Isfahan University of Medical Sciences Journal of Isfahan Medical School 1027-7595 35 417 2017 03 21 The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section The Effect of Spinal Anesthesia as a Risk Factor for Low Back Pain in Women after Cesarean Section 32 37 15157 FA Homayoun Tabesh Associate Professor, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Seyed Bahram Seif Resident, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Farnaz Farrokhnia Resident, Department of Obstetrics and Gynecology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran Majid Rezvani Assistant Professor, Department of Neurosurgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran Ariyan Tabesh Student of Medicine, University of Washington, Seattle, USA Journal Article 2016 11 01 Background: We planned a study to investigate the effect of spinal anesthesia in producing low back pain (LBP) in women following Cesarean section.Methods: During a prospective cohort study, 100 women who underwent spinal anesthesia and Cesarean operation were compared with 100 women who underwent general anesthesia and Cesarean operation during a 3-months follow-up as developing later low back pain.Findings: During 3-months follow-up, 25 and 43 patients in general and spinal anesthesia groups developed low back pain, respectively, which was statistically different according to chi-square test (P = 0.007). So, the prevalence of low back pain was 1.99 times more in spinal anesthesia group. It is important to note that the infant's weight had strong effect in producing low back pain; as increasing every 1 kg in weight increased the chance of low back pain for 2.1 times.Conclusion: There incidence low back pain was higher in women who underwent Cesarean operation under spinal anesthesia; this high incidence not only depended on the type of anesthesia, but on other factors such as the infant's birth weight. Thus, when planning Cesarean operation, it is necessary to consider the underlying factors in mother and child which can be effective in producing later low back pain and then accept the type of anesthesia. Background: We planned a study to investigate the effect of spinal anesthesia in producing low back pain (LBP) in women following Cesarean section.Methods: During a prospective cohort study, 100 women who underwent spinal anesthesia and Cesarean operation were compared with 100 women who underwent general anesthesia and Cesarean operation during a 3-months follow-up as developing later low back pain.Findings: During 3-months follow-up, 25 and 43 patients in general and spinal anesthesia groups developed low back pain, respectively, which was statistically different according to chi-square test (P = 0.007). So, the prevalence of low back pain was 1.99 times more in spinal anesthesia group. It is important to note that the infant's weight had strong effect in producing low back pain; as increasing every 1 kg in weight increased the chance of low back pain for 2.1 times.Conclusion: There incidence low back pain was higher in women who underwent Cesarean operation under spinal anesthesia; this high incidence not only depended on the type of anesthesia, but on other factors such as the infant's birth weight. Thus, when planning Cesarean operation, it is necessary to consider the underlying factors in mother and child which can be effective in producing later low back pain and then accept the type of anesthesia. https://jims.mui.ac.ir/article_15157_f07bdaf0e636773c9932fa54a952bb50.pdf