Abstract
Objective: To compare the frequency of post dural puncture headache with median versus para-median approach of spinal anaesthesia in females undergoing cesarean section. Study Design: Comparative cross-sectional study. Place and Duration of Study: Anesthesiology and Obstetric departments, Combined Military Hospital, Badin Pakistan, from Oct 2018 to Apr 2019. Methodology: Total 128 females undergoing cesarean section, fulfilling the inclusion criteria were included randomly in two equal groups. Group-A received spinal anaesthesia with 25 G Quincke spinal needle by median approach while Group-B received by paramedian approach. Post-dural puncture headache was assessed by using visual analogue scale. Pain of any severity was taken as positive. All patients were followed by researcher for presence or absence of post-dural puncture headache. Results: Post dural puncture headache occurred in 21(32.81%) patients with median approach versus 4(6.25%) patients complained headache after para-median approach with p-value=0.0001, frequency was statistically significant. Conclusion: This study concluded that more frequency of headache after dural puncture in median approach compared to para-median approach in cesarean section patients.
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