• Br J Anaesth · Feb 1988

    Randomized Controlled Trial Clinical Trial

    Posture and post-spinal headache. A controlled trial in 80 obstetric patients.

    • E A Thornberry and T A Thomas.
    • Sir Humphry Davy Department of Anaesthesia (Maternity) Bristol Maternity Hospital.
    • Br J Anaesth. 1988 Feb 1; 60 (2): 195-7.

    AbstractEighty obstetric patients receiving subarachnoid anaesthesia for second and third stage procedures, excluding Caesarean section, were studied. They were randomly allocated postpartum to either 24 h bed rest or early (6 h post spinal) mobilization. Patients were followed up at 48 h post-partum and the incidence and severity of post-spinal headache noted. There was a significantly greater incidence of severe spinal headaches in the "bed-rest" group and three patients in this group required blood patch treatment for their headache. Early mobilization is, therefore, the recommended management after spinal anaesthesia for these types of obstetric procedure.

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