Study Of Maternal Satisfaction After Caesarean Section Under Subarachnoid Block

Study Of Maternal Satisfaction After Caesarean Section Under Subarachnoid Block.

Authors

  • Gauri Panjabi
  • Nipa Desai
  • Rutvika Patel

Keywords:

Emergency caesarean section, Questionnaire, Parturients satisfaction

Abstract

Background and objectives: Subarachnoid block is one of the common mode of anaesthesia opted for emergency caesarean section, if the maternal and fetal conditions are favorable. Various factors influence the quality of care administered during the procedure. Methods: A cross sectional study was carried out in 150 females of the age group 18-40 years undergoing caesarean section under subarachnoid block in medical college in Gujarat. Post-operative survey was conducted on the day of discharge by collecting data on a constructed questionnaire. Positive response to peri-operative care assessment questionnaire was recorded. Result: All the parturients were explained about the anaesthesia prior to surgery , even though 40%remained anxious. With people around them and inside the theatre 97% of them were made comfortable. The problems was shivering (10%), pain (17%), post‑operative headache (3%) .100% Parturients heard their baby’s cry. 68% mothers slept well after delivery; 83% feed their babies within 4 h of delivery. Conclusion: Our study found that pre-operative communication in emergency caesarean section did not reduce anxiety. Intraoperative psychological support like making the parturients comfortable, showing baby to mother, early breast feeding and adequate pain control essentially contribute to parturients satisfaction. Parturients who had compliant of nausea and vomiting, post operative pain and headache/backache were less satisfied. [Gauri P NJIRM 2017; 8(1): 28-31]

References

1. Rashad siddiqi and syed asadullah jafri. Maternal satisfaction after subarachnoid block anesthesia for caesarean deliveries. Journal of the college of physicians and surgeons Pakistan 2009,vol 19:77-80
2. Hemanth kumar V R,Study of parturients satisfaction and self- expressed problems after caesarean delivery under subarachnoid block, IJA 2014,vol 58, issue 2, 149-153
3. T.Kumaravadivel Dharmalingam, Nor Azian AhmadZainuddin,Survey on Maternal Satisfaction in Receiving Subarachnoid blockAnaesthesia for Caesarean Section. Malays J Med Sci. May-Jul 2013; 20;3: 51-54
4. Hawkins JL, Koonin LM, Palmer SK, Gibbs CP. Anesthesia-related deaths during obstetric delivery in the United States, 1979-1990. Anesthesiology. 1997; 86;2:277–284.
5. Porter M, van teijlingen chi ying yip L, bhattacarya S. Satisfaction with caesaren section: qualitative analysis of open-ended questions in a large postal survey. Birth 2007;34:148-154
6. Keogh E, hughes S, Ellery D, Daniel C, jolderoft A, psychosocial influences on women’s experience of planned elective cesarean section. Psychosom med 2006 68:167-74
7. De witte J, sessler DI. Perioperative shivering physiology and pharmacology. Anesthesiology 2002;96:467-84.
8. Crowley LJ, Buggy DJ. Shivering and neuraxial anesthesia. Reg anesth pain med 2008;33:241-52
9. Mitchell m. conscious surgery:influence of the environment on parturients anxiety. J Adv Nurs 2008;64:261-71
10. Dimatteo MR,Morton SC, Lepper HS, Damush TM, carney MF, pearson M, et al. caesarean childbirth and psychosocial outcomes: A meta analysis. Health psycho 1996;15:303-14

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Published

2018-01-31

How to Cite

Panjabi, G., Desai, N., & Patel, R. (2018). Study Of Maternal Satisfaction After Caesarean Section Under Subarachnoid Block: Study Of Maternal Satisfaction After Caesarean Section Under Subarachnoid Block. National Journal of Integrated Research in Medicine, 8(1), 28–31. Retrieved from http://nicpd.ac.in/ojs-/index.php/njirm/article/view/1165

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Section

Original Articles