Post-spinal Headache after Caesarean Section – Effect of Approach Into Dura-Arachnoid Sac

Introduction: spinal anaesthesia is the technique of choice for caesarian section. but post-spinal headache (psh) is still a ‘headache’ for the anaesthesiologist even after using modern spinocaine needles. objective: this study was performed to compare the incidence of psh between midline and lateral approach when caesarian sections were done by spinal anaesthesia. methods: after ethical clearance this study was done in chittagong medical college hospital. two hundred pregnant women of american society of anesthesiologists (asa) physical status i & ii who underwent caesarian section were included and randomized into 2 groups. after informed consent spinal needle were inserted by midline approach in group a patients and by lateral approach in group b patients. after appearance of free flow of csf 0.5% hyperbaric bupivacaine 10 mg was injected to each patient. psh and other complications were evaluated. results: incidence of psh was significantly higher in group a patients. conclusion: lateral approach during spinal anaesthesia is better than midline approach in preventing psh.