Abstract

Spinal anesthesia is a safe anesthetic technique for cesarean delivery which gained worldwide acceptance since the introduction to clinical practice. It has good quality of analgesia and avoids general anesthesia-related maternal morbidity and mortality, decreased risk of gastric aspiration, avoids exposure of anesthetic depressant drugs to the neonate, less incidence of deep venous thrombosis, and decreases blood loss during surgery. In addition, it has favorable effects on bonding the mother to the newborn. Materials and Methods: The study was designed as a cross-sectional survey. Interviews were conducted by the principal investigator and data collected in a standardized questionnaire. The study site was the department of Anaesthesia, GS Medical College, Pilakhuwa, Hapur general postnatal wards. Between 3000-4000 caesarean sections are performed every year at the hospitals. As the duration of the study was 1 year, the sample size was taken for convenience. The study was conducted from September 2021 to October 2022. Results: 350 questionnaires were completed. Only one of the 350 questionnaires was spoiled, resulting in a 99.7% return rate. The research was planned as a cross-sectional survey. The level of satisfaction with respondents' involvement in decision making was high (92.2%). The vast majority of respondents felt that their caesarean delivery expectations were met. (95.1%) Satisfaction with the spinal anaesthetic technique was high, at 80.6%. Overall, the birthing experience was rated highly (95.3%). Mothers whose neonates died were more likely to be dissatisfied than mothers whose neonates survived. Conclusion: Spinal anesthesia is effective in controlling pain during and immediately after caesarean delivery. Maternal satisfaction with involvement in decision making for caesarean delivery at GS Medical College and Hospital is high. Spinal anaesthesia for caesarean delivery is associated with high levels of met expectations for Child birth at GS Hospital. Neonatal outcome is an important contributor to maternal satisfaction with caesarean delivery

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