Maternal Experience of Spinal Anesthesia for Cesarian Section, A Cross-Sectional Study


  • Nazish Hayat Lady Reading Hospital MTI Peshawar, Pakistan
  • Wajeeha Syed Lady Reading Hospital MTI Peshawar, Pakistan
  • Laila Zeb Lady Reading Hospital MTI Peshawar, Pakistan
  • Sidrah Yousafzai Lady Reading Hospital MTI Peshawar, Pakistan



Background: Cesarian section, an increasingly popular obstetric procedure, can be performed under general and regional anesthesia. Spinal anesthesia, a form of regional anesthesia has gained popularity over time due to its overall safety.
Objectives: To study the maternal experience after going through cesarian under spinal anesthesia.
Material and Methods: This was a cross sectional study carried out on admitted patients in Lady Reading Hospital, MTI, Peshawar. About 196 post-op admitted patients were selected by non-probability convenience sampling from 1st November 2023 till 15th December 2023. They were assessed with the help of questionnaire on their experience of spinal anesthesia on 3rd post cesarian day. Patents having had surgery under general anesthesia, primarily or secondarily, and those who had any additional procedure post operatively after cesarian were excluded. Data was analyzed on SPSS v23. Frequency and percentages were determined for categorical variables. Chi square test was applied for categorical variables with p value of <0.05 taken significant.
Results: Of 196 patients, mean age of the participants was 29 ± 6 years, of whom 74 (37%) had elective and 122 (63%) had emergency cesarian section. Parity ranged from 1 to 13, with most parturients having parity in the range of 1-6. 90% of patients were satisfied with preoperative information provided. About 55% had nausea, 15% had dyspnea while 39% (n=77) had palpitation during the surgery. Nearly 18% did not like the feeling of being aware intraoperatively. However 98% (n=193) of patients were satisfied with responsiveness of anesthesia staff to their situation. About 105 (53%) patients affirmed that would like to have spinal anesthesia again in future if needed, 39% were unsure and 14 (7%) patients did not like it.
Conclusion: Spinal anesthesia is an effective way of providing surgical anesthesia while maintaining high level of maternal satisfaction.
Keywords: Cesarian section, Maternal satisfaction, Spinal anesthesia.

Author Biographies

Nazish Hayat, Lady Reading Hospital MTI Peshawar, Pakistan

Assistant Professor, OBGYN

Wajeeha Syed, Lady Reading Hospital MTI Peshawar, Pakistan


Assistant Professor

Laila Zeb, Lady Reading Hospital MTI Peshawar, Pakistan

Assistant Professor, OBGYN


Mylonas I, Friese K. Indications for and Risks of Elective Cesarean Section. Dtsch Arztebl Int 2015 Jul 20;112(29-30):489-95. DOI:

Potter JE, Berquo E, Perpetuo IH, Leal OF, Hopkins K, Souza MR, et al. Unwanted caesarean sections among public and private patients in Brazil: Prospective study. BMJ 2001 Nov 17;323(7322):115-58. DOI:

World Health Organization. Caesarean Section Rates Continue to rise, amid Growing Inequalities in Access [Internet]. WHO; 2021 caesarean-section-rates-continue-to-rise-amid- growing-inequalities-in-access

Betran AP, Torloni MR, Zhang JJ, Gulmezoglu AM, WHO Working Group on Caesarean Section. WHO Statement on Caesarean Section Rates. BJOG 2016:123;667-70. DOI:

Khan MN, Zubair H, Akram S, Perveen S, Fatima A, Madiah. A comparative study on the effects of spinal versus General Anaesthesia on Apgar score of the neonates among patients enduring elective caesarean section. PJMS 2022 Apr 30:16(4);52-68. DOI:

Iddrisu M, Khan ZH. Anesthesia for cesarean delivery: general or regional anesthesiaa systematic review. Ain-Shams J Anaesthesiol 2021;13(1). DOI:

Hossain N, Tayab S, Mahmood T. Spinal anaesthesia for caesarean section. J Surg Pak 2002; 7:19-21.

Ghaffar WB, Minai F. Anticipated vs. experienced pain at site of spinal needle insertion in patients undergoing elective lower segment caesarean section: Perspective from resource-limited region. Anesthesiology Research and Practice 2023 Jun 20;2023:17. DOI:

Sobot Novakovic S, Cuk S, Svraka D, Milosevic D. Patient satisfaction with general anesthesia compared to spinal anesthesia for cesarean section: A multicenter observational study. Cureus 2023 Jul 29;15(7) DOI:

Sadeghi M, Bayat R, Azimaraghi O, Saliminia A. Maternal satisfaction of spinal anesthesia for elective cesarean section in an academic hospital. Annals of Anesthesiology and Critical Care 2017 Jun 3;2(2). DOI:

Ayyadhah Alanazi A. Reducing anxiety in preoperative patients: a systematic review. Br J Nurs. 2014 Apr 10-23;23(7):387-93. DOI:

Adegboye MB, Kolawole IK, Adegboye KA, Oyewopo CI, Oladosu OO. Maternal satisfaction towards spinal anaesthesia for caesarean section. Egyptian Journal of Anaesthesia 2022 Apr 25;38(1):236-41. DOI:

Weibel S, Rücker G, Eberhart LH, Pace NL, Hartl HM, Jordan OL, et al. Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: A network meta-analysis. Cochrane Database of Systematic Reviews 2020 Oct 19;2020(11). DOI:

Farman M, Masood M, Zia L, Khan M, Ateeq M, Farooqi Z. A cross sectional study on the magnitude and associated factors of intraoperative shivering after caesarean delivery under spinal anesthesia. J Popl Ther Clin Pharmacol 2023 Dec 23;30(19):1123-31. DOI:

Ikram M, Mahboob S, Zaineb S. Incidence and factors for maternal satisfaction after caesarean section: a cross-sectional study: a cross-sectional study. PAFMJ 2020.15;70(6):1717-22. DOI:

Dharmalingam TK, Ahmad Zainuddin NA. Survey on maternal satisfaction in receiving spinal anaesthesia for caesarean section. Malays J Med Sci 2013 May;20(3):51-4. PMID:23966825

Idris IM, Weldegiorgis GG, Tesfamariam EH. Maternal Satisfaction and Its Associated Factors towards Spinal Anesthesia for Caesarean Section: A Cross-Sectional Study in Two Eritrean Hospitals. Anesthesiol Res Pract 2020 Mar 21;2020:5025.309. DOI:

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How to Cite

Nazish Hayat, Syed W, Zeb L, Yousafzai S. Maternal Experience of Spinal Anesthesia for Cesarian Section, A Cross-Sectional Study. J Saidu Med Coll Swat [Internet]. 2024 Apr. 21 [cited 2024 Jul. 12];14(2):115-9. Available from: