TY - JOUR
T1 - The relationship between body mass index and post-dural puncture headache in obstetric patients
AU - Miu, M.
AU - Paech, Mike
AU - Nathan, E.A.
PY - 2014
Y1 - 2014
N2 - © 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
AB - © 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
U2 - 10.1016/j.ijoa.2014.06.005
DO - 10.1016/j.ijoa.2014.06.005
M3 - Article
C2 - 25266319
SN - 0959-289X
VL - 23
SP - 371
EP - 375
JO - International Journal of Obstetric Anesthesia
JF - International Journal of Obstetric Anesthesia
IS - 4
ER -