The Iranian Journal of Obstetrics, Gynecology and Infertility

The Iranian Journal of Obstetrics, Gynecology and Infertility

The Level of Awareness and Self-Care of Mothers Undergoing Cesarean Section Regarding Post-Spinal Anesthesia

Document Type : Original Article

Authors
Leila Sadati 1
Seyedeh Maryam Seyd 2
Seyedeh Sanaz Mirrahimi 2
Parisa Rezanejad 3
Fatemeh Soltan 2
1 Assistant Professor of Medical Education, Department of Operating Room, School of Paramedical Sciences, Alborz University of Medical Sciences, Alborz, Iran.
2 M.Sc. of Operating Room, Student Research Committee, Faculty of Paramedical Sciences, Alborz University of Medical Sciences, Alborz, Iran.
3 Assistant Professor, Department of Biostatistics and Epidemiology, Non-Communicable Disease Research Center, School of Health, Alborz University of Medical Sciences, Alborz, Iran.
10.22038/ijogi.2025.88448.6452
Abstract
Introduction: Cesarean section (C/S) is one of the most common gynecological surgeries worldwide, primarily performed under spinal anesthesia. Despite its numerous benefits for mothers and newborns, this anesthesia method carries potential complications. Adequate awareness and self-care among mothers can prevent many of these complications. This study was conducted with aim to assess the level of awareness and self-care of mothers undergoing cesarean section regarding post-spinal anesthesia care.
Methods: This descriptive cross-sectional study was conducted in 2024 on 255 mothers undergoing cesarean section with spinal anesthesia at the Kamali Medical-Educational Center in Karaj. Information related to the level of awareness and self-care of patients undergoing cesarean section was assessed using a standardized questionnaire that included demographic questions, awareness and self-care. Data analysis was performed using SPSS statistical software (version 28) and analysis of variance and multiple linear regression tests. P<0.05 was considered significant.
Results: Based on the results, the mean score of patients' awareness was 7.21±5.72 and the mean score of self-care was 14.32±2.40. The participants' awareness was at a poor level, while self-care performance was assessed as relatively good. Also, a positive and significant correlation was observed between awareness and self-care (r=0.395, p<0.001). The results of the regression test showed that three background variables: history of spinal anesthesia, having complications after anesthesia, and level of education were able to predict awareness (p<0.05).
Conclusion: The level of awareness of mothers undergoing cesarean section with spinal anesthesia regarding postoperative care was low and their self-care performance was at a relatively adequate level. Also, a positive and significant relationship was observed between the two variables of awareness and self-care.
Keywords
Awareness
Cesarean Section
Complications
Self-Care
Spinal Anesthesia
Subjects
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The Iranian Journal of Obstetrics, Gynecology and Infertility
Volume 28, Issue 8
October 2025
Pages 41-53