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Misconceptions Related to Neuraxial Anesthesia and Effect of Obstetrics Education on Patient Satisfaction after Cesarean Section in King Abdulaziz Medical City
Abstract
Background
Neuraxial anesthesia is widely recognized as the most effective technique for cesarean pain management. However, some concerns persist, particularly regarding post-spinal backache, pain at the needle insertion site, or headache post-operatively. While numerous studies have explored clinical concerns related to obstetric anesthesia, there remains a notable gap in research specifically addressing the psychological effects associated with these concerns.
Methods
The study employed a cross-sectional analytical design among obstetric patients undergoing elective cesarean section with neuraxial anesthesia. Participants aged between 18 and 45 years were targeted. The data collection tool was a questionnaire (closed-ended questions) using a non-probability convenience sampling technique.
Results
Concerns were reported by 94% of women, with the most common being post-spinal backache. These concerns were not significantly associated with either intraoperative incidences or preoperative anxiety. However, previous exposure to neuraxial anesthesia was significantly associated with a lower rate of refusal. Additionally, the education provided immediately before the procedure was not sufficient.
Discussion
The findings highlight the importance of proactive patient education and public awareness campaigns to address misconceptions about neuraxial anesthesia, enhance understanding, and support informed decision-making among obstetric patients.
Conclusions
Neuraxial anesthesia raises several concerns among obstetric patients, affecting 94%. These concerns were not significantly associated with specific intraoperative events such as bradycardia, nausea, and vasovagal syncope, nor with preoperative anxiety or the education provided. However, previous exposure to neuraxial anesthesia was associated with a lower rate of refusal among pregnant women.
