COMPARISON OF OCCURRENCE OF POST DURAL PUNCTURE HEADACHE IN LOWER SEGMENT CAESAREAN SECTION UNDER SUBARACHNOID BLOCK BY MEDIAN VS PARAMEDIAN APPROACH: A RANDOMIZED INTERVENTIONAL STUDY

Aims: Spinal anaesthesia is a standard anesthetic technique in obstetrics, as it provides good analgesia and muscle relaxation. But every procedure comes with certain side effects complications. Lumbar puncture for subarachnoid block done by either median or paramedian approach. Besides postoperative headache, other like nausea, vomiting have been reported the period. Hereby we conducted study on patients undergoing lower segment caesarean section (LSCS) under spinal approach, compared occurrence of post dural headache both groups. Methods Material: 400 parturients ASA grade I & II who underwent LSCS were divided into two groups: Group M (n=200) received approach while PM We observed difference proportion cases develop (PDPH) groups also to determine mean time duration development PDPH Statistical analysis used:The data was analysed using chi-square T-test where p<0.05 considered statistically significant Results: 5 (2.5%) group developed whereas only 1 patient(0.5%) which non-significant (p=0.099). The onset similar Conclusions:Hence from our observations conclude that there no incidence when lumbar 25 G