Caesarean section is a surgical technique to
deliver a fetus through an incision in the abdominal wall
and uterus. According to data from the WHO (World
Health Organization), in 2010 the average cesarean
section was around 5-15% per 1000 births in the world.
The incidence of cesarean section in Indonesia has a rate
of approximately 6.8% per 1000 births. Cesarean section
is certainly inseparable from anesthesia. Generally, a
cesarean section is performed using a regional anesthetic
technique. Spinal anesthesia (subarachnoid block) is the
preferred choice for cesarean section. The most common
complication that occurs is Post Dural Puncture
Headache (PDPH) or post-spinal anesthesia headache
which can be caused by CSF leakage (Liquor Cerebra
Spinal) due to spinal tissue injection.
Objective: To determine the comparison of the incidence
of post-dural puncture headache in section cesarean
patients with spinal anesthesia using spinocan 25G and
spinocan 27G at RSUP H. Adam Malik Medan and
University Hospital of North Sumatra.
Methods: The research design used in this study was a
clinical trial using a double-blind randomized method
carried out for 3 months, namely in August-October
2020 at the Central Surgical Installation of the Adam
Malik Center General Hospital Medan and the
University Hospital of North Sumatra. The sample
obtained in this study amounted to 58 people according
to the calculation of the number of samples, inclusion
and exclusion criteria, which were then divided into 2
groups, namely 29 people in group A (spinocan 25G) and
29 people in group B (spinocan 27G).
Results: The incidence of PDPH in cesarean section
patients with spinal anesthesia was greater in the group
using spinocan 25G than using spinocan 27G, which had
a significant difference, especially at 24 hours and 48
hours (p <0.05).
Conclusion: There is a significant difference in the
incidence of PDPH in cesarean section patients at 24
hours and 48 hours
Keywords : PDPH, Caesarean Section, Anesthesia, Spinal, SpinocanKeywords: Hamilton Anxiety Rating Scale, Alprazolam , Anxietas