Association Between Post-Dural Puncture Headache and Body Mass Index in Patients Undergoing Cesarean Section

Öz

Background: This study aimed to analyze the impact of body mass index (BMI) on the development of post-dural puncture headache (PDPH) following cesarean section performed under spinal anesthesia.

Materials and Methods: A total of 160 parturients between the 38th and 42nd gestational weeks who underwent cesarean delivery were included in this prospective observational study. Individuals with a BMI below 30 kg/m² were categorized as the first group, while those with a BMI of 30 kg/m² or higher were classified as the second group. All participants were evaluated for PDPH on the fifth postoperative day. The presence, severity, and onset time of PDPH, along with accompanying symptoms including tinnitus, vomiting, nausea, photophobia, and dizziness, were analyzed. Results: Age, American Society of Anesthesiologists (ASA) scores and operation times were similar in both groups (p>0.05). PDPH was observed in 45 patients (28.12%), with 38 of these cases (84.4%) occurring in Group 1 (p<0.001). However, the onset time, severity, and presence of accompanying symptoms were similar between the two groups (p>0.05).

Conclusions: Our findings indicate that PDPH occurred significantly more frequently among individuals whose BMI was below 30 kg/m² than in those with a BMI of 30 kg/m² or higher following spinal anesthesia for cesarean delivery. 

Anahtar Kelimeler

• Body mass index
• Spinal anesthesia
• Post-dural puncture headache
• Cesarean section

Sezaryen Operasyonu Geçirenlerde Vücut Kitle İndeksi ile Postdural Ponksiyon Başağrısı Arasında İlişki

Öz

Amaç: Çalışmamızda vücut kitle indeksinin (VKI)’nin spinal anestezi altında sezaryen operasyonu sonrası meydana gelen postdural ponksiyon başağrısı (PDPH) üzerine etkisinin değerlendirilmesi amaçlanmıştır.

Materyal ve metod: Çalışmaya toplam 38-42. gebelik haftasında sezaryen operasyonu geçiren toplam 160 hasta dahil edildi.  Vücut kitle indeksi (VKİ) <30 kg/m2 olanlar olgular Grup 1 ve VKİ ≥30 kg/m2 olanlar ise Grup 2 olarak adlandırıldı. Hastalar PDPH açısından taburculuk sonrası 5. günde değerlendirildi. PDPH varlığı, şiddeti, başlama zamanı ve baş dönmesi, bulantı, kusma, fotofobi ve tinnitus gibi eşlik eden belirtiler analiz edildi.

Bulgular: Her iki grubun yaş, Amerikan Anestezi Derneği (ASA) skorları ve operasyon süreleri benzerdi (p>0,05). Hastaların 45’inde (%28,12) PDPH gözlendi ve bunların 38’i (%84,4) Grup-1’de yer almaktaydı (p<0,001). Öte yandan PDPH gelişme zamanı, şiddeti ve eşlik semptom varlığı her iki grupta benzerdi (p>0,05).

Sonuç: Çalışmamızda VKİ <30 kg/m2 olan gebelerde spinal anestezi sonrası PDPH görülme sıklığının VKİ ≥30 kg/m2 olanlara göre daha yüksek ortaya konmuştur. 

 

Anahtar Kelimeler

• Vücut kitle indeksi
• Spinal anestezi
• Postdural ponksiyon başağrısı
• Sezaryen

Kaynakça

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