Long-term Psychological and Physical Outcomes of Women After Postdural Puncture Headache: A Retrospective, Cohort Study

Orbach‐Zinger, Sharon; Eidelman, Leonid A.; Livne, M; Mangoubi, Eitan; Borovich, Adi; Wazwaz, Susan A; Ioscovich, A.; Zekry, Zoya Haitov Ben; Ariche, Karin; Weiniger, Carolyn F.

doi:10.1097/01.aoa.0000796164.39941.ec

Cited by 7 publications

(16 citation statements)

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“…Many studies have begun to focus on long‐term sequalae of women with PDPH including chronic backache and headache 4,6,11,21 . We did not find a difference between the two groups in terms of long‐term pain; again, our study was not powered for this analysis and this was just an exploratory outcome.…”

Section: Discussionmentioning

confidence: 74%

“…In addition, as a secondary analysis of a previously performed and part of a quality improvement program, we had data on chronic headache and backache in these women 11 . This was evaluated by a telephone interview made at least 6 months after delivery with oral informed consent.…”

Section: Methodsmentioning

confidence: 99%

“…To evaluate chronic headache and backaches, women were asked about pain history of each before the labor (frequency: once a day, once a week, once a month or less than once a month; and severity: VNS 0‐10) and about current headache and backache (frequency and severity as above) on the same scales. A chronic headache or backache was defined as any headache that increased in either frequency or severity after the index epidural 11 . Women were also asked to complete the translated validated Oswestry Low Back Pain Disability questionnaire to assess backache; this score is considered the gold standard to assess functional low back outcomes.…”

Section: Methodsmentioning

confidence: 99%

“…In addition, as per previous study, 11 in order to acknowledge the potential for recall bias given the time between the index delivery and the interviews, we performed a Spearman rank correlation test to assess the relationship between the chronic headache and chronic backache and the elapsed time between the interview and the index delivery.…”

Section: Methodsmentioning

confidence: 99%

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Flouroscopic versus conventional epidural blood patch in obstetrics: A retrospective cohort study

Orbach‐Zinger

Leibzon

Gonen

et al. 2022

Acta Anaesthesiol Scand

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Background: Epidural blood patch is a common effective treatment for postdural puncture headache after accidental dural puncture during labor and may be done in conventional or fluoroscopy-guided methods. The aim of this study was to compare intensity of headache at the time of discharge from the hospital and to compare blood volumes injected in conventional epidural blood patches versus fluoroscopic-guided blood patches and evaluate the side effects of both method of treatment.Methods: Between the years 2010 and 2020, 84 patients who were diagnosed with postdural puncture headache received either a conventional epidural blood patch or a fluoroscopic-guided blood patch. Blood volumes were compared and evaluation of side effects was made based on data collected during and after the procedure.Results: Eighty-four patients were included in this study. Fifty-two women in the conventional epidural blood patch group and 32 in the fluoroscopic-guided blood patch group. Women in the conventional epidural blood patch group received statistically significantly higher doses of blood than women in the fluoroscopic-guided blood patch group: conventional method 29 ml IQR [23][24][25][26][27][28][29][30][31][32][33][34][35][36] versus fluoroscopic method 16 ml, IQR [12][13][14][15][16][17][18], p < .001 with no difference in headache pain intensity at hospital release. There was no difference between groups in hospital length of stay, or persistent PDPH. There was also no difference chronic headache or backache between the two groups.Conclusions: Women who received fluoroscopic epidural blood patch required a much lower volume of blood injected while there was no difference between groups in headache pain intensity at discharge.

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Section: Discussionmentioning

confidence: 74%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Flouroscopic versus conventional epidural blood patch in obstetrics: A retrospective cohort study

Orbach‐Zinger

Leibzon

Gonen

et al. 2022

Acta Anaesthesiol Scand

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“…7e11,15e20 One cohort study (n¼49) included the patients that sustained a dural puncture from diagnostic lumbar puncture. 21 For the cohort studies, four studies 7,10,17,18 were found to have some concerns for bias, five studies 8,9,11,14,16 were at high risk, and three studies 19e21 were at very high risk for bias when assessed by the ROBINS-E tool. The results of the risk of bias assessment is summarised in Table 1.…”

Section: Study Characteristicsmentioning

confidence: 99%

Chronic headaches related to post-dural puncture headaches: a scoping review

Zhang

Pang

Liu

2022

British Journal of Anaesthesia

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Perinatal depression

Lim

2021

Current Opinion in Anaesthesiology

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Purpose of reviewPerinatal depression is a common and debilitating complication of pregnancy and childbirth. Recent studies have elucidated relationships between acute birth events on depression risk, and novel treatments for postpartum depression have been discovered and approved. This article reviews current understandings about birth events on depression, new screening standards, and novel treatments for postpartum depression. Recent findingsPain, analgesia, and depression are complex traits that are inter-related during and after pregnancy. Certain individuals may benefit more than others from addressing pain and suffering around childbirth. Exposures to general anesthesia or postdural puncture headache are associated with postpartum depression symptoms, although a causal relationship is unlikely. Brexanolone, ketamine and its related compounds, and nonpharmacologic options offer new or alternative therapies for depression, although safety information for some of these treatments in pregnancy and lactation are needed. Maternal health bundles call for close attention to perinatal mental health screening with validated instruments, and for timely treatment referrals in the 'fourth trimester'. SummaryClinical monitoring and timely treatment of depression in the perinatal and postpartum periods is critical for maternal postpartum health and recovery. Perinatal specialists and researchers should continue to focus on tailored treatments specific to this special population.

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Long-term Psychological and Physical Outcomes of Women After Postdural Puncture Headache: A Retrospective, Cohort Study

Abstract: U mbilical cord prolapse is an emergency with risk for significant complications, including prematurity and birth asphyxia. As cord compression and umbilical arterial vasospasm can lead to fetal hypoxia and

Cited by 7 publications

References 0 publications

Flouroscopic versus conventional epidural blood patch in obstetrics: A retrospective cohort study

Flouroscopic versus conventional epidural blood patch in obstetrics: A retrospective cohort study

Chronic headaches related to post-dural puncture headaches: a scoping review

Perinatal depression

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