Evidence map›Paper›PMID 42639408›Full record

ArticleAnesthesiology research and practice2026

Incidence, Onset Time and Predictors of Postdural Puncture Headache Among Mothers Who Underwent Caesarean Section in Hospitals, Ethiopia: A Prospective Cohort Study.

Esubalew Tesfahun, Eden Takele, Dereje Andargie, Solomon Hailemeskel

Abstract read
In one paragraph

Article in Anesthesiology research and practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Esubalew TesfahunSchool of Public Health, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Birhan, Ethiopia, dbu.edu.et.ORCID https://orcid.org/0000-0002-1848-1872
Eden TakeleSchool of Public Health, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Birhan, Ethiopia, dbu.edu.et.ORCID https://orcid.org/0009-0009-6251-6831
Dereje AndargieCollege of Education, Debre Berhan University, Debre Birhan, Ethiopia, dbu.edu.et.ORCID https://orcid.org/0000-0001-8992-1305
Solomon HailemeskelSchool of Nursing and Midwifery, Asrat Woldeyes Health Science Campus, Debre Berhan University, Debre Birhan, Ethiopia, dbu.edu.et.ORCID https://orcid.org/0000-0002-8441-5558

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postdural puncture headache (PDPH) is a significant complication of spinal anaesthesia, especially in obstetric patients. It is triggered by the leakage of cerebrospinal fluid (CSF) through the puncture in the Dura mater. Understanding the timing of PDPH onset is crucial for early diagnosis and treatment, but previous studies have not fully explored its timing and associated factors. Aim: To determine the incidence and predictors of PDPH in women who deliver by caesarean section under spinal anaesthesia. Methods: A prospective follow-up study was conducted from March 7 to May 8, 2025, among 365 mothers who underwent caesarean section under spinal anaesthesia at government hospitals found in Debre Berhan, Ethiopia. Data were collected using a structured interviewer-administered questionnaire. The Kaplan-Meier method was used to estimate the survival time for PDPH, with the log-rank test for curve comparison. Cox regression analysis was conducted to identify predictor variables. Results: The cumulative incidence of PDPH was 33.7% (95% CI: 28.9%, 38.7%), and incidence density was 3.75 (95% CI: 3.11, 4.47) per 1000 person-hours of observation. The mean time to onset of PDPH was 28.9 h (approximately 1.4 days). The restricted mean survival time was 28.98 Hr (95% CI: 25.78, 32.17). Multiple attempts during the procedure AHR 1.69 (95% CI: 1.104, 2.606; Conclusion: This study confirmed that reducing the magnitude of PDPH requires limiting the number of puncture attempts and usage of Quincke spinal needles (22G) or fine-gauge needles (24G-26G).

Identifiers

PMID42639408
PMCPMC13501505

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.