Noha Abdelghani¹, Tarek Youssif²*, Asmaa Ibrahem³, Daniel Thangaraj⁴, Enji Elsawy⁵, Ahmed Zaki⁶, Amir Egila⁷, Tamer Zedan⁸, Salah Ibrahim Ahmed⁹, Hesham Eissa¹⁰, Arafa Ibrahim¹¹ and Mohamed Fouad Elsayed Khalil¹²

¹Department of Anaesthesia, NMC Royal Hospital MBZ, Abu Dhabi, UAE
²Department of Neurology , Seha Clinics Abu DHABI, UAE
³Department of Neurology, Amina Hospital, Ajman , UAE
⁴Department of Anaesthesia, NMC Royal Hospital MBZ, Abu Dhabi, UAE
⁵Department of Medicine, Neurology Subspeciality, Fujairah Hospital, Emirates Health Services, UAE
⁶Department of Neurology, Ain Shams University, Cairo , Egypt
⁷Department of Neurology, NMC Specialty Hospital Al Nahda, Dubai, UAE
⁸Department of Neurology, Al Zahra Private Hospital , Dubai , UAE
⁹Department of Neurology, Sheikh Khalifa Medical City (SKMC), Abu Dhabi ,UAE
¹⁰Department of Neurology, Sheikh Sultan Bin Zayed Hospital, Batayeh, Sharjah , UAE
¹¹Department of General medicine , Madinat Zayed hospital -ADH , SEHA Abu Dhabi
¹²Department of Neurology, NMC Royal Hospital MBZ, Abu Dhabi, UAE

*Corresponding Author: Tarek Youssif, Department of Neurology , Seha Clinics Abu DHABI, UAE.

Received: September 03, 2025; Published: September 26, 2025

Abstract

Background: Spinal anaesthesia is the most used anaesthesia technique for Caesarean delivery with 80%- 95% prevalence. The most common complication of Spinal anaesthesia is post-dural puncture Headache which is associated with dural puncture and Cerebrospinal fluid leak.

Objective: To identify prevalence and predictors of post-dural puncture headache (PDPH) in pregnant women undergoing caesarean delivery under spinal anaesthesia.

Methods: We conducted a retrospective review of 132 pregnant women who received spinal anaesthesia for caesarean section (CS). Demographic, obstetric, and procedural variables were collected. Univariate and multivariate logistic regression analyses were performed using IBM SPSS v20 to determine odds ratios (OR) and 95% confidence intervals (CI); significance was set at p ≤ 0.05.

Results: PDPH occurred in 50% of cases. In univariate analysis, sitting puncture position (OR 3.75; 95% CI 1.78-7.88; p < 0.001), two or more dural puncture attempts (OR 30.18; 95% CI 10.50-86.76; p < 0.001), and needle gauge 25 G or less (OR 130.64; 95% CI 36.36-469.47; p < 0.001) were significantly associated with PDPH. Multivariate logistic regression analysis identified needle gauge ≤ 25 G as the sole independent predictor of PDPH (OR 144.95; 95% CI 16.59-1,266.71; p < 0.001).

Conclusion: Needle gauge and number of attempts and sitting puncture position are strong, modifiable risk factors for PDPH. Adoption of larger‐gauge, atraumatic needles, lateral decubitus puncture position and minimizing puncture attempts may reduce PDPH incidence in obstetric spinal anaesthesia.

Keywords: Post-Dural Puncture Headache; Spinal Anaesthesia; Caesarean Delivery; Sitting Puncture Position and Needle Gauge

References

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Citation

Citation: Tarek Youssif., et al. “Prevalence and Predictors of Post-Dural Puncture Headache (PDPH) in a Sample of Pregnant Women Who Underwent Cesarean Delivery under Spinal Anaesthesia in the United Arab Emirates".Acta Scientific Neurology 8.10 (2025): 86-91.

Copyright

Copyright: © 2025 Tarek Youssif., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.