Key result
Post-counseling, ~70% of C-section patients prefer regional over general anesthesia to see their baby immediately.
Why the study?
What is the preferred choice of anaesthetic technique among pregnant women scheduled for caesarean section?
Cross-Sectional (n=1,350)
No
What is the preferred choice of anaesthetic technique among pregnant women scheduled for caesarean section?
Absolute Event Rate: 70% vs 30%
Regional anaesthesia is the preferred technique for the majority of pregnant women undergoing caesarean section in this center, largely due to a desire for early contact with their babies and fear of general anaesthesia.
Supports patient-centered counseling on anaesthetic options for caesarean section; leaves open generalizability and outcome impact beyond this single-center cohort.
Objective: This study is to ascertain the preferred choice of anaesthetic technique and their reasons, among pre gnant women schedule for caesarean section during preoperative visit in Federal Teaching Hospital, Gombe.Methodology: This was a three year prospective study [from June, 2010-May, 2013] of pregnant women sched uled for either elective or emergency caesarean section.During the preoperative visit, patients were counselled and consent obtained on either regional or general anaesthesia and their reasons for the choice documented.Results: A total of 1,350 women were interviewed during the three years period of the study.]Thetotal of four h undred and sixty one patients (n=461, 34.1%) were scheduled for emergency caesarean section, while eight hun dred and eighty nine patients (n=889, 65.9%) were scheduled for an elective caesarean sections.They were age d 17-40 years with the mean age of 27.84 +/-4.43 years.The parity ranged from 1-12.Majority of the patients 9 45 (70%) preferred regional anaesthesia, while 405 (30%) preferred general anaesthesia The common reasons f or their preference to regional anaesthesia include early contact with their babies, fear of death from general a naesthesia, want to know what is going on in the theatre, general anaesthesia is more dangerous, patient being awake, reduced blood loss, cheaper and well tolerated however, others preferred general anaesthesia because o f fears of the complications of regional anaesthesia e.g.backache, headache etc. Conclusion: We conclude that regional anaesthesia is the preferred technique of choice for most pregnant wom en undergoing caesarean sections in our centre.Detail preoperative review with emphases on counselling of the patients by the anaesthetists on the advantages of regional anaesthesia over the general anaesthesia will encou rage the high preference of regional over general anaesthesia.We therefore, recommend that preoperative revie w should be encouraged in all hospitals and in all patients undergoing either emergency or elective caesarean s ections.
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Abubakar et al. (2014) conducted a cross-sectional in Pregnant women scheduled for caesarean section (n=1,350). Regional anaesthesia vs. General anaesthesia was evaluated on Preferred choice of anaesthetic technique. Following preoperative counseling, 70% of pregnant women scheduled for caesarean section preferred regional anaesthesia over general anaesthesia, most commonly to see their baby immediately.
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