Treatment of obstetric post-dural puncture headache. Part 2: epidural blood patch

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

55 Citations (Scopus)


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. Despite suffering long-term headaches, neither woman was adequately followed-up after discharge from hospital. Death resulted from a cerebral vein thrombosis in one case and a subdural haematoma in the other. Due to significant variation in the treatment of obstetric post-dural puncture headache, an Obstetric Anaesthetists’ Association working group was set up to produce evidence-based guidelines to guide clinicians. These guidelines have been condensed into two review articles. In this second review, the role of an epidural blood patch is discussed using a question and answer format.

Original languageEnglish
Pages (from-to)104-118
Number of pages15
JournalInternational Journal of Obstetric Anesthesia
Early online date22 Dec 2018
Publication statusPublished - 1 May 2019

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