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Updated: Mar 2, 2026

Author Spotlight: Enhancing Success of Ultrasound-Guided Neuraxial Anesthesia in Cases with Difficult Anatomy
Published on: January 31, 2025
Puerperal ventral epidural hematoma after epidural labor analgesia
I Gruzman1, I Shelef2, A Y Weintraub3
1Division of Anesthesiology and Intensive Care, Soroka University Medical Center, School of Medicine, Faculty Of Health Sciences, Ben Gurion University of the Negeve, Beer Sheva, Israel.
Abstract:
Serious complications in obstetric anesthesia are a rare occurrence. High neuraxial block, respiratory arrest in labor and delivery, and an unrecognized spinal catheter are among the most frequently reported serious complications. A serious complication occurs in approximately 1:3000 obstetric patients. Neuraxial hematoma after obstetric epidural analgesia or anesthesia is extremely rare. We present a case of a puerperal spinal epidural hematoma following epidural labor analgesia. The patient presented with foot drop, which resolved after conservative treatment. We reviewed the epidemiology, clinical manifestations and treatment options for this rare complication.
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