A woman had an accidental dural puncture during labor pain. Epidural analgesia was successful on second attempt and she had a successful normal delivery. However, she was back in emergency room with several post-dural puncture headache. Read what ensued following an epidural blood patch. Accidental dural puncture A 27-year-old woman para 2 (86 kg and 161 cm) had an accidental dural puncture at L3-4 spinal interspace during placement of an epidural for labor pain.
The next attempt at L2-3 interspace was successful and the epidural analgesia for labor and delivery worked very well. 2 days later, she was discharged home with her baby. Severe post-dural puncture headache 3 days later, she is back in the emergency room complaining of severe post-dural puncture headache. She agrees to a blood patch. She is placed in the lateral decubitus position and the epidural space is located at L3-4…
