Aims: Spinal anesthesia is the procedure of choice for caesarean section. There is no risk of airway hazards, such as difficult airway intubation and aspiration in this method. Some cases avoid to choose this method, because of fear of complications specially headache. This Study has been done to assess the true extent of headache after surgery with spinal anesthesia and its related factors.

Methods: This cross-sectional analytic study was done in 2011 for one year in 22th of Bahman hospital of Gonabad. 200 pregnant women that was candidate for caesarean section under spinal anesthesia were selected by achievable and purposeful sampling method. All procedure was performed in a sitting position and with a disposable 25-gauge needle with 75mg Lidocaine 5% and 25 micrograms Fentanyl. Data were gathered and analyzed using the SPSS 11.5 software and independent T and Chi-square tests.

Results: 12 patients (6%) in 24 hours after spinal anesthesia and 44 cases (22%) in first week after spinal anesthesia experienced headache. Headache happening had a significant relationship with body mass index (p=0.028) and occupational factors (p=0.011) in the first week. Hypotension was the most complication (52.5%) during spinal anesthesia.

Conclusion: Hypotension is the most complications during spinal anesthesia. Those with higher body mass index and those who were employed are at higher risk for headache in first week after spinal anesthesia.

Aims: Most of the elective and emergence cesarean sections in the world's credible treatment centers are performed under spinal anesthesia. Either spinal or general anesthesia is associated with complications. The use of spinal anesthesia is recommended because of maintaining the safety of mother and her newborn. This study aimed to determine the incidence of complications related to spinal and general anesthesia after cesarean section.

Methods: This cross-sectional, analytic study was performed in 2011 on all candidate women for elective cesarean section referred to 22^nd of Bahman Hospital in Gonabad city, Iran and 122 cases were selected by simple sampling method. The data were collected with a researcher-made questionnaire include the demographic, pre-operation and post-operation information. These data were analyzed with SPSS 16 and independent T and Chi square tests.

Results: There were significant relations between the incidence of sore throat (p=0.001), muscle pain (p=0.002), rapid return of pain after surgery (p=0.001) and headache (p=0.047) after cesarean section and the type of anesthesia. There was only a significant relation between headache and satisfaction of the pregnant women from cesarean section (p=0.21). There was no significant relation between the age of pregnant woman and any types of complications.

Conclusion: The rate of sore throat, muscle pain and rapid return of pain after surgery is higher after general anesthesia than spinal anesthesia.