Post dural puncture headache. Spinal and epidural anaesthesia-induced headache during labour and delivery
Conditions
Interventions
Intervention 1: First Intervention group: After the birth of the baby and the clamp of the umbilical cord, a single dose of 8 mg dexamethasone phosphate (2ml), produced by the Caspian Company and pr
Sponsors
Hamedan University of Medical Sciences
Eligibility
Sex/Gender
Female
Age
18 Years to 45 Years
Inclusion criteria
Inclusion criteria: Patients aged 18 to 45 years old candidates for cesarean section under spinal anesthesia Physical ASA Class 1 and 2
Exclusion criteria
Exclusion criteria: Patients with a history of migraine headache Sinusitis Heart disease Hypertension Eclampsia and pre-eclampsia Liver and kidney failure History of corticosteroid use Diabetes Raynoode Phenomen Spinal anesthesia contraindications (dissatisfaction, increased intracranial pressure, local infection, coagulopathy, anemia, hypovolemia, etc.) Patients who do not have the necessary co-operation in answering questions Those who are reluctant to continue to participate in the study Patients who have failed spinal anesthesia and undergo general anesthesia
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Frequency of headache. Timepoint: During the surgery, the first 24 hours after surgery and one week after surgery. Method of measurement: Ask the patient.;Headache time. Timepoint: During the surgery, the first 24 hours after surgery and one week after surgery. Method of measurement: Ask the patient.;Headache severity. Timepoint: During the surgery, the first 24 hours after surgery and one week after surgery. Method of measurement: VAS of pain.;Duration of the headache. Timepoint: During the surgery, the first 24 hours after surgery and one week after surgery. Method of measurement: Ask the patient. | — |
Secondary
| Measure | Time frame |
|---|---|
| Nausea and vomiting. Timepoint: During the surgery. Method of measurement: Observation and ask the patient.;Heart Rate. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minutes. Method of measurement: Pulse oximetry device.;Percentage of arterial oxygen saturation. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minutes. Method of measurement: Pulse oximetry device.;Dizziness. Timepoint: During the surgery. Method of measurement: ask the patient.;Epigastric Pain. Timepoint: During the surgery. Method of measurement: ask the patient.;Tinnitus. Timepoint: During the surgery. Method of measurement: ask the patient.;Systolic Blood Pressure. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minutes. Method of measurement: Non-invasive automatic barometric device.;Diastolic Blood Pressure. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minutes. Method of measurement: Non-invasive automatic barometric device.;Mean Arterial Pressure. Timepoint: Every two minutes for 10 minutes and then every 10 minutes to 60 minutes. Method of measurement: Non-invasive automatic barometric device. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactNahid Manouchehrian
Hamedan University of Medical Sciences
Outcome results
None listed