Background: Caesarean sections (CS) are common in obstetrics, with spinal anaesthesia preferred for its quick onset, reliability, and safety. Anxiety can hinder spinal anaesthesia acceptance. Involving a family member (mother, sister, husband) during administration could improve acceptance.

Methods: The observational study at (Beni-Suef University Hospital) received approval from the local research and ethical committee with (IRB number): FMBSUREC/04102020/ Bahr and clinical trial.gov registration number: NCT04614220. Statistical analysis performed by SPSS desktop version 24 involved Shapiro-Wilk Test to test the normality, Mann-Whitney U-test for abnormal distribution, and binominal logistic regression for decision change. The patient evaluation included medical history to ensure appropriate selection. The surgeon and anaesthetist discussed exclusion criteria, anaesthesia options, and acceptance rates with patients. Spinal anaesthesia acceptance during CS and anxiety levels (measured by VAS) were recorded.

Results: In this study, 110 women candidates for CS were included. The median (Inter-quartile range) age was 27 (8) years, with a median Body Mass Index (BMI) of 26 (6). Among those supported by family members, spinal anaesthesia 2nd decision was associated with lower Anxiety (5.5 ± 1.3 vs. 7.1 ± 1.4, p=0.001) and higher satisfaction (7.7 ± 1.2 vs. 6.7 ± 1.3, p=0.015) compared with those insisted on general anaesthesia. Besides, we found that with every point increase in the VAS anxiety score, there was a 64.4% (OR=0.356, 95% CI; 0.181–0.7, p=0.003) decrease in the possibility of decision change. Our study aimed to investigate the impact of involving family members during spinal anaesthesia for caesarean sections on patients' acceptance rates, anxiety levels, and satisfaction.

Conclusion: Our study highlights the pivotal role of family support in increasing the acceptance rate of spinal anaesthesia during caesarean sections.