The Effect of Coffee Consumption on Post Dural Puncture Headache due to Spinal Anesthesia in Cesarean Section: A Randomized Clinical Trial

• Main Authors: Maryam Eshghizadeh, Basiri Moghaddam Mehdi, Ali Mohammadpour, Zeynab Sadat Banihashemi
• Format: Article
• Language: fas
• Published: Qom University of Medical Sciences 2016-03-01
• Series: Majallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Qum
• Subjects: cesarean section; spinal anesthesia; post dural puncture headache; coffee; randomized clinical trial
• Online Access: http://journal.muq.ac.ir/browse.php?a_code=A-10-24-11&slc_lang=en&sid=1

Background and Objectives: Post dural puncture headache (PDPH) is a Common problem in pregnant women, but there is still uncertainty about clinical effectiveness, especially in terms of drug therapy. The aim of this study was to determine the effect of coffee consumption on PDPH in cesarean section. Methods: This study was performed as a clinical trial on all women candidate for cesarean section referred to Razi hospital in Torbat Heydariye city, in 2015, and 140 cases were selected based on random allocation (Balanced Blocking method). In the intervention group, the patients were given instant coffee 8 hours after operation two times with one hour interval, in each of which two cups were given. In the control group, the same routine care was performed. The incidence and severity of headache in both groups were monitored by McGill Pain Questionnaire up to 24 hours after the operation. Data were analyzed using Chi-square and independent t- statistical tests. The significance level was considered to be p<0.05. Results: The incidence of PDPH was seen in 15.7% of patients in the intervention group and 37.1% of patients in the control group, which was significantly different (p=0.004). The mean severity of PDPH was 22.2&plusmn;4.6 in the control group and 13.5&plusmn;5.8 in the intervention group, which was statically significant (p=0.001). Conclusion: This study revealed that coffee consumption in patients who underwent cesarean section under spinal anesthesia canprevent PDPH and reduce the severity of headache.