{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T18:02:27Z","timestamp":1780423347337,"version":"3.54.1"},"reference-count":40,"publisher":"Public Library of Science (PLoS)","issue":"6","license":[{"start":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T00:00:00Z","timestamp":1780358400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosglobalpublichealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Glob Public Health"],"abstract":"<jats:p>\n                    Post-dural puncture headache is becoming a major health problem around the globe. Even though it becomes the reason for increased maternal morbidity, there is still a great scarcity of research in Eastern Ethiopia. This study aimed to assess the prevalence and associated factors of post-dural puncture headache in patients undergoing cesarean sections following spinal anesthesia at Hiwot Fana Specialized University Hospital. An institution-based cross-sectional study was conducted among 291 patients from November 20\/2024, to January 20\/2025. An adjusted odds ratio presented the strength of association with a 95% confidence interval, and statistical significance was declared at a\n                    <jats:italic>p<\/jats:italic>\n                    -value less than 0.05. The overall prevalence of post-dural puncture headache in cesarean section patients was 39%. Previous history of spinal anesthesia (AOR\u2009=\u20092.05; 95% CI: 1.16-3.65,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.014), previous history of post-dural puncture headache (AOR\u2009=\u20091.87; 95% CI: 1.08-3.25,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.025), use of large spinal needle size (AOR\u2009=\u20092.25; 95% CI: 1.22-4.14,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.009), and patients who had emergency cesarean sections (AOR\u2009=\u20092.72; 95% CI: 1.28-5.80,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.010) have shown statistically significant associations with post-dural puncture headache. The prevalence of post-dural puncture headache in this study was higher than in most other studies. Factors such as previous history of spinal anesthesia, previous history of post-dural puncture headache, patients who received spinal anesthesia using bigger spinal needles, and respondents who had emergency cesarean sections were found to be significantly associated with post-dural puncture headache. The findings of this study suggest that the healthcare providers should pay special attention to emergency cesarean deliveries for women who have a previous history of spinal anesthesia and post-dural puncture headache, as well as providing smaller-gauge spinal needles and pencil-point needles, would be enormous in reducing post-dural puncture headache in patients undergoing cesarean sections.\n                  <\/jats:p>","DOI":"10.1371\/journal.pgph.0006581","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T17:24:11Z","timestamp":1780421051000},"page":"e0006581","update-policy":"https:\/\/doi.org\/10.1371\/journal.pgph.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Prevalence and associated factors of postdural puncture headache in cesarean section patients following spinal anesthesia in a public hospital in Harar, Eastern Ethiopia"],"prefix":"10.1371","volume":"6","author":[{"given":"Gizachew","family":"Tilaye","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-5188-1720","authenticated-orcid":true,"given":"Alemayehu","family":"Tesfaye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Awoke","family":"Getiye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Birhanu","family":"Shegene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mengistu","family":"Chalie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3895-1659","authenticated-orcid":true,"given":"Abebe","family":"Tolera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,6,2]]},"reference":[{"key":"pgph.0006581.ref001","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1016\/j.tacc.2019.01.002","article-title":"Postdural 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