Abstract:
Background. Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a
subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular
evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and
expansion of high-quality care services. We aimed to assess maternal satisfaction and associated factors among parturients
who underwent cesarean delivery under spinal anesthesia. Methods. Institutional-based cross-sectional study was conducted
from February to May 2019. A total of 383 parturients were enrolled to assess maternal satisfaction using a 5-point Likert
scale. Both bivariable and multivariable logistic regression analyses were done. Variables of p value ≤0.2 in the bivariable
analysis were a candidate for multivariable logistic regression. A p value <0.05 was considered as significantly associated
with maternal satisfaction at 95% CI. Results. )is study revealed that 315 (82.3%) of the parturients were satisfied. Single
spinal prick attempts (AOR � 2.08, 95% CI � 1.05–4.11), successful spinal block (AOR � 7.17, 95% CI � 3.33–15.43), less
incidence of postdural puncture headache (AOR � 2.36, 95% CI � 1.33–4.20), and prophylactic antiemetic use (AOR � 0.35,
95% CI � 0.19–0.66) were positively associated with maternal satisfaction. Conclusions. )e overall maternal satisfaction
receiving spinal anesthesia was considerably low. Single spinal prink attempts, successful spinal block, and less incidence of
postural puncture headache can increase maternal satisfaction. )erefore, effective perioperative management, skillful
techniques, and using the small-gauge Quincke spinal needle (25–27 gauge) may increase the maternal satisfaction and
quality of spinal anesthesia management
