COMPARISON BETWEEN EARLY AND DELAYED MOBILIZATION ON INCIDENCE OF POST-DURAL PUNCTURE HEADACHE AFTER SPINAL ANESTHESIA

Abstract

Objective: To compare the incidence of post-dural puncture headache (PDPH) in female patients between early and delayed mobilization post elective caesarian section delivery under spinal anesthesia

Place and Duration of Study: Anesthesia department of Combined Military Hospital, Rwp from Jun 2022-Dec 2022

Study Design: Quasi-experimental study

Methodology: The patients were divided into the EM (early mobilization) group (n=400) and the DM (delayed mobilization) group (n=400). Primary variable measured was incidence of PDPH between both groups assessed till 5 days post-delivery. Secondary variables measured were fluid given, need for anti-emetics and patients who subsequently required blood patch.

Results: Comparison of incidence of PDPH between both groups showed incidence in 35 (8.8%) patients in Group EM versus 45 (11.3%) patients in Group DM (p=0.239). Mean total fluid given till discharge in both groups was 5.73±0.60 liters in Group EM versus 5.71±0.60 in Group DM (p=0.640). The need for anti-emetics was required in 86 (21.5%) patients in Group EM versus 52 (13%) patients in Group DM (p=0.001). The frequency of patients requiring blood patch were 10 (2.5%) in Group EM versus 08 (2.5%) in Group DM (p=0.634)

Conclusion: We conclude that incidence of PDPH in early and late mobilization for patients undergoing caesarian section under spinal anesthesia are statistically comparable.