Abstract

Objective: This study aimed to assess women’s knowledge, perceptions, and barriers regarding spinal anesthesia for cesarean delivery in the western region of Saudi Arabia.
Methods: A cross-sectional study was conducted among 460 women in the western region of Saudi Arabia using a structured self-administered questionnaire. Data regarding sociodemographic characteristics, obstetric history, knowledge, and perceptions toward spinal anesthesia were collected.
Results: Among 460 participants, 436 (94.8%) were Saudi nationals, and 302 (65.7%) were married. High knowledge regarding spinal anesthesia was observed in 55% of participants, while 35% demonstrated moderate knowledge. Most participants correctly identified the injection site in the lower back (344, 74.8%) and recognized that mothers remain conscious during surgery (410, 89.1%). However, only 42 (9.1%) correctly identified bleeding disorders as a contraindication. Misconceptions regarding paralysis (214, 46.5%), chronic headaches (248, 53.9%), and painful injections (225, 48.9%) were common. High knowledge was significantly associated with age (p < 0.001), educational level (p = 0.010), previous cesarean sections (CSs) (p = 0.038), and monthly income (p = 0.044). Logistic regression identified previous CSs (aOR [adjusted odds ratio] = 1.688, p = 0.002) and preference for spinal anesthesia (aOR = 2.098, p = 0.001) as significant predictors of high knowledge.
Conclusion: Women demonstrated generally acceptable knowledge regarding spinal anesthesia; however, several misconceptions and fears persisted. Improved antenatal counseling and educational interventions are necessary to enhance awareness and reduce anxiety regarding spinal anesthesia for cesarean delivery.

Key words: Spinal anesthesia, cesarean delivery, knowledge, perception, Saudi Arabia