Key result
The incidence of post dural puncture headache following spinal anaesthesia for emergency caesarean section was 48.8%, with blood loss >500mls (OR 2.2) and prior spinal anaesthesia (OR 1.3) identified as significant risk factors.
Why the study?
The incidence of post dural puncture headache following spinal anaesthesia remained unknown in Uganda.
Population
1294 women receiving spinal anaesthesia for emergency caesarean section in Mulago National Referral Hospital
Design
Prospective cohort study
Authors
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May warrant enhanced PDPH monitoring after emergency caesarean spinal anaesthesia in patients with prior exposure or blood loss >500 mL; leaves open efficacy of preventive interventions.
Cohort (n=1,294)
No
The incidence of post dural puncture headache following spinal anaesthesia for emergency caesarean section in this Ugandan cohort was exceptionally high at 48.8%, strongly associated with prior spinal anaesthesia and intraoperative blood loss >500 mL.
Nambooze et al. (2019) conducted a cohort in Post dural puncture headache (PDPH) (n=1,294). Spinal anaesthesia was evaluated on Incidence of post dural puncture headache (PDPH) (95% CI 46.0-51.6). The incidence of post dural puncture headache following spinal anaesthesia for emergency caesarean section was 48.8%, with blood loss >500mls (OR 2.2) and prior spinal anaesthesia (OR 1.3) identified as significant risk factors.