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Factors influencing patient preference towards general and regional anesthesia in patients presented for elective cesarean section

By: Said Khitab Shah, Shah Faisal, Muhammad Tayyeb, Ayesha Jehad, Irfan Ullah, Muhammad Ajmal, Bashir Ul Haq, Mukhtair Ahmad, Ayub Said

Key Words: General anesthesia (GA), Regional anesthesia (RA), Caesarean section (CS), Preference

Int. J. Biosci. 16(4), 481-486, April 2020.

DOI: http://dx.doi.org/10.12692/ijb/16.4.481-486

Certification: ijb 2020 0025 [Generate Certificate]

Abstract

Out of all the common surgeries performed in women, Caesarean Section is one of them. In this procedure, General Anesthesia as well as Regional Anesthesia is given. But GA usage has been reduced due to risk of maternal mortality. Thus Spinal Anesthesia is the better alternative in 80 to 90% of Caesarean Sections performed. This cross sectional study was carried out from March 19-2018 up to April 19- 2018 in Obstetrics Unit of Lady Reading Hospital Peshawar and Rehman Medical Institute Peshawar. This study included 56 patients. Ages were between 18 and 42 years. The mean age was 30 years ±0.639. 30.4% patients’ previous CS was performed under RA while GA was given in 35.7% patients. Patients good experience with RA (19.6%, N=11) is the main reason they prefer RA. Caesarean Section is the most trivial surgical procedure performed in Obstetrics patients. 85.7% patients are aware of the techniques of anesthesia used in CS. This coincides with the results of studies completed in Karachi, Hong Kong and United Kingdom which are 82.4%, 70% and 78% respectively. 32.1% of patients had selected GA over RA. But after properly educating them, they now prefer RA. From this we can see importance of effective preoperative information which has increase preference toward RA. Similar results had been given by other studies Patients’ choice of anesthesia is based on their previous experiences rather than the risk or benefits of each technique. Educating such patients enhances their preference of RA.

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Factors influencing patient preference towards general and regional anesthesia in patients presented for elective cesarean section

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Said Khitab Shah, Shah Faisal, Muhammad Tayyeb, Ayesha Jehad, Irfan Ullah, Muhammad Ajmal, Bashir Ul Haq, Mukhtair Ahmad, Ayub Said.
Factors influencing patient preference towards general and regional anesthesia in patients presented for elective cesarean section.
Int. J. Biosci. 16(4), 481-486, April 2020.
https://innspub.net/ijb/factors-influencing-patient-preference-towards-general-regional-anesthesia-patients-presented-elective-cesarean-section/
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