PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA
Background: Spinal anaesthesia is now a popular choice for Caesarean sections in Africa but one of the draw-back is the development of post-dural puncture headache (PDPH) and it could be quite distressing to a mother. Identifying risk factors and reducing the prevalence is pertinent. This study soug...
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| Format: | Article |
| Language: | English |
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Ntec Specialist
2017-01-01
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| Series: | Kanem Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://kjmsmedicaljournal.com/wp-content/uploads/2019/09/7_Samuel-IN_KJMSvol11no1.pdf |
| _version_ | 1798034104020631552 |
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| author | Samuel I Nuhu Henry Y Embu Iornum Shambe |
| author_facet | Samuel I Nuhu Henry Y Embu Iornum Shambe |
| author_sort | Samuel I Nuhu |
| collection | DOAJ |
| description | Background: Spinal anaesthesia is now a popular choice for Caesarean sections in Africa but one of the draw-back is the development of post-dural puncture headache (PDPH) and it could be quite distressing to a mother. Identifying risk factors and reducing the prevalence is pertinent. This study sought to determine the prevalence of PDPH among patients who underwent Caesarean sections in a tertiary hospital in Jos, Plateau State, Nigeria and some of its possible associated factors. Method: It was a prospective study of all Caesarean sections done under spinal anaesthesia between November 2016 and June 2017. Spinal anaesthesia was performed on 236 parturients using Quincke-type needles sizes 23-26G. In the postoperative period, all the patients were followed-up to determine the incidence, onset, and severity of post-dural puncture headache. Epi-info version 7 was used for data analysis. Results: The prevalence of PDPH was 22.03%. Most of the parturients who developed PDPH in our study were of mild to moderate intensity using the numeric rating scale. Twenty six (11%) had mild, while 11 (4.7%) had moderate intensity of headache and which was resolved with treatment. Conclusion: The prevalence of PDPH is high in the obstetric population especially with the use of traumatic Quincke-type needles. Deliberate efforts must be made to reduce its occurrence by acquiring of small calibre pencil-point needles and training staff on how to use it |
| first_indexed | 2024-04-11T20:38:45Z |
| format | Article |
| id | doaj.art-4512f5a23a404737a64189625c42888a |
| institution | Directory Open Access Journal |
| issn | 2006-4772 2714-2426 |
| language | English |
| last_indexed | 2024-04-11T20:38:45Z |
| publishDate | 2017-01-01 |
| publisher | Ntec Specialist |
| record_format | Article |
| series | Kanem Journal of Medical Sciences |
| spelling | doaj.art-4512f5a23a404737a64189625c42888a2022-12-22T04:04:16ZengNtec SpecialistKanem Journal of Medical Sciences2006-47722714-24262017-01-01111475220171PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIASamuel I Nuhu0Henry Y Embu1Iornum Shambe2Department of Anaesthesia, Jos University Teaching Hospital, Jos, NigeriaDepartment of Anaesthesia, Jos University Teaching Hospital, Jos, NigeriaDepartment of Obstetrics and Gynaecology, Jos University Teaching Hospital, Jos, NigeriaBackground: Spinal anaesthesia is now a popular choice for Caesarean sections in Africa but one of the draw-back is the development of post-dural puncture headache (PDPH) and it could be quite distressing to a mother. Identifying risk factors and reducing the prevalence is pertinent. This study sought to determine the prevalence of PDPH among patients who underwent Caesarean sections in a tertiary hospital in Jos, Plateau State, Nigeria and some of its possible associated factors. Method: It was a prospective study of all Caesarean sections done under spinal anaesthesia between November 2016 and June 2017. Spinal anaesthesia was performed on 236 parturients using Quincke-type needles sizes 23-26G. In the postoperative period, all the patients were followed-up to determine the incidence, onset, and severity of post-dural puncture headache. Epi-info version 7 was used for data analysis. Results: The prevalence of PDPH was 22.03%. Most of the parturients who developed PDPH in our study were of mild to moderate intensity using the numeric rating scale. Twenty six (11%) had mild, while 11 (4.7%) had moderate intensity of headache and which was resolved with treatment. Conclusion: The prevalence of PDPH is high in the obstetric population especially with the use of traumatic Quincke-type needles. Deliberate efforts must be made to reduce its occurrence by acquiring of small calibre pencil-point needles and training staff on how to use ithttps://kjmsmedicaljournal.com/wp-content/uploads/2019/09/7_Samuel-IN_KJMSvol11no1.pdfcaesarean sectionpost-dural puncture headachesubarachnoid blockprivate practitioners |
| spellingShingle | Samuel I Nuhu Henry Y Embu Iornum Shambe PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA Kanem Journal of Medical Sciences caesarean section post-dural puncture headache subarachnoid block private practitioners |
| title | PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA |
| title_full | PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA |
| title_fullStr | PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA |
| title_full_unstemmed | PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA |
| title_short | PREVALENCE OF POSTDURAL PUNCTURE HEADACHE AMONG CAESAREAN SECTION PATIENTS IN NORTH CENTRAL NIGERIA |
| title_sort | prevalence of postdural puncture headache among caesarean section patients in north central nigeria |
| topic | caesarean section post-dural puncture headache subarachnoid block private practitioners |
| url | https://kjmsmedicaljournal.com/wp-content/uploads/2019/09/7_Samuel-IN_KJMSvol11no1.pdf |
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