Subarachnoid Haemorrhage Following Spinal Anaesthesia in Pregnant Women: A Rare Occurrence

Mishra, Vineet; Lamba, Sunita; Mistry, Kavita; Verneker, Ruchika

doi:10.7860/jcdr/2018/36186.11718

Cited by 1 publication

(2 citation statements)

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Section: Cranialmentioning

confidence: 99%

“…Four cases of subarachnoid haemorrhage (SAH) and two cases of intracerebral haemorrhage have been reported following neuraxial anaesthesia in the absence of an alternative precipitating cause. [28][29][30][31][32][33] The risk of SAH in the postpartum period has been estimated to be 5.8 cases per 100,000 deliveries. 34 Three cases of pituitary haemorrhage have been described following spinal anaesthesia in the absence of an alternative precipitating cause, presenting between five minutes and one week following delivery.…”

Section: Other Intracerebral Haemorrhagementioning

confidence: 99%

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Postpartum complications following neuraxial anaesthesia for obstetric physicians

Lawrence

Morton

2022

Obstet Med

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Neuraxial analgesia and anaesthesia are widely accepted and well-tolerated modes of delivery analgesia, being employed in up to 76% of vaginal deliveries and 94% of caesarean deliveries in the United States. 1 A cause of considerable concern for postpartum women, their family and caring health professionals is the occurrence of unexplained postpartum complications, not only for management in the index pregnancy, but the uncertain risk of recurrence in future pregnancies. Complications of neuraxial blocks may impact significantly on the ability of mothers to care for and bond with their newborn. The reported incidence of temporary neurological deficit following obstetric neuraxial blocks is 1 in 3900 procedures, and the risk of permanent neurological harm estimated to be between 1 in 80,000 and 1 in 320,425 procedures. 2 Obstetric physicians may be asked to review women with postpartum complications following neuraxial blocks. This article reviews complications that may be seen following neuraxial blocks for delivery.

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