4 years ago

The Effect of Second-stage Pushing and Body Mass Index on Postdural Puncture Headache

Habib, A.S., Jia, S.Y., Goel, A., Franz, A.M., Bahnson, H.T.
(J Clin Anesth. 2017;37:77–81) The generally accepted mechanism of postdural puncture headache (PDPH) is leakage of cerebrospinal fluid (CSF) from a dural defect, resulting in decreased CSF volume. However, while pushing during the second stage of labor and increased body mass index (BMI) may affect CSF leakage, and thus the incidence of PDPH, studies have reported conflicting results. The authors of the present study explored how pushing during labor and BMI affect the development of PDPH in parturients who experienced dural puncture with a Tuohy epidural needle.
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