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FREQUENCY OF POST DURAL PUNCTURE HEADACHE (PDPH) IN OBSTETRIC PATIENTS UNDERGOING CAESAREAN SECTION UNDER SPINAL ANAESTHESIA WITH TWO SPINAL NEEDLES: 25G QUINCKE AND 27G QUINCKE

Dr. Amjad Siddique, Dr. Sadia Yaqoob, Dr. Sadaf Bashir

Objective: To compare the frequency of Post Dural Puncture Headache (PDPH) in obstetric patients undergoing Caesarean section under spinal anaesthesia with two spinal needles: 25G Quincke and 27G Quincke. Material and methods: This randomized controlled trial was conducted at Department of Anesthesiology, Sheikh Zaid Hospital, Rahim Yar Khan from March 2019 to September 2019 over the period of 6 months. Total 80 pregnant women with gestational age more than 37 weeks coming for Caesarean Section having age 20-40 years with ASA scale I and II were selected. PDPH was assessed between the both groups. Results: Mean age of patients was 28.03 ± 4.88 years, mean age of patients of study group A was 27.80 ± 5.05 years and of study group B was 28.25 ± 4.75 years. Over all prevalence of PDPH was 20%. Out of 80 patients, most (64/80%) of the patients reported no pain followed by mild pain by 7 (9%) patients, moderate pain by 5 (6%) and sever pain by 4 (5%) patients. In group A (25-gauge), PDPH was noted in 12 (30%) patients in group B (27-gauge) PDPH was noted in 4 (10%) patients. Frequency of PDPH was significantly higher in study group A as compared to study group B with p value 0.025. Conclusion: Use of 27G spinal needle will be a good choice for reduction of PDPH. Keywords: PDPH, caesarean section, 25G and 27G spinal needle