Abstract
(Can J Anaesth. 2019;66:1464–1471) The use of neuraxial analgesia for labor and cesarean delivery anesthesia has increased over the past 30 years. A common complication of neuraxial blockade is accidental dural puncture (ADP) and the development of a postdural puncture headache (PDPH). Women who develop a PDPH may have debilitating symptoms which can interfere with their ability to care for their neonates. Furthermore, ADP and PDPH may result in chronic headaches or even more severe morbidity such as a subdural hematoma. PDPH can result in delays in hospital discharge for patients. The most reliable treatment for PDPH remains the epidural blood patch (EBP). The primary aim of this study was to describe the incidence of ADP as well as the rates of PDPH and EBP in parturients who had a neuraxial block during their delivery over a 10-year period. Secondarily, the authors examined delays in hospital discharge related to PDPH.
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