دورية أكاديمية

The Prevalence of Acceptance Between General Anesthesia and Spinal Anesthesia Among Pregnant Women Undergoing Elective Caesarean Sections in Saudi Arabia.

التفاصيل البيبلوغرافية
العنوان: The Prevalence of Acceptance Between General Anesthesia and Spinal Anesthesia Among Pregnant Women Undergoing Elective Caesarean Sections in Saudi Arabia.
المؤلفون: Tawfeeq NA; Department of Anesthesiology, King Abdulaziz Medical City in Riyadh (KAMC-RD), Riyadh, SAU., Hilal F; Department of Anesthesiology and Pain Management, King Abdullah Medical Complex - Jeddah (KAMCJ), Jeddah, SAU., Alharbi NM; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alowid F; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU., Almaghrabi RY; College of Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU., Alsubhi R; College of Medicine, Qassim University, Buraydah, SAU., Alharbi SF; College of Medicine, Al-Rayan Colleges, Al-Madinah, SAU., Fallatah A; College of Medicine, Al-Rayan Colleges, Al Madinah, SAU., Aloufi LM; College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alsaleh NA; College of Medicine, King Faisal University, Al-Ahsa, SAU.
المصدر: Cureus [Cureus] 2023 Sep 10; Vol. 15 (9), pp. e44972. Date of Electronic Publication: 2023 Sep 10 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background The choice of anesthesia for an elective cesarean section should be based on an individual benefit-risk assessment, considering the pregnant woman's preferences, concerns, and the available medical expertise. This study aimed to determine the preferences for general and spinal anesthesia among women undergoing elective cesarean sections and the factors affecting their choice. Methods The study design is a cross-sectional study, and it was conducted on pregnant women to measure the acceptance of general anesthesia and spinal anesthesia in patients with elective cesarean sections in Saudi Arabia. Random pregnant women were invited to participate in this study across Saudi Arabia after fulfilling the inclusion criteria. A digital questionnaire was distributed across Saudi Arabia to be filled out by female residents. A Microsoft Excel (Microsoft Corporation, Redmond, Washington, USA ) sheet was used for data entry, while IBM SPSS software version 27.0.1 (IBM Corp., Armonk, New York, USA) was used for statistical analysis. Results The study included 813 participants; most (28%) of them were 25-30 years old. Of the study participants, 54% had chosen spinal anesthesia before, 22% had chosen general anesthesia, and 24% had chosen neither. Reasons to choose general anesthesia were reported as follows: 21.6% feared pain during surgery, 24.2% feared watching the surgical procedures on their bodies, 16.6% feared back pain, 12.8% feared being paralyzed, and 15.1% feared needles used to administer anesthesia in the lower back. Reasons for choosing spinal anesthesia were reported as follows: 26.3% had back pain concerns; 13% feared prolonged unconsciousness; 9.6% feared having a headache after surgery; 17% had post-surgery pain concerns; 30.1% wanted to be alert at the time of the birth of the baby; 10.6% feared the chances of experiencing nausea and vomiting; and 7.4% feared not being able to breastfeed. Conclusion Spinal anesthesia was chosen by more participants than general anesthesia. There was a statistically significant association between choosing spinal anesthesia and the number of previous pregnancies, parity, history of preterm labor, and recommendation to undergo general or spinal anesthesia by non-medical staff. It was also significant with the older age and higher educational level of participants. This decision may be influenced by a number of variables, the most significant of which are prior experience with general anesthesia or spinal anesthesia, educational attainment, and non-medical advice.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Tawfeeq et al.)
References: Saudi J Anaesth. 2011 Apr;5(2):202-7. (PMID: 21804804)
Int J Obstet Anesth. 2019 Feb;37:5-15. (PMID: 30415797)
J Obstet Gynaecol. 2010;30(8):822-5. (PMID: 21126121)
Cell Mol Biol (Noisy-le-grand). 2016 Dec 30;62(14):59-63. (PMID: 28145858)
J Obstet Gynaecol. 2010;30(8):818-21. (PMID: 21126120)
Obstet Gynecol. 2013 Apr;121(4):904-907. (PMID: 23635708)
J Anaesthesiol Clin Pharmacol. 2015 Apr-Jun;31(2):196-200. (PMID: 25948900)
JAMA. 2013 May 8;309(18):1930-6. (PMID: 23652524)
Local Reg Anesth. 2016 Aug 16;9:45-57. (PMID: 27574464)
Cureus. 2018 Dec 11;10(12):e3715. (PMID: 30788204)
Cochrane Database Syst Rev. 2012 Oct 17;10:CD004350. (PMID: 23076903)
Turk J Anaesthesiol Reanim. 2014 Apr;42(2):71-9. (PMID: 27366394)
Ann Med Surg (Lond). 2023 Jan 12;85(1):6-12. (PMID: 36742112)
فهرسة مساهمة: Keywords: c-section; cesarean; delivery; elective caesarean section; general anesthesia; labor; spinal anesthesia
تواريخ الأحداث: Date Created: 20231012 Latest Revision: 20231102
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10563372
DOI: 10.7759/cureus.44972
PMID: 37822429
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.44972