Case reports

Patients’ preference for general or regional anaesthesia for caesarean deliveries at a district hospital, Free State

Jurgen Hanekom, Ruben Hattingh, Wouter Nel, Krisjan Thirion, Carel Willemse, Gina Joubert, Cecil Boltman, Johan Botes

Abstract


Background. Informing patients of the different anaesthesia options available, allows patients to share in the decision making.

Objectives. To determine caesarean delivery patients’ preference for general or regional anaesthesia at a district hospital in Bloemfontein, and whether the patients were informed by their doctors regarding their anaesthesia options.

Methods. Patients were included using consecutive sampling. Patients were ≥18 years, and had caesarean delivery that could be done under general or regional anaesthesia. A questionnaire was completed during formal interviews.

Results. Of the 50 patients interviewed, 30 (60.0%) preferred regional anaesthesia. For their current delivery, 58.0% stated that they were informed regarding the anaesthesia opinions available.

Conclusion. At a district hospital, the majority of the patients who underwent a caesarean delivery preferred regional anaesthesia. Nearly half reported that they had not been informed about their options for anaesthesia. Most patients indicated a reliance on the doctor’s opinion about the anaesthesia choice.


Authors' affiliations

Jurgen Hanekom, Department of Family Medicine, Faculty of Health Sciences, University of the Free State

Ruben Hattingh, Department of Family Medicine, Faculty of Health Sciences, University of the Free State

Wouter Nel, Department of Family Medicine, Faculty of Health Sciences, University of the Free State

Krisjan Thirion, Department of Family Medicine, Faculty of Health Sciences, University of the Free State

Carel Willemse, Department of Family Medicine, Faculty of Health Sciences, University of the Free State

Gina Joubert, Department of Biostatistics, Faculty of Health Sciences, University of the Free State

Cecil Boltman, University of the Free State, Faculty of Health Sciences, Department of Family Medicine

Johan Botes, Department of Family Medicine, Faculty of Health Sciences, University of the Free State

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Keywords

general anaesthesia; regional anaesthesia; caesarean delivery; patient preferences; communication

Cite this article

South African Journal of Obstetrics and Gynaecology 2019;25(2):. DOI:10.7196/sajog.1444

Article History

Date submitted: 2019-01-21
Date published: 2019-11-06

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