What question did this study set out to answer?

The aim is to determine the incidence of post-dural puncture headache following subarachnoid block in caesarean sections and identify associated risk factors.

April 4, 2026Open Access

Incidence of Post Dural Puncture Headache (PDPH) Following Subarachnoid Block in Lower Segment Caesarean Section: A Hospital-based Prospective Observational Study

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Authors

PMPriyabrata Mohanty KVKoshy VargheseKerala Veterinary and Animal Sciences University USUmesh Singh

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Implication

A prospective observational study reports the incidence of PDPH in caesarean sections, suggesting operator skill is critical.

Key Points

The aim is to determine the incidence of post-dural puncture headache following subarachnoid block in caesarean sections and identify associated risk factors.
Conducted a prospective observational study over 18 months at a tertiary care hospital.
Enrolled 1305 patients undergoing lower segment caesarean section under subarachnoid block.
Collected data on demographics, obstetric history, anaesthetic technique, and followed up for headache occurrence.
Overall incidence of PDPH was 1.5% (19/1305 patients).
56% of patients reported headache onset within 24-48 hours, mostly mild.
Average duration of headache was 27.2±11.6 hours.
Higher incidence of PDPH associated with multiple dural puncture attempts (1.2% for one attempt vs 8.3% for two or more).
No significant association found with age, needle gauge, gravida status, operator experience, or bupivacaine dose.

Cite This Study

Mohanty et al. (2025) studied this question.

synapsesocial.com/papers/69d0af68659487ece0fa560f https://doi.org/10.71480/nmj.v67i1.980

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Incidence of Post Dural Puncture Headache (PDPH) Following Subarachnoid Block in Lower Segment Caesarean Section: A Hospital-based Prospective Observational Study

Discussion

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Implication

Key Points

Cite This Study

Incidence of Post Dural Puncture Headache (PDPH) Following Subarachnoid Block in Lower Segment Caesarean Section: A Hospital-based Prospective Observational Study

Discussion

Member takes

Implication

Key Points

Cite This Study

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