Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section

Introduction: Headache is one of the complications of spinal anesthesia in various surgeries. Spinal anesthesia has a major role in cesarean section. This study was performed with aim to investigate the effect of semi-sitting position on headache after spinal anesthesia in women undergoing elective...

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Main Authors: Saeed Khorramnia, Reza Nejadhasan, Fateme Rajaeipoor, Zahra Asadollahi
Format: Article
Language:fas
Published: Mashhad University of Medical Sciences 2019-08-01
Series:Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
Subjects:
Online Access:https://ijogi.mums.ac.ir/article_13742_dbb29b6a66cd45a3f373324cda1cd642.pdf
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author Saeed Khorramnia
Reza Nejadhasan
Fateme Rajaeipoor
Zahra Asadollahi
author_facet Saeed Khorramnia
Reza Nejadhasan
Fateme Rajaeipoor
Zahra Asadollahi
author_sort Saeed Khorramnia
collection DOAJ
description Introduction: Headache is one of the complications of spinal anesthesia in various surgeries. Spinal anesthesia has a major role in cesarean section. This study was performed with aim to investigate the effect of semi-sitting position on headache after spinal anesthesia in women undergoing elective Cesarean Section. Methods: This interventional study was performed on 110 pregnant women with cesarean section at Rafsanjan Nikanfas Hospital in 2018. In recovery time, the subjects were placed into two groups: head position in 30 degree and flat position. The incidence and intensity of headache was assessed using the pain Visual Analogue Scale in the first, second and third days after the surgery. Data were analyzed by SPSS software (version 18) and independent t-test, Chi-square test and Two-way Repeated Measures ANOVA. PResults: Mean of headache severity in the group with flat head position in the first, second and third days was 0.98 ± 2.41, 0.87 ± 2.16 and 0.78 ± 1.92, respectively, and in the group of 30 degrees head position was 1.41 ± 2.89, 1.30 ± 2.70 and 1.12 ± 2.33, respectively. The severity of pain in both groups was significantly decreased on different days (p <0.0001), although there was no significant difference between the two groups (p =.379). Conclusion: Flat head positioning during recovery of spinal anesthesia in women undergoing elective cesarean section decreased the severity of postoperative headache compared with head position at 30 degrees, although this difference was not statistically significant.
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spelling doaj.art-a4dab8335d874788b22ebd1c72095cc12022-12-22T04:38:20ZfasMashhad University of Medical SciencesMajallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān1680-29932008-23632019-08-01226394510.22038/ijogi.2019.1374213742Effect of semi-setting position on post-dural puncture headache in women with elective cesarean sectionSaeed Khorramnia0Reza Nejadhasan1Fateme Rajaeipoor2Zahra Asadollahi3Assistant Professor, Department of Anesthesiology, Faculty of Medicine, Rafsanjan University of Medical Science, Rafsanjan, Iran.Medical Student, Faculty of Medicine, Rafsanjan University of Medical Science, Rafsanjan, IranResident, department of pediatric&#039;s diseases, pediatric&#039;s diseases research center, Faculty of Medicine, Guilan University of Medical Sciences, Rasht, Iran.Instructor, Department of Epidemiology and Biostatistics, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.Introduction: Headache is one of the complications of spinal anesthesia in various surgeries. Spinal anesthesia has a major role in cesarean section. This study was performed with aim to investigate the effect of semi-sitting position on headache after spinal anesthesia in women undergoing elective Cesarean Section. Methods: This interventional study was performed on 110 pregnant women with cesarean section at Rafsanjan Nikanfas Hospital in 2018. In recovery time, the subjects were placed into two groups: head position in 30 degree and flat position. The incidence and intensity of headache was assessed using the pain Visual Analogue Scale in the first, second and third days after the surgery. Data were analyzed by SPSS software (version 18) and independent t-test, Chi-square test and Two-way Repeated Measures ANOVA. PResults: Mean of headache severity in the group with flat head position in the first, second and third days was 0.98 ± 2.41, 0.87 ± 2.16 and 0.78 ± 1.92, respectively, and in the group of 30 degrees head position was 1.41 ± 2.89, 1.30 ± 2.70 and 1.12 ± 2.33, respectively. The severity of pain in both groups was significantly decreased on different days (p <0.0001), although there was no significant difference between the two groups (p =.379). Conclusion: Flat head positioning during recovery of spinal anesthesia in women undergoing elective cesarean section decreased the severity of postoperative headache compared with head position at 30 degrees, although this difference was not statistically significant.https://ijogi.mums.ac.ir/article_13742_dbb29b6a66cd45a3f373324cda1cd642.pdfcaesarean sectionheadachepositionrecovery
spellingShingle Saeed Khorramnia
Reza Nejadhasan
Fateme Rajaeipoor
Zahra Asadollahi
Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section
Majallah-i Zanān, Māmā̓ī va Nāzā̓ī-i Īrān
caesarean section
headache
position
recovery
title Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section
title_full Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section
title_fullStr Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section
title_full_unstemmed Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section
title_short Effect of semi-setting position on post-dural puncture headache in women with elective cesarean section
title_sort effect of semi setting position on post dural puncture headache in women with elective cesarean section
topic caesarean section
headache
position
recovery
url https://ijogi.mums.ac.ir/article_13742_dbb29b6a66cd45a3f373324cda1cd642.pdf
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