n South African Family Practice - Satisfaction with spinal anaesthesia for Caesarean section at Tembisa Hospital, South Africa : a cross-sectional study - research

Volume 61 Number 2
  • ISSN : 2078-6190
  • E-ISSN: 2078-6204



Background: The most recommended type of anaesthesia by many obstetric guidelines for Caesarean section (CS) is spinal anaesthesia. This to achieve a higher level of pain and comfort control for the patient during and after CS. Little scientific research has assessed mothers’ satisfaction with spinal anaesthesia.

Methods: This was a cross-sectional study conducted at the maternity unit of Tembisa Hospital, South Africa in March 2014.

Results: Overall satisfaction with spinal anaesthesia was 77.1%. The mean age (SD) was 27.9 (5.8) years. CS was mostly done as an emergency 63 (76.8%). The level of satisfaction varied greatly. There was a linear regression between age and answer scores regarding preoperative explanations (r = 0.2. R-squared = 0.05, p-value of 0.03. There was an association between preoperative explanations and gravidity (OR 13.1; CL 95%; CI 1.9–41.7; p = 0.0018). In perioperative time, elective CS was associated with verbal communication with the doctor administrating the spinal anaesthesia (OR 13.5; CL 95% CI 0.7–237.3; p = 0.0017). Pain at the injection site of lumbar puncture (OR 4; CL 95% CI 1.2–13; p = 0.025) and the atmosphere in the theatre (OR 4.1; CL 95% CI 1.1–15.5; p = 0.02) were determinant for future choice of spinal anaesthesia.

Conclusion: Integrating pre-anaesthesia explanations in antenatal care and pre-anaesthesia counselling during labour and the use of adequate medication to reduce discomfort, pain and shivering may increase maternal satisfaction with spinal anaesthesia for CS.

Loading full text...

Full text loading...


Article metrics loading...


This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error