Frequency of Postdural Puncture Headache after Spinal Anesthesia In Caesarean Section at Hayatabad Medical Complex, Peshawar.

Abstract

Background is missing

Aims: The main aim of this study is to measure the frequency of PDPH in obstetric patients undergoing caesarean section under spinal anesthesia with 27G spinal needle

Material and Methods.

A prospective observational study was conducted at Hayatabad Medical Complex, Peshawar. For this purpose a total of 184 patients were selected.

Results:

184 patients were studied. All of them were females, all of them ie. 184 (100.0%) were given spinal anesthesia with 27 gauge needle. PDPH developed in only 8 (4.34%) patients who were given spinal anesthesia with 27 gauge needle. Out of 8 patients that were given spinal anesthesia with 27 gauge needle only1 (4.34%) patient was feeling occipital headache after 48-72 hours of spinal anesthesia.

Conclusion:

In our study, we observed that the frequency of PDPH increased with increasing patient age and weight. The main cause of PDPH is the size of the dural perforation. Caution should always be taken, such as a smaller needle size, the shape of the needle and the direction of the needle bevel relative to the hard fibers to reduce PDPH. In general, we conclude that 27G needles have a clear advantage in terms of PDPH frequency during spinal anesthesia