Temporal trends in the incidence of postdural puncture headache following labor neuraxial analgesia in the United States, 2006 to 2015
International Journal of Obstetric Anesthesia Oct 22, 2020
Guglielminotti J, Landau R, Ing C, et al. - Given an increase in labor neuraxial analgesia utilization in the United States (US), researchers sought to delineate the temporal trends in the incidence of postdural puncture headache (PDPH) in obstetrics. From the National Inpatient Sample 2006-2015 (representative of 20% United States nationally), they studied a total of 29,011,472 deliveries; among these, 86,558 (29.8 per 10,000; 95%CI: 29.3 to 30.2) recorded a diagnosis of PDPH, including 34,019 without epidural blood patch (EBP) (11.7 per 10,000; 95%CI 11.4 to 12.0) and 52,539 with EBP (18.1 per 10,000; 95%CI 17.8 to 18.4). Observations revealed a modest decrease in the incidence of postdural puncture headache between 2006 and 2015. Postdural puncture headache was reported in nearly 8,500 women in 2015. They suggest the necessity for interventions addressing this preventable cause of morbidity.
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