Headache. Drug-induced headache, not elsewhere classified
Conditions
Interventions
Intervention 1: Intervention group: Caffeine Group: Participants receive intravenous caffeine at a dose of 500 mg diluted in 500 mL normal saline, administered immediately after delivery and placental
Sponsors
Yasouj University of Medical Sciences
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: No prior history of spinal anesthesia or post-dural puncture headache (PDPH). Spinal anesthesia performed by an anesthesiologist using the same needle size and with only one puncture attempt. No history of migraine headaches. No contraindications to the study medications (caffeine, dexamethasone, or aminophylline). Patients undergoing cesarean section with spinal anesthesia at Imam Sajjad Hospital in Yasuj.
Exclusion criteria
Exclusion criteria: Known allergy or contraindication to any of the study medications. Use of additional oral or injectable analgesics during the study period. Presence of headache prior to the surgery. Withdrawal from participation or unwillingness to continue cooperation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-spinal anesthesia headache severity measured using the 0–10 cm Visual Analogue Scale (VAS), where 0 indicates no pain and 10 indicates worst pain. Pain intensity is categorized as mild (1–3), moderate (4–7), or severe (8–10). Timepoint: 24 hours after surgery. Method of measurement: Measurement method: Headache intensity is assessed using a 10-cm Visual Analogue Scale (VAS), where the patient marks their pain level. Scores are recorded by the researcher. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactAkvan Paymard
Shahid Beheshti Hospital, Yasuj
Outcome results
None listed