Comparison of maternal satisfaction between epidural and spinal anesthesia for elective Cesarean section

• Published in: Canadian journal of anesthesia Vol. 47; no. 10; pp. 956 - 961
• Main Authors: MORGAN, Pamela J, HALPERN, Stephen, LAM-MCCULLOCH, Jenny
• Format: Journal Article
• Language: English
• Published: Toronto, ON Canadian Anesthesiologists' Society 01.10.2000; Springer Nature B.V
• Subjects: Abdominal surgery. Urology. Gynecology. Obstetrics; Adult; Anesthesia; Anesthesia depending on type of surgery; Anesthesia, Epidural; Anesthesia, Obstetrical; Anesthesia, Spinal; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy; Biological and medical sciences; Cesarean Section; Double-Blind Method; Elective Surgical Procedures; Female; Humans; Medical sciences; Patient Satisfaction; Pregnancy; Questionnaires; Surgery; Human; Regional anesthesia; Mother; Surgery; Extradural administration; Satisfaction; Female; Delivery; Intrathecal administration; Cesarean section; Comparative study
• ISSN: 0832-610X; 1496-8975
• DOI: 10.1007/bf03024865

Epidural anesthesia was a commonly used technique for elective Cesarean section. Recently, because of the availability of non-cutting spinal needles, many institutions have changed from epidural to spinal anesthesia. The purpose of this study was to compare maternal satisfaction between epidural and spinal anesthesia for elective Cesarean section with a new satisfaction tool. We studied healthy parturients in a randomized, double-blinded pilot study in which patients were assigned to receive either epidural (n = 13) or spinal (n = 14) anesthesia for elective Cesarean section. Two and 24 hr postoperatively, patients completed a validated 22-point maternal satisfaction questionnaire and a 10-cm visual analog score (VAS) for satisfaction. Maternal satisfaction scores were compared between groups. There was no difference in demographics, complications or technical failures between groups. Mean satisfaction scores on the questionnaire (0-154) at two and 24 hr were 130.23 +/- 11.36 and 129.54 +/- 16.70 for the epidural group and 116.92 +/- 18.47 and 115.92 +/- 15.71 for the spinal group (P = 0.04 and P = 0.03 respectively). No difference in VAS scores was noted. The presence of minor side effects including pruritus contributed to the lower satisfaction in the spinal group at 24 hr. This pilot study demonstrated higher maternal satisfaction with epidural than with spinal anesthesia for elective Cesarean section. This may be related to the increased side effects caused by neuraxial morphine. The satisfaction questionnaire was able to elucidate differences not detected with a global VAS for satisfaction. Further study with a larger patient population is required to confirm these data.