Impact of Structured Preoperative Counseling on Anaesthesia Preference in Elective Cesarean Delivery: A Prospective Study
- 1Niğde Ömer Halisdemir University Faculty of Medicine, Department of Anaesthesiology and Reanimation, Niğde, Türkiye
- 2Maltepe Ersoy Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Türkiye
- 3Kurtköy Ersoy Hospital, Clinic of Obstetrics and Gynecology, İstanbul, Türkiye
Abstract
Objective: To assess changes in anaesthesia preference before and after structured preoperative counseling and to identify factors associated with anaesthesia preference among women scheduled for elective cesarean delivery.
Methods: This prospective, single-center, single-arm, pre-post observational study included 200 pregnant women classified as the American Society of Anesthesiologists physical status II. Data were collected using a structured questionnaire assessing demographic characteristics, obstetric history, previous anaesthesia experience, level of knowledge, and anaesthesia preference, both before and after counseling. Statistical analyses were performed using SPSS version 22.0, and a P value < 0.05 was considered statistically significant.
Results: At baseline, 53% of patients preferred spinal anaesthesia and 47% preferred general anaesthesia. Following counseling, the preference for spinal anaesthesia increased to 88.5% (P < 0.001). Increasing age was associated with a decreased likelihood of choosing spinal anaesthesia [odds ratio (OR)=0.94, 95% confidence interval (CI): 0.89-0.99], whereas higher education (OR=1.78, 95% CI: 1.05-3.02), prior knowledge (OR=1.65, 95% CI: 1.02-2.68), and previous spinal anaesthesia experience (OR=2.95, 95% CI: 1.65-5.28) were identified as independent predictors of spinal anaesthesia preference. No significant association was found between smoking and anaesthesia preference, or between comorbidities and anaesthesia preference. The postoperative satisfaction rate with the anaesthesia was 91.5%.
Conclusion: Following structured preoperative counseling, the preference for neuraxial anaesthesia increased among women scheduled for elective cesarean delivery. These findings suggest that standardized patient education may be a useful component of preoperative anaesthesia assessment.
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BibTeX
@article{kılbasanlı2026impact,
title = {{Impact of Structured Preoperative Counseling on Anaesthesia Preference in Elective Cesarean Delivery: A Prospective Study}},
author = {Seval Kılbasanlı and Osman Aydın and Bülent Çakmak},
journal = {Turkish Journal of Anaesthesiology and Reanimation},
year = {2026},
month = oct,
doi = {10.4274/tjar.2026.262616},
url = {https://doi.org/10.4274/tjar.2026.262616},
note = {CC BY 4.0},
}
RIS
TY - JOUR
TI - Impact of Structured Preoperative Counseling on Anaesthesia Preference in Elective Cesarean Delivery: A Prospective Study
AU - Seval Kılbasanlı
AU - Osman Aydın
AU - Bülent Çakmak
PY - 2026
DA - 2026/10/01
JO - Turkish Journal of Anaesthesiology and Reanimation
DO - 10.4274/tjar.2026.262616
UR - https://doi.org/10.4274/tjar.2026.262616
AB - Objective: To assess changes in anaesthesia preference before and after structured preoperative counseling and to identify factors associated with anaesthesia preference among women scheduled for elective cesarean delivery. Methods: This prospective, single-center, single-arm, pre-post observational study included 200 pregnant women classified as the American Society of Anesthesiologists physical status II. Data were collected using a structured questionnaire assessing demographic characteristics, obstetric history, previous anaesthesia experience, level of knowledge, and anaesthesia preference, both before and after counseling. Statistical analyses were performed using SPSS version 22.0, and a P value < 0.05 was considered statistically significant. Results: At baseline, 53% of patients preferred spinal anaesthesia and 47% preferred general anaesthesia. Following counseling, the preference for spinal anaesthesia increased to 88.5% (P < 0.001). Increasing age was associated with a decreased likelihood of choosing spinal anaesthesia [odds ratio (OR)=0.94, 95% confidence interval (CI): 0.89-0.99], whereas higher education (OR=1.78, 95% CI: 1.05-3.02), prior knowledge (OR=1.65, 95% CI: 1.02-2.68), and previous spinal anaesthesia experience (OR=2.95, 95% CI: 1.65-5.28) were identified as independent predictors of spinal anaesthesia preference. No significant association was found between smoking and anaesthesia preference, or between comorbidities and anaesthesia preference. The postoperative satisfaction rate with the anaesthesia was 91.5%. Conclusion: Following structured preoperative counseling, the preference for neuraxial anaesthesia increased among women scheduled for elective cesarean delivery. These findings suggest that standardized patient education may be a useful component of preoperative anaesthesia assessment.
SN - 2667-677X
SN - 2667-6370
ER -