engleski

Satisfaction with regional anesthesia in parturients undergone caesarean section

Background and purpose: Regional (RA) and general (GA) anesthesia are used for caesarean sections (CS). Reducing the frequency of GA may serve to reduce maternal complications. Important component of quality of perioperative care is patient’s satisfaction with anesthesia service. We investigated the level of satisfaction with anesthetic technique in parturients undergone CS and determined factors influencing on it. Patients and methods: Retrospective survey was conducted by anonymous questionnaire introduced to parturients undergone CS. Results: Forty-five women participated. Under RA was done 57.8% of CS (64.7% of electives and 36.4% of urgents). Most parturients had previous information about anesthetic techniques and 79.4% of them participated in choosing the type of anesthesia. High satisfaction with RA revealed 77.8%, while 11.1% of them revealed poor satisfaction, related to patchy-block and conversion to GA. All parturients experienced RA, as well as the ones under GA, would choose the same technique again. Conclusion: More than 50% elective procedures were done in RA while in urgent cases dominates GA. Parturients were well informed about anesthetic techniques, mostly by internet and anesthesiologist. Reason for RA was possibility of seeing their newborn and for GA fear of awareness. Women who were previously informed, prepaired and participated in choosing the type of anesthesia, showed high level of satisfaction. The patient’s previous knowledge as well as participation and approach of anesthesiologist can influence strongly on choice of anesthetic technique and the level of satisfaction with anesthesia in parturients undergone CS.

parturients, regional anesthesia, caesarean section

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