Abstract

”To evaluate the effect of sitting vs left lateral decubitus position during sub-arachnoid block on occurrence of post-dural puncture headache in patients undergoing lower segment caesarean section. Aims and Objectives: The present study was carried out in 200 patients of ASA grade I/II, posted for lower segment caesarean section from October 2023 to March 2024 at People’s College of Medical Sciences and Research Centre, Bhopal with aims of: • To find out role of the position of patient in the occurrence of postdural puncture headache. • Incidence of PDPH in sitting position vs left lateral decubitus position. • Onset and duration of PDPH in both positions. • Comparison of ease of technique in both positions. • Haemodynamic parameters of the patients in both positions. Methodology: 200 patients of ASA grade I and II between the ages of 18 and 40 years, who underwent lower segment caesarean section. Patients were randomly divided into two groups: 1. Group A (n=100): Patients given subarachnoid block in sitting position. 2. Group B (n=100): Patients given subarachnoid block in left lateral decubitus position • STATISTICAL ANALYSIS: The categorical data will be presented as numbers % and compared by Chi-square test. The quantitative data will be presented as mean ± standard deviation and compared by Student’s t-test (P < 0.05 as statistically significant). • CONCLUSION: It is unclear as to whether the position of the patient during subarachnoid blockade leads to the occurrence of PDPH. The aim of this study was to compare the effect of the sitting and the left lateral decubitus position during subarachnoid blockade on the occurrence and severity of PDPH in the patients.

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