|Effect of Ginger on Preventing Post-spinal Puncture Headache (PSPH) in Patients Undergoing Cesarean Section|
|Banafsheh Mashak1, Maryam Hashemnejad2, Kourosh Kabir3, Mansoureh Refaei4, Sara Esmaelzadeh Saeieh5,8, Shoukofeh Torkashvand6, leilisalehi7, Mansoureh Yazdkhasti5,8|
|1Department of anesthesiology, Faculty of Midwifery and Assistant Professor, Alborz University of Medical Sciences, Karaj, Iran
2Department of Gynecology, Faculty of Midwifery and Assistant Professor, Alborz University of Medical Sciences, Karaj, Iran
3Department of Community Medicine, Faculty of Community Medicine and Associate Professor, Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran
4Department of Midwifery, Mother and Childcare Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
5Social Determinations of Health Research Center, Alborz University of Medical Sciences, Karaj, Iran
6Department of Midwifery, Instructor, Alborz University of Medical Sciences, Karaj, Iran 7. Department of Health Education and Promotion, Faculty of Health and Associate Professor, Research Center for Health, Safety and Environment (RCHSE), Alborz University of Medical Sciences, Karaj, Iran
7Department of Midwifery, Faculty of Midwifery and Assistant Professor, Alborz University of Medical Sciences, Karaj, Iran
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Keywords : Post-spinal Puncture Headache, Ginger, Cesarean section, Prevention
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Objectives: Post-spinal Puncture Headache (PSPH) has been always one of the research priorities especially in women undergoing Cesarean section. PSPH caused by physical and psychological problems. This study was conducted with the aim of evaluating the effect of ginger on preventing PSPH in patients undergoing cesarean section.
Materials and Methods: This clinical trial was conducted on 160 women undergoing cesarean section with spinal anesthesia, who were eligible to enter the study in the experimental and control groups. One ginger capsule (250 mg) was prescribed to the experimental group every 8 hours (TDS) 24 h before of Cesarean Section. The prescription of ginger was continued half hour after transfer of post-partum ward, until the PSPH onset. PSPH intensity were measured by using VAS pain scores at 6 time points (Time1= 30, Time 2= 60,and Time 3=90 minutes), Time 4=3, Time 5=6,and Time 6= 12 hours) after c-section. No interventions were done in the control group. The data were analyzed using the SPSS via descriptive statistics (mean, Standard Deviation (SD), and percentage) and analytical tests (Chi-square, independent t-test, repeated measures analysis of variances (ANOVA) was used to determine the changes in PSPH intensity.
Results: The comparison results of mean score PSPH intensity in the experimental and control groups using the independent t test indicated significant differences in over time(p<0.05), except for the 6th time point (12 h after C-section).The trend of changes at 6 points time according to results of the repeated measures test indicated that PSPH intensity in over time were significantly different in the two groups(p<0.001).
Conclusion: According to the result, the oral prescription of ginger to women undergoing C-section under spinal anesthesia led to effective PSPH prevention at 5 time points (30, 60, and 90 min plus 3 and 6 h). Also, Trend of the changes indicated that PSPH intensity in overtime decreased in the experimental group. Therefore, ginger is suggested as a non-invasive and efficient method for preventing PSPH.
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