Maternal Satisfaction and Postoperative Pain Severity in Mothers Who undergo Caesarean Section under General and Spinal Anesthesia in Gandhi Memorial Hospital, Addis Ababa, 2014

Abstract

Background: The main purpose of health care system should be adequate and appropriate treatment and health care management of the patients. Body of evidence revealed that maternal satisfaction and postoperative pain control were better in mothers who gave birth under spinal anesthesia than general anesthesia. However evidences are lacking locally, hence, this study was aimed to compare maternal satisfaction and postoperative pain severity in mothers who undergo caesarean section under general anesthesia and spinal anesthesia. Methods: After approval from institutional review Board (IRB), we studied 120 consecutive ASAI-II mothers who gave birth with cesarean section under spinal and General Anesthesia in Gandhi Memorial Hospital from august, 2013-July, 2014. Prospective effectiveness study design was employed. Patients were randomly allocated in two equal groups 60 patients each by lottery method after informed consent. Mothers with spinal Anesthesia group was preloaded with 1-1.5 litres of crystalloids before spinal Anesthesia and Spinal Anesthesia was given with 2-2.5ml of 0.5% bupivacaine in sitting position with strict aseptic technique. General Anesthesia was induced with rapid sequence induction with 3.5mg/kg of thiopental and 1-2mg/kg succinylcholine. General Anesthesia was maintained with 1-1.5v% halothane, 0.1mg/kg of vecronium and 1.5-2mg/kg of Pethdine. In the postoperative period, pain severity was measured at 2, 6 and 24hrs with Visual Analog Score (VAS) along with first analgesic request and satisfaction was assessed with Likert scale.