Treatment of obstetric post-dural puncture headache. Part 1: conservative and pharmacological management

R. Russell*, C. Laxton, D. N. Lucas, J. Niewiarowski, M. Scrutton, G. Stocks

*Corresponding author for this work

Research output: Contribution to journalReview article (Academic Journal)peer-review

8 Citations (Scopus)

Abstract

The 2009–12 MBRRACE-UK report highlighted the deaths of two women in whom dural puncture had occurred during insertion of a labour epidural catheter. One woman received an epidural blood patch, the other did not, but both suffered with chronic headaches following discharge from hospital. Neither woman was adequately followed-up. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Surveys of clinical practice in the UK have revealed significant variation in anaesthetic practice in the management of obstetric post-dural puncture headache. To help provide guidance on treatment, the Obstetric Anaesthetists’ Association set up a working group to review the literature and produce evidence-based guidelines for management of obstetric post-dural puncture headache. These guidelines have been condensed into two review articles, the first of which covers conservative and pharmacological treatment.

Original languageEnglish
Pages (from-to)93-103
Number of pages11
JournalInternational Journal of Obstetric Anesthesia
Volume38
Early online date21 Dec 2018
DOIs
Publication statusPublished - 1 May 2019

Bibliographical note

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