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Other complications of spinal and epidural anesthesia during pregnancy Save


ICD-10 code: O29.5

Chapter: Pregnancy, childbirth and the puerperium

Other Complications of Spinal and Epidural Anesthesia during Pregnancy

Spinal and epidural anesthesia are common methods of pain relief during labor and delivery. These types of anesthesia involve the injection of medication into the space around the spinal cord or epidural space to numb the lower half of the body. While these methods are generally safe, there are a few potential complications that can occur.

  1. Hypotension: One of the most common complications of spinal and epidural anesthesia is hypotension, or low blood pressure. This can occur because the medication used for anesthesia can cause the blood vessels in the lower half of the body to dilate, which can reduce blood flow to the rest of the body. Hypotension can be treated with medication and by adjusting the position of the mother.
  2. Headache: A headache is another possible complication of spinal and epidural anesthesia. This can occur because the needle used to inject the medication can cause a small hole in the membrane surrounding the spinal cord. This can cause spinal fluid to leak out, which can cause a headache that is typically worse when standing up or sitting upright. Most headaches can be treated with medication and typically resolve within a few days.
  3. Back pain: Some women may experience back pain after spinal or epidural anesthesia. This can occur because the needle used to inject the medication can cause damage to the surrounding tissues. Most back pain will resolve on its own within a few days or weeks.
  4. Difficulty urinating: Spinal and epidural anesthesia can affect the nerves that control the bladder, which can make it difficult to urinate. This can be treated with medication or by using a catheter to drain the bladder.
  5. Allergic reactions: In rare cases, women may have an allergic reaction to the medication used for spinal or epidural anesthesia. Symptoms can include itching, hives, and difficulty breathing. If an allergic reaction occurs, treatment may include medication such as antihistamines or epinephrine.

It is important to remember that spinal and epidural anesthesia are generally safe and effective methods of pain relief during labor and delivery. However, it is important to be aware of the potential complications and to discuss any concerns with your healthcare provider.

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