alexa The Rate of Headache after Caesarean Section and the Size of Needle for Spinal Anesthesia: Clinical Trial
ISSN: 2376-0281

International Journal of Neurorehabilitation
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Research Article

The Rate of Headache after Caesarean Section and the Size of Needle for Spinal Anesthesia: Clinical Trial

Maryam Khooshideh1, Ali Shahriari2and Sama Bitarafan3*

1Department of Obstetrics and Gynecology, Arash Hospital, Tehran University of Medical Sciences, Tehran, Iran

2Departement of Anesthesiology, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran

3Iranian Center of Neurological Research, Department of Neurology, Tehran University of Medical Sciences, Tehran, Iran

*Corresponding Author:
Sama Bitarafan
MD and PhD, Iranian Centre of Neurological Research
Department of Neurology, Tehran University of Medical Sciences
Keshavarz Blvd, Tehran, Iran
Tel: +982166948899
Fax: +982166581558
E-mail: [email protected]

Received date: February 23, 2017; Accepted date: February 26, 2017; Published date: February 28, 2017

Citation: Khooshideh M, Shahriari A, Bitarafan S (2017) The Rate of Headache after Caesarean Section and the Size of Needle for Spinal Anesthesia: Clinical Trial. Int J Neurorehabilitation 4:251. doi:10.4172/2376-0281.1000251

Copyright: © 2017 Khooshideh M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Aim: The rate of postdural puncture headache (PDPH) was compared after caesarean section with spinal anesthesia using the 25 gauge spinal needle with the 27 gauge.

Methods: Present study is a randomized clinical trial and 220 full term women entered for caesarean section. We entered full term women randomly for spinal anesthesia with the 25 gauge (group A) and 27 gauge (group B) Quincke spinal needles. In 3 postoperative days, we fallowed and compared Participants in 2 groups for the rate and severity of PDPH. PDPH was defined occipital or frontal headache that made hard the position on sitting or standing.

Results: Data of 220 patients were analyzed. The rate of PDPH was significantly higher in women in group A compared to group B at first (P=0.015), second (P=0.037) and third (P=0.005) follow up days. The severity of the PDPH was not significantly different between 2 groups in three follow up days. The rate of success in spinal anesthesia achievement was not significantly different between 2 groups.

Conclusion: The results of present study recommended that the size of spinal needle can effect on the rate of PDPH after caesarean section.


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