Relationship Between Optional General and Regional Anesthesia Applied to Patients Undergoing Cesarean Section and Sleep Quality

Abstract

Objective: This study aimed to explore the association between anesthesia type (spinal or general) administered during cesarean section and subsequent sleep quality in women. Methods: This study conducted from April to August 2023, it involved 150 pregnant participants evenly split between spinal and general anesthesia groups. Patient categorization was based on the type of anesthesia received. Data collection utilized a combination of a Demographic Information and Postpartum Period Survey form, along with the Postpartum Sleep Quality Scale (PSQS). Demographic and clinical details were gathered and compared between the two anesthesia groups. Results: Indicated a higher level of education among the spinal anesthesia group (p < .01). Significant differences were also observed between the groups concerning economic status and number of deliveries (p < .01 and p = .01, respectively). Interestingly, patients who underwent general anesthesia exhibited a notably higher total sleep score, demonstrating a statistically significant difference (p < .01). Weak but statistically significant positive correlations were found between age and number of deliveries, while a weak negative correlation was noted for economic status. Conclusion: Our results indicated that age and general anesthesia were the independent risk factors affecting postpartum sleep quality. Given the increasing trend of women giving birth at alate age, health professionals, particularly midwives, need to be aware of the increased risk of poor sleep quality and should provide suitable advice.

Keywords

• cesarean section
• general anesthesia
• spinal anesthesia
• postpartum
• sezaryen doğum
• genel anestezi
• spinal anestezi
• postpartum