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Document Type : Research Paper

Authors

1 Assistant Professor , Department of Anesthesiology and Operating Room, School of Allied Medical Sciences, Tabriz University of Medical Sciences

2 Assistant Professor of Anesthesiology, Tuberculosis and Lung Disease Research Center, Tabriz University of Medical Sciences, Tabriz, Iran

10.22034/ijnc.2022.553674.1276

Abstract

Introduction: Although postoperative fluid therapy has been mentioned as one of the primary treatments to improve the symptoms of this type of headache, but so far no study has been done on fluid therapy before spinal anesthesia. Therefore, the aim of this study was to determine the effect of fluid therapy before spinal anesthesia on the incidence, duration and severity of postoperative postural headache in women with elective cesarean section.

Material and Methods: This study was performed as a clinical experiment with the participation of 150 women candidates for elective cesarean section in Al-Zahra Hospital (Tabriz University of Medical Sciences). Half an hour before the onset of spinal anesthesia, patients were given 500 cc of serum, after which the incidence of anesthesia-induced headache was compared between participants.

Results: The frequency of headache in the intervention group was 2 (2.7%) and in the control group was 12 (16%) and the results of chi-square test showed that the incidence of headache was significantly lower in the intervention group than the control group (0.005 = p). In order to evaluate other indicators of headache including severity, duration, starting day, number of painkillers used and the need for painkillers in the two groups, first people with headache were selected and their normality in the two groups was confirmed by Kolmogorov-Smirnov test.

Conclusion: Administration of intravenous serum during fasting to expectant mothers who are candidates for elective cesarean section can reduce the incidence of postural spinal anesthesia in the days following cesarean section.

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