Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran

Background: Spinal Anesthesia (SA) as a safe, reliable, and cost-effective method is widely used for Cesarean Section (CS). However, it is sometimes complicated by Post-Dural Puncture Headache (PDPH). Objectives: We investigated the frequency of PDPH in CS under SA and related risk factors in an ac...

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Autores principales:	Ali Mohammadzadeh Jouryabi, Vali Imantalab, Abbas Sedighinejad, Cyrus Emir Alavi, Gelareh Biazar, Mandana Mansour Ghanaie, Mahin Tayefeh Ashrafiyeh, Faezeh Emami
Formato:	article
Lenguaje:	EN
Publicado:	Guilan University of Medical Sciences 2021
Materias:	esarean section post-dural puncture headache spinal anesthesia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/486c351294b94212b206a01e7ff2b1ee
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spelling	oai:doaj.org-article:486c351294b94212b206a01e7ff2b1ee2021-11-23T12:30:34ZPost-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran10.32598/CJNS.7.27.22423-4818https://doaj.org/article/486c351294b94212b206a01e7ff2b1ee2021-10-01T00:00:00Zhttps://cjns.gums.ac.ir/article-1-466-en.htmlhttps://doaj.org/toc/2423-4818Background: Spinal Anesthesia (SA) as a safe, reliable, and cost-effective method is widely used for Cesarean Section (CS). However, it is sometimes complicated by Post-Dural Puncture Headache (PDPH). Objectives: We investigated the frequency of PDPH in CS under SA and related risk factors in an academic referral hospital in the north of Iran. Materials & Methods: This descriptive cross-sectional prospective study was conducted at Alzahra hospital as an academic referral center affiliated with the Guilan University of Medical Sciences on 147 eligible cases During from May 2019 to October 2019. Then questionnaires containing questions about patients’ demographic data and some PDPH-related factors were filled out via face-to-face interviews. The collected data were analyzed by SPSS v. 21 using Chi-squared and and Fisher’s exact test. Results: The incidence of PDPH was 6.1%. Early ambulation, the number of attempts, and having a history of headache were significantly associated with a higher incidence of PDPH (P=0.001), while body mass index (P=0.106), age (P=0.093), and residents’ experience (P=0.384) had no significant association. None of our cases experienced a severe or persistent headache. Conclusion: The main predisposing factors for PDPH were found to be the history of HA, early ambulation, and the number of dura punctures. Women at risk for PDPH should be objectively screened before CS under SA.Ali Mohammadzadeh JouryabiVali ImantalabAbbas SedighinejadCyrus Emir AlaviGelareh BiazarMandana Mansour GhanaieMahin Tayefeh AshrafiyehFaezeh EmamiGuilan University of Medical Sciencesarticleesarean sectionpost-dural puncture headachespinal anesthesiaNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENCaspian Journal of Neurological Sciences, Vol 7, Iss 4, Pp 202-208 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	esarean section post-dural puncture headache spinal anesthesia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429
spellingShingle	esarean section post-dural puncture headache spinal anesthesia Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Neurology. Diseases of the nervous system RC346-429 Ali Mohammadzadeh Jouryabi Vali Imantalab Abbas Sedighinejad Cyrus Emir Alavi Gelareh Biazar Mandana Mansour Ghanaie Mahin Tayefeh Ashrafiyeh Faezeh Emami Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran
description	Background: Spinal Anesthesia (SA) as a safe, reliable, and cost-effective method is widely used for Cesarean Section (CS). However, it is sometimes complicated by Post-Dural Puncture Headache (PDPH). Objectives: We investigated the frequency of PDPH in CS under SA and related risk factors in an academic referral hospital in the north of Iran. Materials & Methods: This descriptive cross-sectional prospective study was conducted at Alzahra hospital as an academic referral center affiliated with the Guilan University of Medical Sciences on 147 eligible cases During from May 2019 to October 2019. Then questionnaires containing questions about patients’ demographic data and some PDPH-related factors were filled out via face-to-face interviews. The collected data were analyzed by SPSS v. 21 using Chi-squared and and Fisher’s exact test. Results: The incidence of PDPH was 6.1%. Early ambulation, the number of attempts, and having a history of headache were significantly associated with a higher incidence of PDPH (P=0.001), while body mass index (P=0.106), age (P=0.093), and residents’ experience (P=0.384) had no significant association. None of our cases experienced a severe or persistent headache. Conclusion: The main predisposing factors for PDPH were found to be the history of HA, early ambulation, and the number of dura punctures. Women at risk for PDPH should be objectively screened before CS under SA.
format	article
author	Ali Mohammadzadeh Jouryabi Vali Imantalab Abbas Sedighinejad Cyrus Emir Alavi Gelareh Biazar Mandana Mansour Ghanaie Mahin Tayefeh Ashrafiyeh Faezeh Emami
author_facet	Ali Mohammadzadeh Jouryabi Vali Imantalab Abbas Sedighinejad Cyrus Emir Alavi Gelareh Biazar Mandana Mansour Ghanaie Mahin Tayefeh Ashrafiyeh Faezeh Emami
author_sort	Ali Mohammadzadeh Jouryabi
title	Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran
title_short	Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran
title_full	Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran
title_fullStr	Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran
title_full_unstemmed	Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran
title_sort	post-dural puncture headache in cesarean section; frequency and risk factors: a report from the north of iran
publisher	Guilan University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/486c351294b94212b206a01e7ff2b1ee
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Post-dural Puncture Headache in Cesarean Section; Frequency and Risk Factors: A Report From the North of Iran

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