Postdural Punction Headache After Ceserian Section
Condition: Postdural Puncture Headache; Regional Anesthesia Morbidity; Pregnancy Related
MeSH terms: Post-Dural Puncture Headache; Headache
Study type: Interventional

Summary: 
      The aim of this study is to compare the effect of spinal needle type on postdural puncture
      headache in patients who will undergo cesarean section.

      The main question[s] it aims to answer are:

      [Does spinal needle thickness affect postdural puncture headache?]

      [What is the response of patients who develop postdural puncture headache to treatment?] In
      cases accepting cesarean section operation under spinal anesthesia, different tables were
      used with spinal needles, and it will be questioned whether headache will develop in the
      first 15 days postoperatively. Postdural puncture headache after surgery will be described.
    

Detailed description: 
      Our study was designed as a prospective randomized study. Patients aged 20-50 years who
      accepted cesarean section under elective spinal anesthesia were included in the study.
      randomized into 3 groups with 250 patients in each group:

      Group 1: Patients who underwent cesarean section under spinal anesthesia with 25 gauge spinal
      needle ( Pencan® 0.42 × 88 mm- G27 × 3½, B. Braun, Melsungen, Germany) Group 2: Patients who
      underwent cesarean section under spinal anesthesia with 26 gauge spinal needle ( Atraucan®
      0.42 × 88 mm- G27 × 3½, B. Braun, Melsungen, Germany) Group 3: Patients who underwent
      cesarean section operation under spinal anesthesia with 27 gauge spinal needle ( Pencan ®
      0.42 × 88 mm- G27 × 3½, B. Braun, Melsungen, Germany) Postdural puncture headache (PDPH) was
      evaluated by visiting patients who were discharged to the service after spinal anesthesia in
      the hospital for 24 hours, and by calling them within 15 days after discharge. Conservative
      and medical treatment was recommended for patients who developed PDPH, and the response of
      the patients to treatment was evaluated.
    

Intervention name(s): Patients who underwent cesarean section under spinal anesthesia with 25 gauge spinal needle; Patients who underwent cesarean section under spinal anesthesia with 26 gauge spinal needle; Patients who underwent cesarean section operation under spinal anesthesia with 27 gauge spinal needle
Intervention type(s): Procedure; Procedure; Procedure
Intervention description(s): the investigators performed spinal anesthesia with 25 gauge pencil point spinal needle to that patient group for prevent postdural puncture headache; the investigators performed spinal anesthesia with 26 gauge pencil point spinal needle to that patient group for prevent postdural puncture headache; the investigators performed spinal anesthesia with 27 gauge pencil point spinal needle to that patient group for prevent postdural puncture headache
Intervention MeSH terms: Anesthetics
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: pospective randomize study
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: cesarean section; obstetric anesthesia; spinal anaesthesia; postdural punction headache