Background: Post-dural puncture headache (PDPH) is a common complication after lumbar puncture. PDPH typically presents with headache in frontal/occipital region which is postural in nature, that is worse on standing and better when lying down. Associated symptoms include stiff neck, hearing loss, tinnitus, photophobia and nausea. The prevalence of PDPH is higher in pregnant women. This study aims at reviewing of recent update in prevention of post dural puncture headache in pregnant female undergoing cesarean section. Methods: This is a review article, The search was performed in MEDLINE, Embase, Pubmed and CINAHL Plus in the same date range with the following mediacl terms: “post dural; puncture; headache; cesarean section.”,including articles from 2000 to 2020, Excluded articles from review are those of langauge other than English. Results and conclusion: The management of headache after accidental dural puncture varies. This varied management extends to the literature with different definitions of PDPHA and indications for epidural blood patch. More concerning from a survey sent to members of the Society for Obstetric Anesthesia and Perinatology was the lack of follow-up of patients after accidental dural puncture. Given the conflicting data and opinions, a written protocol is important and is to be followed by all members of the department. |
