MATERNAL SATISFACTION WITH SPINAL ANAESTHESIA FOR CAESAREAN DELIVERY AT DELHI GOVERNMENT HOSPITALS

Abstract

BACKGROUND The fulfilment of expectations, abolition of pain and communication are the most important determinants of the postpartum evaluation of childbirth after caesarean delivery. Aims and Objectives- To determine patients' perspective regarding spinal anaesthesia, their level of satisfaction and the factors of dissatisfaction during caesarean deliveries at Delhi Government Hospital, from October 2017 to August 2018. MATERIALS AND METHODS The study was designed as a cross-sectional survey. It was carried out in more than 300 bedded, tertiary care Delhi Government Hospital postnatal wards. Data was captured electronically using SPSS and analysis done using SPSS version 17. Univariate analysis was used to extract simple frequencies and the data was presented graphically. A five-point Likert scale was used to measure maternal satisfaction and various inferential statistics were used to assess association. The study was conducted from October 2017 to August 2018. RESULTS 346 post caesarean delivery women were interviewed. The satisfaction with pain control was 89.5\%. 92.2\% of the women were satisfied with their involvement in decision making while 94.8\% were satisfied with the level of communication with their anaesthesia providers. 95.1\% of the women had their expectations for delivery met. The satisfaction with the choice of spinal anaesthesia for caesarean delivery was 80\%. The overall satisfaction with childbirth was 95.3\%. CONCLUSION Those who experienced a poor neonatal outcome were 6.8 times more likely to be dissatisfied. The cadre of anaesthetist, marital status of parturient and number of prior caesarean deliveries had no influence on maternal satisfaction.