Brochure-Supported Telemedicine Management of Postdural Puncture Headache

This study evaluates whether brochure-supported structured telemedicine counseling improves the management of postdural puncture headache after cesarean delivery under spinal anesthesia. Participants received either standard information and routine telephone follow-up or structured telephone counseling supported by a visual information brochure. Pain severity, headache duration, adherence to conservative treatment recommendations, and hospital re-presentation were assessed during the first five days after discharge.

Inclusion Criteria: * Pregnant women aged 18-49 years * American Society of Anesthesiologists physical status II or III * Scheduled for elective cesarean delivery under spinal anesthesia * Available for telephone follow-up after hospital discharge * Provided written informed consent Exclusion Criteria: * Conversion to or performance of general anesthesia * Diagnosis of panic disorder or depression * Hypertension * Circulatory or coagulation disorders * Placental abnormalities * Requirement for perioperative blood transfusion * Inability to be contacted during the follow-up period