explanation because of labour pain. Overall, the average satisfaction with spinal anaesthesia administration was divided into 194 (97%) satisfied patients and 6 (3%) dissatisfied patients. Factors associated with dissatisfaction were inadequate analgesia during surgery and failed spinal anaesthesia. Post-operative complications included spinal headache 5 (2.5%), post-operative nausea and vomiting (PONV) 1 (0.5%), pain at the surgical site 2 (1%) and backache 2 (1%). Furthermore, 177 (88.5%) patients would opt for spinal anaesthesia in future for similar surgery, if required; 16 (8%) would not; and 7 (3.5%) were not sure. The reasons for refusal to receive spinal anaesthesia were as follows: awareness and failed regional anaesthesia.
  
  
  CONCLUSIONS
  The patients receiving spinal anaesthesia demonstrated a high rate of patient satisfaction. Ensuring the quality of spinal anaesthesia, improving clinical skill of the anaesthesiologists, and prevention of side effects might improve patient satisfaction.
authors: Department of Anaesthesiology and Intensive Care Unit, Hospital Teluk Intan, 36000 Teluk Intan, Perak, Malaysia.
authors: T Kumaravadivel
authors: TK
authors: Dharmalingam
authors: Nor Azian
authors: NA
authors: Ahmad Zainuddin
keywords: anaesthesia; caesarean section; patient satisfaction; spinal
references: J Med Assoc Thai. 2003 Jun;86 Suppl 2:S338-43
references: 12930008
references: Reg Anesth. 1993 Mar-Apr;18(2):128-31
references: 8489980
references: J Med Assoc Thai. 2004 Jun;87(6):628-35
references: 15279340
references: Singapore Med J. 2007 Feb;48(2):152-7
references: 17304396
references: Anesthesiology. 1997 Feb;86(2):277-84
references: 9054245
references: Anesth Analg. 2009 May;108(5):1560-3
references: 19372336
references: Korean J Anesthesiol. 2010 Oct;59(4):260-4
references: 21057616
references: Nepal Med Coll J. 2005 Dec;7(2):93-6
references: 16519072
references: J Coll Physicians Surg Pak. 2009 Feb;19(2):77-80
references: 19208308