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KNOWLEDGE AND ATTITUDE OF PARTURIENTS REGARDING OPTIONS OF ANESTHESIA TECHNIQUES FOR CESAREAN DELIVERY. A SURVEY AT A TERTIARY CARE HOSPITAL
Abstract Number: 175
Abstract Type: Original Research
Introduction: Regional anaesthesia (RA) is the preferred technique for cesarean section. Complications related to general anaesthesia (GA) especially in obstetrics population made RA a safer technique. However the obstetric population visiting our hospital mostly prefers GA over RA.
Objectives: The objective of this study was to assess the knowledge and attitude of parturients regarding options of anaesthesia technique for CS and to identify their sources of information in this regard.
Study Design: Cross sectional study.
Method: 410 parturient scheduled for elective CS (ELCS) were interviewed by principal investigator according to a structured questionnaire.
Results: In our study 82% parturient knew about the various options of anaesthesia technique. Knowledge of parturient was significantly associated with age, education level, occupation, previous anaesthesia history and preoperative choice mentioned.
48% of parturient preferred GA, 33% RA and 18% were not sure. Reasons of preferring GA were previous experience, fear of seeing things and hearing noises during surgery and assumption to consider it as a safer technique. RA was refused due to concerns about backache, headache, inadequate anaesthesia, fear of needle and its side effects like paralysis and numb legs.
Obstetrician, anaesthetist, relatives, internet and print media play a significant role in providing information.
Conclusions: Parturient delivering at our institution have adequate knowledge about anaesthesia techniques available for CS but they have many false believes and misconceptions regards them.
Key words: General anaesthesia, Obstetric anaesthesia, Regional anaesthesia, Caesarean section.