Evaluating Incidence and Risk Factors of Post-Dural Puncture Headache in Caesarean Sections under Spinal Anaesthesia in a Tertiary Hospital, Somalia.
Background: Post-Dural Puncture Headache (PDPH) is a common complication following spinal anaesthesia, due to the penetration of the dura mater and cerebrospinal fluid leakage. This study aims to evaluate the incidence and risk factors associated with PDPH in patients undergoing caesarean section un...
| Published in: | International Medical Journal Vol. 32; no. 3; pp. 143 - 148 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Japan International Cultural Exchange Foundation
Sep2025
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=188230687&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 188230687 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13412051 23J1 jtl: International Medical Journal issn: 13412051 maglogo: N pubinfo: dt: Sep2025 vid: 32 iid: 3 pid: 29386 pub: Japan International Cultural Exchange Foundation artinfo: ui: 188230687 188230687 188230687 188230687 ppf: 143 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Evaluating Incidence and Risk Factors of Post-Dural Puncture Headache in Caesarean Sections under Spinal Anaesthesia in a Tertiary Hospital, Somalia. aug: au: Hashi, Abdullahi Said Deligöz, Özlem Ali, Mohamud Eyow Bashir, Ahmed Muhammad Ahmed, Mohammed A. M. affil: Department of Anaesthesiology and Reanimation, Mogadishu Somali-T kiye Training and Research Hospital, Mogadishu, Somalia sug: subj: Cesarean Section Anesthesia, Spinal Adverse Effects Tertiary Health Care Somalia Headache, Secondary Risk Factors Headache, Secondary Epidemiology Spinal Puncture Adverse Effects Risk Assessment Preoperative Care Human Somalia Pregnancy Female Prospective Studies Cross Sectional Studies Logistic Regression Odds Ratio Descriptive Statistics Confidence Intervals Needles Data Analysis Software Fisher's Exact Test Bivariate Statistics Visual Analog Scaling Adolescence Adult Adolescent: 13-18 years Adult: 19-44 years Female ab: Background: Post-Dural Puncture Headache (PDPH) is a common complication following spinal anaesthesia, due to the penetration of the dura mater and cerebrospinal fluid leakage. This study aims to evaluate the incidence and risk factors associated with PDPH in patients undergoing caesarean section under spinal anaesthesia in a tertiary hospital in Somalia. Methods: A prospective cross-sectional study was conducted among 270 pregnant women undergoing cesarean sections under spinal anaesthesia between April 2020 and February 2021. Data were analyzed using STATA 16. Logistic regression was used to identify factors associated with PDPH, and results were reported as odds ratios (OR) with 95% confidence intervals (CI). Results: The incidence of PDPH was 46.3% (n = 125). The use of a 26-gauge needle significantly reduced the likelihood of PDPH compared to larger needles (Adjusted OR: 0.3, 95% CI: 0.12-0.74, p = 0.009). Multiple puncture attempts were also associated with an increased risk of PDPH (p = 0.026). Conclusion: The incidence of PDPH in this population is significantly higher than global averages. Needle size and multiple puncture attempts were found to be the primary risk factors. We recommend the use of smaller needles and minimizing repeated punctures to reduce the incidence of PDPH in this setting. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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