The interrelation between body mass index and post-dural puncture headache in parturient women
Background and Aims: Post-dural puncture headache is seen more frequently in pregnant women due to stress, dehydration, intra-abdominal pressure, and insufficient fluid replacement after delivery. Obesity protects against post-dural puncture headache in pregnant women; increased intra-abdominal fat...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2021-01-01
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| Series: | Journal of Anaesthesiology Clinical Pharmacology |
| Subjects: | |
| Online Access: | http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=3;spage=425;epage=429;aulast=Beyaz |
| _version_ | 1818741894971129856 |
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| author | Serbülent Gökhan Beyaz Tolga Ergönenç Aykut Saritaş Fatih Şahin Ali Metin Ülgen Ali Eman Burcu Doğan |
| author_facet | Serbülent Gökhan Beyaz Tolga Ergönenç Aykut Saritaş Fatih Şahin Ali Metin Ülgen Ali Eman Burcu Doğan |
| author_sort | Serbülent Gökhan Beyaz |
| collection | DOAJ |
| description | Background and Aims: Post-dural puncture headache is seen more frequently in pregnant women due to stress, dehydration, intra-abdominal pressure, and insufficient fluid replacement after delivery. Obesity protects against post-dural puncture headache in pregnant women; increased intra-abdominal fat tissue reduced cerebrospinal fluid leakage by increasing the pressure in the epidural space. Therefore, this study investigated the influence of body mass index on post-dural puncture headache in elective cesarean section patients in whom 27G spinal needles were used.
Material and Methods: The study included 464 women who underwent elective cesarean section under spinal anesthesia. Dural puncture performed with a 27G Quincke spinal needle at the L3-4 or L4-5 intervertebral space and given 12.5 mg hyperbaric bupivacaine intrathecally. The patients were questioned regarding headache and low back pain 6, 12, 24, and 48 h after the procedure, and by phone calls on days 3 and 7.
Results: Post-dural puncture headache developed in 38 (8.2%) patients. Of the patients who developed post-dural puncture headache, 23 (60.5%) had a body mass index <30 and 15 (39.5%) had a body mass index ≥30. Of the patients who did not develop post-dural puncture headache, 258 (60, 6%) had a body mass index <30 and 168 (39, 4%) had a body mass index ≥30.
Conclusion: This prospective study found the body mass index values did not affect post-dural puncture headache in the elective cesarean section performed under spinal anesthesia. |
| first_indexed | 2024-12-18T02:03:53Z |
| format | Article |
| id | doaj.art-7a54dc3f78e843a2852f026c6c019add |
| institution | Directory Open Access Journal |
| issn | 0970-9185 |
| language | English |
| last_indexed | 2024-12-18T02:03:53Z |
| publishDate | 2021-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Anaesthesiology Clinical Pharmacology |
| spelling | doaj.art-7a54dc3f78e843a2852f026c6c019add2022-12-21T21:24:40ZengWolters Kluwer Medknow PublicationsJournal of Anaesthesiology Clinical Pharmacology0970-91852021-01-0137342542910.4103/joacp.JOACP_249_19The interrelation between body mass index and post-dural puncture headache in parturient womenSerbülent Gökhan BeyazTolga ErgönençAykut SaritaşFatih ŞahinAli Metin ÜlgenAli EmanBurcu DoğanBackground and Aims: Post-dural puncture headache is seen more frequently in pregnant women due to stress, dehydration, intra-abdominal pressure, and insufficient fluid replacement after delivery. Obesity protects against post-dural puncture headache in pregnant women; increased intra-abdominal fat tissue reduced cerebrospinal fluid leakage by increasing the pressure in the epidural space. Therefore, this study investigated the influence of body mass index on post-dural puncture headache in elective cesarean section patients in whom 27G spinal needles were used. Material and Methods: The study included 464 women who underwent elective cesarean section under spinal anesthesia. Dural puncture performed with a 27G Quincke spinal needle at the L3-4 or L4-5 intervertebral space and given 12.5 mg hyperbaric bupivacaine intrathecally. The patients were questioned regarding headache and low back pain 6, 12, 24, and 48 h after the procedure, and by phone calls on days 3 and 7. Results: Post-dural puncture headache developed in 38 (8.2%) patients. Of the patients who developed post-dural puncture headache, 23 (60.5%) had a body mass index <30 and 15 (39.5%) had a body mass index ≥30. Of the patients who did not develop post-dural puncture headache, 258 (60, 6%) had a body mass index <30 and 168 (39, 4%) had a body mass index ≥30. Conclusion: This prospective study found the body mass index values did not affect post-dural puncture headache in the elective cesarean section performed under spinal anesthesia.http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=3;spage=425;epage=429;aulast=Beyazbody mass indexcesarean sectionparturientpost-dural puncture headachespinal anesthesia |
| spellingShingle | Serbülent Gökhan Beyaz Tolga Ergönenç Aykut Saritaş Fatih Şahin Ali Metin Ülgen Ali Eman Burcu Doğan The interrelation between body mass index and post-dural puncture headache in parturient women Journal of Anaesthesiology Clinical Pharmacology body mass index cesarean section parturient post-dural puncture headache spinal anesthesia |
| title | The interrelation between body mass index and post-dural puncture headache in parturient women |
| title_full | The interrelation between body mass index and post-dural puncture headache in parturient women |
| title_fullStr | The interrelation between body mass index and post-dural puncture headache in parturient women |
| title_full_unstemmed | The interrelation between body mass index and post-dural puncture headache in parturient women |
| title_short | The interrelation between body mass index and post-dural puncture headache in parturient women |
| title_sort | interrelation between body mass index and post dural puncture headache in parturient women |
| topic | body mass index cesarean section parturient post-dural puncture headache spinal anesthesia |
| url | http://www.joacp.org/article.asp?issn=0970-9185;year=2021;volume=37;issue=3;spage=425;epage=429;aulast=Beyaz |
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