Iranian Journal of Surgery

The Main Complaints of Mothers after Cesarean Surgery with Spinal Anesthesia

Document Type : Original Article

Authors

S Ghazanfar Tehran 1
Z Rafiei Sorouri 2
G Biazar 3
SM Shahabi Ziabari 4
M Tayefeh Ashrafiyeh 5
M Ahmadi 6

1 Assistant Professor, Department of Anesthesiology, Anesthesiology Research Center, Guilan University of Medical Sciences, Alzahra Hospital

2 Assistant Professor, Department of Obstetrics and Gynecology, Faculty of Medicine, Reproductive Health Research Center, Al-Zahra Hospital, Guilan University of Medical Sciences

3 Associate Professor of Anesthesia, Guilan University of Medical Sciences, Anesthesiology Research Center, Al-Zahra Hospital, Rasht, Iran

4 General Medicine Student, Student Research Committee, Faculty of Medicine, Guilan University of Medical Sciences

5 Master of Science in Drug Supervision, Anesthesia Research Center, Guilan University of Medical Sciences, Al-Zahra Hospital

6 Master of Science in Language Education, Anesthesia Research Center, Guilan University of Medical Sciences, Al-Zahra Hospital

Abstract
Introduction & Objective: Assessing maternal satisfaction with spinal anesthesia is important for determining changes that is needed to improve the overall quality of patient care delivery. In this study, the aim of this study was to investigate the main complaints of mothers after cesarean surgery with spinal anesthesia. Materials & Methods: This cross-sectional analytical study was performed on pregnant women undergoing caesarean section with spinal anesthesia in 2022 in Alzahra Hospital, Rasht. First, the purpose and method of the research was explained to the patients and informed consent was obtained. Then a questionnaire containing demographic data and patients complaints of spinal anesthesia was filled out. Results: The results of this study showed that 92 (38.5%) of the total 239 pregnant women mentioned complaints after the anesthesia procedure, while most of them 147 (61.5%) had no complaints. Nausea-vomiting (37.7%), shivering (23.9%) and repeated needling (16.7%) were the most common complaints mentioned by mothers. Based on the results of this study, there was no statistically significant relationship between complaints of spinal anesthesia and the variables of age, education, employment status, place of residency, number of pregnancies, BMI, time of termination of the pregnancy and history of spinal anesthesia (All P < 0.05). Conclusions: Pregnant women who underwent cesarean section with spinal anesthesia in this center, reported limited and preventable complaints from this procedure. The mentioned complications did not lead to lasting and serious injury in mothers and were often controlled with routine therapeutic interventions without adverse consequences.

Keywords

Cesarean Section
Spinal Anesthesia
Postoperative Complaints
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Iranian Journal of Surgery
Volume 31, Autumn
Autumn 2025
Pages 14-24

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