An analysis of postdural puncture headache in obstetric patients: A study from Kano, Nigeria

Mohammed, AD; Ayyuba, R; Salisu, Ibrahim; Nagoma, AU; Owolabi, LF; Ibrahim, A Aziz

doi:10.4103/tjog.tjog_61_16

Cited by 5 publications

(7 citation statements)

References 2 publications

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“…The pooled prevalence of PDPH was 23.47% with 95% CI (10.53, 36.42). 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 ].…”

Section: Discussioncontrasting

confidence: 62%

“…In the current systematic review and meta-analysis, a total of 175, 812 parturients were included from eight studies with a sample size ranging from 146 [ 18 ] to 172,599 [ 19 ]. The prevalence of PDPH among the included studies varied from 1.16% [ 19 ] to 48.8 [ 17 ].…”

Section: Resultsmentioning

confidence: 99%

“…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: 62%

Section: Resultsmentioning

confidence: 99%

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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“…In this study the prevalence of PDPH is 42.7%. Some prospective cohort studies conducted in rural India and Northern Nigeria reported 11.4% and 15.8% incidence of PDPH respectively (5, 6). However, a retrospective cohort study conducted in Jordan reported a lower incidence of PDPH (6.3%) (7).…”

Section: Discussionmentioning

confidence: 99%

“…Regarding prevalence of PDPH there are many studies in this field more so now that spinal anaesthesia has become a predominant anaesthetic procedure for caesarean section in our sub-region. Some prospective cohort studies conducted in rural India (5) and Northern Nigeria (6) reported 11.4% and 15.8% incidence of PDPH respectively. However, a retrospective cohort study conducted in Jordan reported a lower incidence of PDPH (6.3%) (7).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Dural Puncture headache after caesarean section at a Tertiary Hospital in the Gambia

Anyanwu,

Coker,

Simon

2024

Preprint

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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.

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Incidence and associated factors of post dural puncture headache in cesarean section done under spinal anesthesia 2021 institutional based prospective single-armed cohort study

Girma

Margia

Tadesse

et al. 2022

Annals of Medicine &Amp; Surgery

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An analysis of postdural puncture headache in obstetric patients: A study from Kano, Nigeria

Cited by 5 publications

References 2 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

Prevalence of Dural Puncture headache after caesarean section at a Tertiary Hospital in the Gambia

Incidence and associated factors of post dural puncture headache in cesarean section done under spinal anesthesia 2021 institutional based prospective single-armed cohort study

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