Assessment of Patients Satisfaction and Anesthesia Related Discomfort Between Spinal Anesthesia and General Anesthesia for Cesarean Section

Faiqa  Hashmi; Aneeqa  Zia; Safdar Ali  Khan; Tanvir  Hussain; Faisal  Imran; Sami Ur  Rehman

doi:10.54112/bcsrj.v6i6.1731

Authors

Faiqa Hashmi National Hospital and Medical Center, Lahore, Pakistan
Aneeqa Zia National Hospital and Medical Center, Lahore, Pakistan
Safdar Ali Khan National Hospital and Medical Center, Lahore, Pakistan
Tanvir Hussain National Hospital and Medical Center, Lahore, Pakistan
Faisal Imran National Hospital and Medical Center, Lahore, Pakistan
Sami Ur Rehman Doctors Hospital and Medical Center, Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v6i6.1731

Keywords:

Cesarean Section, Complications, General Anesthesia, Patient Satisfaction, Spinal Anesthesia

Abstract

Cesarean section is a commonly performed obstetric procedure, and the choice of anesthesia—general or spinal—plays a crucial role in determining maternal comfort and satisfaction. Evaluating the differences in anesthesia-related discomfort and overall patient satisfaction between the two techniques is essential for optimizing perioperative care. Objective: To determine the frequency of general anesthesia (GA) and spinal anesthesia (SA) use in elective cesarean sections and to compare patient satisfaction and anesthesia-related discomfort between the two techniques. Methods: This quasi-experimental study was conducted at the Anaesthesia Department of National Hospital and Medical Centre, Lahore, Pakistan, from August 2024 to February 2025. A total of 127 women scheduled for elective cesarean section were enrolled and divided into two groups based on the planned anesthesia technique: Group A (GA) and Group B (SA). Patient satisfaction and anesthesia-related discomfort were evaluated 12 hours postoperatively using the Bauer Patient Satisfaction Questionnaire, which includes five Likert-scale questions. Data were collected at discharge and analyzed using SPSS version 25. Independent sample t-tests were used to compare mean scores, with p < 0.05 considered statistically significant. Results: Out of 127 participants, 63% underwent spinal anesthesia and 37% received general anesthesia. The mean discomfort score was significantly higher in the GA group compared to the SA group (4.26 ± 0.71 vs. 3.05 ± 0.82; p<0.001), while the mean satisfaction score was significantly lower in the GA group compared to the SA group (14.19 ± 1.58 vs. 15.26 ± 1.29; p<0.001). Conclusion: Spinal anesthesia was more frequently utilized and yielded significantly higher satisfaction and lower anesthesia-related discomfort compared to general anesthesia in women undergoing elective cesarean section. These findings support the preference for spinal anesthesia to enhance patient-centered outcomes in obstetric care.

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