Delgado C, Bollag L, Van Cleve W, et al. - Using a private insurance database, researchers sought to provide estimates of neuraxial labor analgesia (NLA) use, the gold standard for labor analgesia, in the United States. In addition, they determined incidence of postdural puncture headache (PDPH; one of the most common complications) and utilization of epidural blood patch (EBP) for PDPH treatment. From the Truven MarketScan Commercial Claims and Encounters database, they analyzed dataset consisting of 1,752,243 deliveries. Of these, 64.6% were vaginal deliveries (VD); NLA was administered in 72.9% of these deliveries, with a PDPH incidence of 0.58%. The findings regarding the present utilization of neuraxial analgesia and the incidence of PDPH are in line with findings from prior studies. Relative to patients undergoing VD with NLA, a higher incidence of PDPH was observed in patients having CD without NLA, presumably due to intentional dural puncture. A lower incidence of PDPH was noted in women having CD with a prior NLA, possibly due to avoidance of pushing during the second stage of labor. EBP use was common for the treatment of PDPH and was more frequently reported in cases with a history of NLA. EBP was rarely repeated.