Shea K, et al. - Researchers explored the effect of accidental dural puncture during labor epidural analgesia on obstetric outcomes in this retrospective cohort study. They compared anesthetic and obstetric data from nulliparous parturients who suffered an accidental dural puncture at term labor (n=89) during the years 2006-2012 with randomly selected parturients with uncomplicated epidural analgesia (n=232). Findings revealed prolongation of the second stage of labor in association with accidental dural puncture. Instrumented or cesarean delivery rates seemed not influenced by these accidents.