Abstract:
Abstract
Introduction: Post-Dural puncture headache is a major complication of neuraxial anesthesia
that can occur following spinal anesthesia and with inadvertent dural puncture during
epidural anesthesia. It is, postural, and frontal and relieved when the patient is supine position
and aggravate during standing, sitting, coughing.
Objective: The objective of this study was to determine the incidence and associated factors
of post Dural puncture headache after cesarean section under spinal anesthesia at University
of Gondar Comprehensive and Specialized Hospital.
Methods: An institution based cross sectional study was conducted from March 01 to May
29, 2019 at University of Gondar Comprehensive and Specialized Hospital, Ethiopia. A total
of 384 willing patients were included in the study after obtaining ethical approval from
college ethical committee. Data was entered and analyzed using Statistical Package for Social
Sciences (SPSS) window version 20.Descriptive statistics, cross-tabs and binary logistic
regression analysis were performed to identify the association between post dural puncture
headache and independent variables. The strength of the association was presented using
AOR with 95% confidence interval and p-value<0.05 was considered as statistically
significant.
Results: The incidence of post dural puncture headache was 31.3% (95% CI: 26.2, 36.2) with
response rate of 92.5%.In this study body mass index, Size of spinal needle, number of
attempt and educational status anesthetists were significantly associated with post dural
puncture headache.
Conclusion and recommendations: Based on the results of the current study non-obese
patients, big spinal needles, repeated number of attempts and educational status of
anesthetists were the independent associated risk factors for post dural puncture headache.
We recommend that avoiding use of big spinal needles, avoiding repeated attempts and
giving spinal anesthesia by qualified anesthetists’ could minimize the incidence of post dural
headache.
