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Obstetrics patients are at increased risk for PDPH . It has the potential to cause signicant morbidity in mothers.Aim
of our study was to compare the incidence of PDPH with 25G Quincke and 25 G Whitacre needles in caeserian
patients.
MATERIALS AND METHODS: After institutional ethical board approval and written informed consent, this prospective randomized study
was done in our hospital. 100 ASA1 and 2 patients posted for caeserian were randomly divided in to 2 groups. Group 1,(n=50) received
spinal anesthesia using 25G Quincky and Group2 (n=50) using 25G , Whitacre needle. Incidence ,severity and duration of head ache
compared.
RESULTS: Eight (16%) patients in Quincky group and two (4%) patients in Whitacre group developed PDPH .But the difference in incidence
of PDPH between the groups was not statistically signicant. Difference in ease of insertion between needles in two groups didn't show any
statistical signicance.
CONCLUSION : Incidence and severity of head aches with Whitacre needle was less compared to cutting needle , though difference was not
statistically signicant. We conclude pencil point needles should be preferred for caeserian patients receiving spinal anaesthesia