Evaluation of effective parameters for methods of anesthesia in caesarean section

Regional anesthesia is strongly recommended for caesarean section, but the most important preventing factor is patient refusal. This study is conducted to determine the factors influencing choice of anesthesia and the refusal reasons. 240 pregnant patients candidate for elective caesarean section, just prior to surgery were interviewed about choice of anesthesia and reason for it, history of previous anesthesia and knowledge of anesthesia. Data's were recorded in a questionnaire 120 patients preferred GA while 72 patients chose SA. For 48 patients made no difference. The most common reasons for refusing spinal anesthesia were fears of back pain, hearing or seeing and headache. Fear of not waking up, nausea and vomiting and feeling pain were refusal factors of GA. Patients had knowledge about GA (64.2%) and SA (76.7%). The rest (11.2%) had no information about anesthesia. Level of education related to knowledge of anesthesia (p<0.05) although had no correlation to choice of anesthesia. Source of information were mostly other patients and relatives (50%), previous experience of anesthesia (36.3%), medias (10.08%) and anesthesiologist comment (0.08%) as an influencing factor. The majority of patients prefer GA in odder to avoid spinal anesthesia and its complications. By improving information and effective communication, spinal anesthesia may be encouraged for caesarean patients.