A randomized study to evaluate post-dural puncture headache after cesarean section: Comparison with median and paramedian approaches

Uluer,; Sargın, Mehmet; AKIN, Fatma; Uluer, Elgin Türköz; Şahin, O.

doi:10.4103/njcp.njcp_100_19

Cited by 10 publications

(7 citation statements)

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“…The pooled prevalence of PDPH in this meta-analysis was higher than studies done in Jordan by Khraise et al, 2017 with a prevalence of 6% [ 16 ], Nigeria by Mohammed et al, 2017 with a prevalence of 15.8% [ 18 ], Japan by Makito et al, 2020 with a prevalence of 1.16% [ 19 ] and turkey by Pirbudak et al, 2019 with a prevalence of 10.8% [ 22 ]. Our result is lower than studies done in Ethiopia by Tarekegn et al, 2017 with a prevalence of 42.6% [ 15 ], in Mulago by Nambooze et al, 2019 with a prevalence of 48.8% [ 17 ], in Cuba by Carrazana et al, 2018 with a prevalence of 33.3% [ 20 ] and in Turkey by Uluer et al, 2019 with a prevalence of 30% [ 21 ]. The discrepancy might be due to the variation in sociodemographic characteristics across studies, clinical setup differences, and study design.…”

Section: Discussioncontrasting

confidence: 75%

“…The prevalence of PDPH among the included studies varied from 1.16% [ 19 ] to 48.8 [ 17 ]. Regarding study design, three studies [ 15 , 19 , 20 ] employed a cross-sectional design; four cohort studies [ [16] , [17] , [18] , 27 ] and two RCT studies [ 21 , 22 ]. Furthermore, concerning the study population, 7 studies [ [28] , [29] , [30] , [31] , [32] , [33] ] were conducted only on parturients [ [15] , [16] , [17] , [18] , 20 , 21 , 27 , 34 ] whereas the remaining two were done on all patients from whose we extracted data of cesarean section [ 19 , 22 ] ( Table 1 ).…”

Section: Resultsmentioning

confidence: 99%

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Prevalence and associated factors of post dural puncture headache among parturients who underwent cesarean section with spinal anesthesia: A systemic review and meta-analysis, 2021

Chekol

Yetneberk

Teshome

2021

Annals of Medicine &Amp; Surgery

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Introduction PDPH is a headache that develops after dural puncture which worsens in an upright position, and improves with lying down. It could affect maternal satisfaction and health care quality. The prevalence and factors of PDPH vary based on different literature and there is no previous meta-analysis done. Methods This study was done by searching studies from databases PubMed/MEDLINE, Google scholar, and google. Data were extracted by three reviewers independently by using Microsoft Excel and then exported to STATA™ 16 version statistical software for analysis. Heterogeneity assessed using the I 2 statistic. With a random model meta-analysis, the pooled prevalence of post-dural puncture headache and its associated factors (POR) with a 95% confidence interval was estimated. Result Eight studies with a total of 175, 652 study participants were included to estimate the pooled prevalence of PDPH following cesarean section under spinal anesthesia. The pooled prevalence of PDPH in this meta-analysis was found to be 23.47% with 95% CI (10.53, 36.42). Having normal BMI, multiple attempts of spinal injection and spinal injection with a needle size of less than or equal to 22 gauge were positively associated with the PDPH with AOR and 95% CI of 1.22 (1.09, 1.35), 3.50 (1.55, 5.44) and 7.36 (4.93, 9.80) respectively. Conclusion The pooled prevalence of PDPH among parturients who gave birth with the cesarean section under spinal anesthesia is estimated to be 23.47%. Having normal BMI, multiple attempts of spinal injection, and spinal injection with a needle size of less than or equal to 22 gauge were positively associated with the PDPH.

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Section: Discussioncontrasting

confidence: 75%

Section: Resultsmentioning

confidence: 99%

Prevalence and associated factors of post dural puncture headache among parturients who underwent cesarean section with spinal anesthesia: A systemic review and meta-analysis, 2021

Chekol

Yetneberk

Teshome

2021

Annals of Medicine &Amp; Surgery

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“…For post-dural puncture headache (PDPH), patients were questioned regarding frontal and occipital region headache on the post-operative day 1 and day 2. PDPH was divided into four stages: No headache (0), mild (1-3), moderate (4-6) and severe (7-9 [4]. Postoperative nausea and vomiting (PONV) was assessed by simply asking the patients 4 hours after the closure.…”

Section: Methodsmentioning

confidence: 99%

“…The PDPH mechanism is unknown, but the standard hypothesis suggests the leakage of cerebrospinal fluid (CSF) from the dural hole. Some variables may lead to PDPH, such as gender, age group, needle size, needle bevel design and direction [4]. Due to its higher success rate, faster onset and high block density spinal anesthesia is widely preferred technique in lower limb surgeries, but it is also associated with some complications, majorly hypotension.…”

Section: Introductionmentioning

confidence: 99%

A Comparison of the Effects of Spinal Anaesthesia between Sitting and Lateral Positions in Patients Undergoing Hysterectomy Surgery

Morje

Debnath

Ahmad

et al. 2021

JPRI

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Aim: The main purpose of this present study is to determine the effects of sitting (S) and lateral (L) position during spinal anaesthesia on patient satisfaction, Post dural puncture headache (PDPH), Post-Operative Nausea and Vomiting (PONV). Study Design: Prospective comparative study Place and Duration of Study: Charusat Healthcare and Research foundation (CHRF), Changa, Gujarat, between September 2021 to November 2021. Methodology: A total of 50 female volunteers who were above the age of 18 years, had an American Society of Anaesthesiologist (ASA) status of I & II and those who have undergone hysterectomy surgery are included in this study. The patients were categorized into two groups, group S (n=25) and group L (n=25). Patients were asked about PONV 4 hours after surgery and the possibility of PDPH on post-operative days 1 and 2. The study was analysed by using descriptive statistics, chi-square and Kruskal-Wallis test. Results: When comparing the incidence of PDPH on post-operative day 1 and day 2, there is a statistically significant difference between the Sitting (group S) and Lateral decubitus (group L) groups (P-value= 0.14 and.001). On the other hand, there is no statistical significant difference found for PONV when compared between both the groups (P- value= .776). Conclusion: Spinal anaesthesia with lateral decubitus position has better outcomes than sitting position for the incidence of Post dural puncture headache. However, there is no difference in both groups for PONV.

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“…According to the diagnostic criteria of “3rd Edition of International Classification of Headache Disorders (ICHD-3 beta)", dural puncture headache onsets within five days after the incident of dural puncture, cerebrospinal fluid (CSF) leakage in imaging studies and a CSF pressure of less than 60 mmH 2 0 are observed, and it cannot be better characterized by another ICHD-3 diagnosis [ 2 ]. Obstetric patients are at higher risk of PDPH than women in their age-matched group [ 3 ]. The multicenter Serious Complication Repository (SCORE) study reported that PDPH developed in 0.7% of obstetric patients who underwent neuraxial anesthesia.…”

Section: Introductionmentioning

confidence: 99%

The effect of postdural puncture headache on pre-existing and new-onset headaches after cesarean section: A retrospective study

Bakır

Rumeli

Özge

et al. 2022

Heliyon

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A randomized study to evaluate post-dural puncture headache after cesarean section: Comparison with median and paramedian approaches

Cited by 10 publications

References 0 publications

Prevalence and associated factors of post dural puncture headache among parturients who underwent cesarean section with spinal anesthesia: A systemic review and meta-analysis, 2021

Prevalence and associated factors of post dural puncture headache among parturients who underwent cesarean section with spinal anesthesia: A systemic review and meta-analysis, 2021

A Comparison of the Effects of Spinal Anaesthesia between Sitting and Lateral Positions in Patients Undergoing Hysterectomy Surgery

The effect of postdural puncture headache on pre-existing and new-onset headaches after cesarean section: A retrospective study

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