The aim of this study is to examine the effects of altitude (high altitude versus low altitude) on incidence and severity of postural puncture headache (PDPH) following spinal anaesthesia for caesarean delivery. The investigators hypothesized that the risk of PDPH would be higher in highlander parturients than in lowlander parturients.
Parturient, aged more than or equal to 18 years
American society of Anesthesiologist 2 and 3
Scheduled for elective and non-elective (category 2 & 3) caesarean delivery with spinal anesthesia
Native to their resident altitude i.e., those born, raised, and have continuously lived at the same altitude, at least for the past 1 year.
Hypertensive disorder
Cerebrovascular disease
Mental disorder (schizophrenia and other psychotic disorders)
Known fetal anomalies
B.P. Koirala Institute of Health Sciences
Lead sponsor
Karnali Academy of Health Sciences
Collaborator