{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,24]],"date-time":"2026-08-24T22:54:56Z","timestamp":1787612096171,"version":"build-2736575974"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Almost every cesarean delivery is done under spinal anesthesia because of ease of doing, rapid onset, avoids maternal and fetal risk of general anesthesia, promotes early recovery. Major complication especially in young women undergoing LSCS under spinal anesthesia is post dural puncture headache (PDPH) which is caused by cerebrospinal fluid leakage. There is wide variation in reported incidence of PDPH (0.3% to 40 %) after spinal anesthesia being affected by various procedure and non procedure related risk factors like age, gender, needle size and type, numbers of spinal attempts and previous history of PDPH.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Prospective cohort study was conducted in 335 patients posted for caesarean section under spinal anesthesia from January 2019 to September 2019 in medical College situated in rural India. Spinal anesthesia was given by 26 G Quincke spinal needle. All patients were evaluated for incidence and severity of PDPH from post operative day 1 to day 5.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>Incidence of PDPH was 11.4% in this study. Majority of patients (62.5%) were having mild pain. All patients reported PDPH with 72 hours.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Body mass index (BMI), h\/o PDPH, multiple attempts for successful spinal anesthesia did not have any significant association with PDPH in our study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_72_22","type":"journal-article","created":{"date-parts":[[2022,7,13]],"date-time":"2022-07-13T15:05:34Z","timestamp":1657724734000},"page":"S209-S213","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":8,"title":["Incidence and Risk Factors of \u201cPostdural Puncture Headache\u201d in Women Undergoing Cesarean Delivery under Spinal Anesthesia with 26G Quincke Spinal Needle, Experience of Medical College in Rural Settings in India 2019: A Prospective Cohort Study Design"],"prefix":"10.4103","volume":"14","author":[{"given":"Sunil","family":"Thakur","sequence":"first","affiliation":[{"name":"Department of Anesthesia, Dr. Radhakrishnan Government Medical College, Hamirpur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anupriya","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Dentistry, Dr. Radhakrishnan Government Medical College, Hamirpur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sushruti","family":"Kaushal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Neurology, AIIMS, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nisha","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Dr. Radhakrishnan Government Medical College, Hamirpur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Preyander Singh","family":"Thakur","sequence":"additional","affiliation":[{"name":"Department of Endocrinology, AIIMS, Bilaspur, Himachal Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,7,13]]},"reference":[{"key":"R2-20250925","first-page":"257","article-title":"Post dural puncture headache: comparison of 26G Quincke with 25G Whitacre needle for elective caesarean section","volume":"25","author":"Aftab","year":"2009","journal-title":"Pak J Surg"},{"key":"R3-20250925","first-page":"90","article-title":"To compare the frequency and severity of post-dural puncture headache (PDPH) in parturients given spinal anaesthesia with 25 G quincke with that of 25 G whitacre needle","volume":"6","author":"Malik","year":"2012","journal-title":"Pak J Med Health Sci"},{"key":"R4-20250925","first-page":"e35486.136","article-title":"Effect of position during spinal anesthesia on postdural puncture headache after cesarean section: a prospective, single-blind randomized clinical trial, Anesthesiol","volume":"6","author":"Davoudi","year":"2016","journal-title":"Pain Med"},{"key":"R5-20250925","first-page":"9","article-title":"Assessment of risk factors for postdural puncture headache in women undergoing cesarean delivery in Jordan: a retrospective analytical study, Local Reg","volume":"10","author":"Khraise","year":"2017","journal-title":"Anesth"},{"key":"R6-20250925","doi-asserted-by":"crossref","first-page":"136","DOI":"10.4097\/kjae.2017.70.2.136","article-title":"Postdural puncture headache","volume":"70","author":"Kwak","year":"2017","journal-title":"Korean J Anesthesiol"},{"key":"R7-20250925","first-page":"19","article-title":"Post dural puncture headache in fibromyalgia after cesarean section: a comparative cohort study","author":"Khalid","year":"2016","journal-title":"Pain Physician"},{"key":"R8-20250925","doi-asserted-by":"crossref","first-page":"1144","DOI":"10.1111\/j.1526-4610.2010.01699.x","article-title":"Post-dural puncture headache: Part I diagnosis, epidemiology, etiology, and pathophysiology","volume":"50","author":"Bezov","year":"2010","journal-title":"Headache"},{"issue":"536","key":"R9-20250925","first-page":"1","article-title":"Post dural puncture headache (PDPH) and associated factors after spinal anesthesia among patients in university of gondar referral and teaching hospital, gondar, north west Ethiopia","volume":"6","author":"Kassa","year":"2015","journal-title":"J. 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