Recent recommendations for prevention of post dural puncture headache in pregnant females undergoing cesarean section

Abstract

Context: Post-dural headache puncture (PDPH) is a frequent consequence after lumbar puncture. PDPH usually has frontal/occipital, postural headaches that are worse while they are standing and better when they are resting. Symptoms associated with stiff neck, loss of hearing, tinnitus, photophobia and nausea. The prevalence of PDPH in pregnant women is greater. This research seeks to examine the latest update on the prevention of post-dural headache puncture for pregnant women in the caesarean section. Methods: The search in MEDLINE, Embase, Pubmed and CINAHL Plus was conducted in the same periodical with the following mediacl terms: "post-dural; cramp; headache; caesarean section," encompassing articles 2000-2020, 2012; Articles other than English are excluded from the review. Results and findings: Headache treatment after accidental hard puncture varies. This diversity extends to the literature with various PDPHA definitions and epidural blood patch indications. More importantly, the absence of follow-up of the patients following accidental dural puncture was a survey addressed to members of the Society for Obstetric Anesthesia and Perinatology. Due to contradictory facts and views, a documented procedure is essential and all departmental members have to be followed.