Cargando…

Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019

INTRODUCTION AND OBJECTIVE: Postdural puncture headache is one of the most frequent late complications of spinal anesthesia. There are different factors that might predispose for postdural puncture headache. Therefore, the main aim of this study was to assess the incidence of postdural puncture head...

Descripción completa

Detalles Bibliográficos
Autores principales: Demilew, Basazinew Chekol, Tesfaw, Aragaw, Tefera, Alemitu, Getnet, Bekalu, Essa, Keder, Aemero, Agazhe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8524678/
https://www.ncbi.nlm.nih.gov/pubmed/34676076
http://dx.doi.org/10.1177/20503121211051926
_version_ 1784585526872899584
author Demilew, Basazinew Chekol
Tesfaw, Aragaw
Tefera, Alemitu
Getnet, Bekalu
Essa, Keder
Aemero, Agazhe
author_facet Demilew, Basazinew Chekol
Tesfaw, Aragaw
Tefera, Alemitu
Getnet, Bekalu
Essa, Keder
Aemero, Agazhe
author_sort Demilew, Basazinew Chekol
collection PubMed
description INTRODUCTION AND OBJECTIVE: Postdural puncture headache is one of the most frequent late complications of spinal anesthesia. There are different factors that might predispose for postdural puncture headache. Therefore, the main aim of this study was to assess the incidence of postdural puncture headache and its associated factors for parturients who gave birth by cesarean section under spinal anesthesia. METHODS: Hospital-based longitudinal study was conducted on mothers who underwent cesarean section with spinal anesthesia. Descriptive analysis and chi-square test were employed. Bivariable and multivariable logistic regression were used to measure the association of factors with the presence of postdural puncture headache. A p-value of ⩽0.05 was used to decide statistical significance for multivariable logistic regression. RESULT: A total of 119 parturients were participated in this study. The incidence of postdural puncture headache was 20.2%. According to multivariable logistic regression, having previous spinal anesthesia (adjusted odds ratio = 7.028; 95% confidence interval = 2.377–20.781; p = 0.0001), using 20- and 22-gauge needle (adjusted odds ratio = 4.206; 95% confidence interval = 1.247–14.187; p = 0.021), and repeated attempt (adjusted odds ratio = 4.699; 95% confidence interval = 1.594–13.872; p = 0.05) had statistically significant association with postdural puncture headache. CONCLUSION: Larger gauge needle size, repeated attempt, and previous spinal anesthesia might increase the incidence of postdural puncture headache.
format Online
Article
Text
id pubmed-8524678
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-85246782021-10-20 Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019 Demilew, Basazinew Chekol Tesfaw, Aragaw Tefera, Alemitu Getnet, Bekalu Essa, Keder Aemero, Agazhe SAGE Open Med Original Research Article INTRODUCTION AND OBJECTIVE: Postdural puncture headache is one of the most frequent late complications of spinal anesthesia. There are different factors that might predispose for postdural puncture headache. Therefore, the main aim of this study was to assess the incidence of postdural puncture headache and its associated factors for parturients who gave birth by cesarean section under spinal anesthesia. METHODS: Hospital-based longitudinal study was conducted on mothers who underwent cesarean section with spinal anesthesia. Descriptive analysis and chi-square test were employed. Bivariable and multivariable logistic regression were used to measure the association of factors with the presence of postdural puncture headache. A p-value of ⩽0.05 was used to decide statistical significance for multivariable logistic regression. RESULT: A total of 119 parturients were participated in this study. The incidence of postdural puncture headache was 20.2%. According to multivariable logistic regression, having previous spinal anesthesia (adjusted odds ratio = 7.028; 95% confidence interval = 2.377–20.781; p = 0.0001), using 20- and 22-gauge needle (adjusted odds ratio = 4.206; 95% confidence interval = 1.247–14.187; p = 0.021), and repeated attempt (adjusted odds ratio = 4.699; 95% confidence interval = 1.594–13.872; p = 0.05) had statistically significant association with postdural puncture headache. CONCLUSION: Larger gauge needle size, repeated attempt, and previous spinal anesthesia might increase the incidence of postdural puncture headache. SAGE Publications 2021-10-13 /pmc/articles/PMC8524678/ /pubmed/34676076 http://dx.doi.org/10.1177/20503121211051926 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page(https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Demilew, Basazinew Chekol
Tesfaw, Aragaw
Tefera, Alemitu
Getnet, Bekalu
Essa, Keder
Aemero, Agazhe
Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019
title Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019
title_full Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019
title_fullStr Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019
title_full_unstemmed Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019
title_short Incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at Debre Tabor General Hospital, Ethiopia; 2019
title_sort incidence and associated factors of postdural puncture headache for parturients who underwent cesarean section with spinal anesthesia at debre tabor general hospital, ethiopia; 2019
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8524678/
https://www.ncbi.nlm.nih.gov/pubmed/34676076
http://dx.doi.org/10.1177/20503121211051926
work_keys_str_mv AT demilewbasazinewchekol incidenceandassociatedfactorsofpostduralpunctureheadacheforparturientswhounderwentcesareansectionwithspinalanesthesiaatdebretaborgeneralhospitalethiopia2019
AT tesfawaragaw incidenceandassociatedfactorsofpostduralpunctureheadacheforparturientswhounderwentcesareansectionwithspinalanesthesiaatdebretaborgeneralhospitalethiopia2019
AT teferaalemitu incidenceandassociatedfactorsofpostduralpunctureheadacheforparturientswhounderwentcesareansectionwithspinalanesthesiaatdebretaborgeneralhospitalethiopia2019
AT getnetbekalu incidenceandassociatedfactorsofpostduralpunctureheadacheforparturientswhounderwentcesareansectionwithspinalanesthesiaatdebretaborgeneralhospitalethiopia2019
AT essakeder incidenceandassociatedfactorsofpostduralpunctureheadacheforparturientswhounderwentcesareansectionwithspinalanesthesiaatdebretaborgeneralhospitalethiopia2019
AT aemeroagazhe incidenceandassociatedfactorsofpostduralpunctureheadacheforparturientswhounderwentcesareansectionwithspinalanesthesiaatdebretaborgeneralhospitalethiopia2019