Muhammad Nadeem Muneer, Shoaib Malik, Neel Kumar, Shahab Anwar.
Causes of refusal for regional anaesthesia in obstetrics patients.
Pak J Surg Jan ;32(1):39-43.

Objective: To determine the frequency and causes of refusal for regional anaesthesia in obstetrics patients. Study design: Descriptive Cross-sectional study. Place and duration of study: Th e study was conducted at Department of Anaesthesiology & SICU, Jinnah Postgraduate Medical Centre, Karachi, for six months duration from 20th June, 2015 to 19th December, 2015. Introduction: Regional anaesthesia for caesarean section is considered a safe technique and has gained worldwide popularity. Th e choice of anaesthesia techniques can be expected to diff er between countries and culture and probably this could be the reason of low demand of regional anaesthesia in developing countries. Methods and patients: A total of 159 subjects were included in this study. All pregnant women aged 25 to 40 years with para 1 or more having scheduled for elective Caesarean Section and who have refused regional anaesthesia were enrolled in this study. Th e causes of refusal for regional anaesthesia, level of education, parity and demographics of the women were obtained through interview. Results: Mean age of the patients was 30.49 ±4.80 years. Cause for refusal was needle prick pain in 32 (20.1%), postspinal backache 62 (39%), possible complications like paralysis 14 (8.8%), peri-operative pain 24 (15.1%), and awareness during operation 27 (17%) patients. Conclusion: Postspinal backache and needle prick pain were found to be the most common causes of refusal for regional anaesthesia in obstetrics patients.

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