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Noise Perception, Sensitivity, and Patient Outcomes During Cesarean Delivery.

Unyime Ituk1, Erik Anderson2, Michelle N Bremer Gama3

  • 1Department of Anesthesia, University of Iowa, 200 Hawkins Dr, Iowa, Iowa, USA.

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Summary

Operating room noise can cause stress for cesarean delivery patients, especially those sensitive to sound. Interventions may be needed to reduce noise or manage patient perceptions during surgery.

Keywords:
cesarean deliveryneuraxial anesthesianoise perceptionnoise sensitivityoperating room noisepatient stress

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Area of Science:

  • Anesthesiology
  • Healthcare Management
  • Patient Experience

Background:

  • Operating room (OR) noise is a known stressor for healthcare staff.
  • Patient perception of OR noise during cesarean delivery (CD) under neuraxial anesthesia is understudied.
  • Conscious patients undergoing CD may be affected by OR noise levels.

Purpose of the Study:

  • To investigate patient perception of OR noise during CD.
  • To determine if OR noise causes stress in patients undergoing CD.
  • To correlate objective noise levels with patient-reported stress.

Main Methods:

  • Prospective observational study of women undergoing CD.
  • Measured OR noise levels using a sound dosimeter.
  • Administered questionnaires on noise sensitivity, perception, and stress 24 hours post-surgery.

Main Results:

  • Mean OR noise levels were 53.4 and 58.5 dB.
  • 67.8% of patients perceived noise as comfortable; 9.2% found it loud or unpleasant.
  • Significant association found between noise sensitivity and patient-reported stress (OR 1.15, p=0.038).

Conclusions:

  • A subset of cesarean delivery patients experience noise-related stress.
  • Higher noise sensitivity is linked to increased stress during surgery.
  • Interventions to mitigate OR noise or manage patient perception are warranted.