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Aims: This study was designed to define the role of position in the occurrence of postdural puncture headache (PDPH) after spinal anesthesia. Methods: This is a comparative study of 69 patients in each group with pillow cushion and without during spinal anesthesia in supine position for the patients scheduled for low abdominal and pelvic surgeries. Results: Patients in both groups experienced headache (but not PDPH) after surgery with slightly higher (n=13, 18.84%) rate in strict supine position than with head rest using a pillow cushion (n=11, 15.94%). This was not statistically significant (p=0.65). Conclusions: Supine position with a pillow cushion in the immediate post-spinal period caused a non-significant decrease in the incidence of headache and a significant increase in comfort. This study could not conclude whether a pillow cushion affects the occurrence of PDPH as there were no cases of PDPH in either group.

Occurrence of Headache with and without Pillow Cushion in Supine Position after Spinal Anesthesia