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Comparison of maternal satisfaction following epidulral and general anaesthesia for repeat caesarean section


S Fyneface-Ogan
CN Mato
OA Ogunbiyi

Abstract

Objective: To assess maternal satisfaction following two anaesthetic techniques (general and epidural anaesthesia) for repeat Caesarean section.
Design: Prospective study.
Setting: University of Port Harcourt Teaching Hospital, Nigeria.
Subjects: One hundred and twenty parturients scheduled for elective Caesarean section.
Results: The demographic data and mean satisfaction scores obtained from questionnaire and visual analogue scale (VAS) were subjected to analysis using the Student’s t-test with the computerised statistical calculator SPSS Windows 10.0. The mean satisfaction score of the parturients in the epidural anaesthesia population using the questionnaire was 149.0±10.65 while that in the general anaesthesia population was 105.3±12.42. The mean satisfaction score from the VAS was 9.0±1.50 for those who had epidural anaesthesia while it was 2.6±0.70 in the general anaesthesia population. The differences in the mean satisfaction scores from both instruments of measurement were statistically significant at P<0.05. Ninety eight patients (89.09%) of the total study population who completed the study, desired to have a repeat Caesarean section under epidural anaesthesia while 12 patients representing 10.91% still desired further surgery under general anaesthesia.
Conclusion: It is concluded that patients are more satisfied with Caesarean section done under epidural anaesthesia.

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eISSN: 0012-835X