Background: Following a caesarean section performed under spinal anaesthesia, a common complication is post-dural puncture headache (PDPH). Spinal anaesthesia has become the most common anaesthetic procedure during caesarean section in our practice. Therefore, knowing the prevalence and risk factors of PDPH will inform practice and add value in our obstetrics practice. Methodology: A cross-sectional study was conducted at Edward Francis Small Teaching Hospital from July to. September 2023. A structured data collection tool was used to collect data. The data was entered into a computer database and analyzed using the SPSS version 26. Pain was graded using a 10-cm visual analogue scale. Results were expressed in simple descriptive statistics and test of significance was set at p-value 0.05. Results: The overall prevalence of Post Dural Puncture Headache (PDPH) was 42.7% with majority of cases presenting with Occipital headache (29.2%), lasting for >3hrs (18%). A statistically significant association between PDPH and Gestational age with p-value (p=0.02); number of attempts with p-value (p=0.01); larger needle gauge and number of CSF drops (p=0.01), respectively was observed. Conclusion: Prevalence of PDPH was high and associated with the use of large needle gauges, multiple attempts and increased CSF drops. Patients that underwent emergency CS, have a higher risk of developing Post-Dural Puncture Headache.