The relationship between body mass index and post-dural puncture headache in obstetric patients

M. Miu, Mike Paech, E.A. Nathan

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

© 2014 Elsevier Ltd. All rights reserved. Background Difficult epidural insertion and accidental dural puncture are more likely in the obese pregnant population. Low-level evidence suggests that the risk of post-dural puncture headache declines as body mass index increases. Methods We retrospectively reviewed prospective data on 18 315 obstetric epidural and combined spinal-epidural insertions, identifying 125 (0.7%) accidental dural punctures or post-dural puncture headaches between 2007 and 2012. The audit record and patient medical record were examined to determine patient body mass index, headache characteristics and use of a therapeutic epidural blood patch. Women were classified into two groups: non-obese (body mass index 40 kg/m2 (n = 10) vs. Group
Original languageEnglish
Pages (from-to)371-375
JournalInternational Journal of Obstetric Anesthesia
Volume23
Issue number4
DOIs
Publication statusPublished - 2014

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