Correlative factors of post-dural puncture backache in cesarean section

Spinal anesthesia is an optional method for cesarean section. One main reason for the decline of this method is backache. This study has been done to investigate the associated factors with post dural puncture backache in cesarean section. This cross sectional study was carried out on 200 patients، 20-40 years old، who were candidates for Cesarean section under spinal anesthesia. Patients physical statues of American Society of Anesthesiologists was I and EI in 12 months. Procedures were performed in sitting position، with a disposable 25-gauge needle، 75 mg Lidocaine 5% and 25 micrograms Fentanyl. The patients were followed up for incidence of backache in the first 24 hours and the first week after spinal anesthesia. Incidence of backache in the first 24 hours was 5% and in the first week after spinal anesthesia it was 9. 5%. There was a significant relationship between age، dural puncture in lower space، high spinal anesthesia، nausea and vomiting and backache in the first 24 hours. Moreover there was a significant relationship between age، nausea & vomiting and backache in the first week after spinal anesthesia (P<0. 05). Incidence of backache was low. Therefore these results can be offered to gynecologists and patients to choose spinal anesthesia for cesarean section.