Authors : Mohammad Hossein Ghafari , Ali Movafegh and Nasim Sadri Zadeh
Abstract: Post Dural Puncture Headache (PDPHA) and Low Back Pain (LBP) are possible complications in patients undergoing cesarean section by spinal anesthesia, but yet, headache and LBP may occur in patientsundergoing general anesthesia. In this study, 250 patients were randomized into 2 groups to receive either general anesthesia (Group G, n = 125) or spinal anesthesia using 25 G needle (Group S, n = 125). Patients were asked about the incidence of headache or back pain during 24, 48 h and 30 days (by telephone) post of surgery. The incidence of pain was evaluated by a yes or no survey. Bilateral frontal or occipital pain increased on upright position was considered as a PDPHA. Patients characteristics, perioperative fluid administration, 48 h post operative morphine consumption and the duration of surgery was similar in both groups. There were no significant differences, in the incidence of PDPHA or LBP after 24 h, 48 h and 30 days in groups. Spinal anesthesia using 25 G spinal needle and suitable technique was not associated with increasing risk of PDPHA or persistent LBP after cesarean section in comparison with general anesthesia.
Mohammad Hossein Ghafari , Ali Movafegh and Nasim Sadri Zadeh , 2009. A Comparison of Incidence of the Postdural Puncture Headache and Low Back Pain in the Cesarean Section Patients Undergoing Spinal Anesthesia and General Anesthesia: A Randomized Clinical Trial Study. Research Journal of Biological Sciences, 4: 187-189.