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Postpartum Neuropathies

  • Obstetric Anesthesia (LR Leffert, Section Editor)
  • Published:
Current Anesthesiology Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

This review discusses neuropathies intrinsic to the process of labour itself, and those related to obstetric central neuraxial block. The focus is on lower limb pathology. A general approach to the evaluation of patients is provided, emphasising the importance of identifying time-critical conditions.

Recent Findings

Recent work has focussed on the incidence of postpartum neuropathy and confirms how rarely anaesthesia is a causative factor. International guidelines have been developed to minimise the risk of neuraxial-related injury, and to optimise both monitoring of patients with neuraxial block and investigation of abnormal findings.

Summary

Obstetric anaesthetists are frequently asked to see patients with abnormal neurology in the postpartum period. A clear understanding of common pathology and the core tenets of evaluation and management are crucial for safe patient care. While rare, complications related to neuraxial anaesthesia can be devastating, and appropriate preventative measures should be employed to minimise risk.

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Authors and Affiliations

  1. Frimley Health NHS Foundation Trust, Frimley, UK

    Matthew Sinnott

  2. Women’s Wellness and Research Centre, Hamad Medical Corporation, Doha, Qatar

    Roshan Fernando

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Correspondence to Roshan Fernando.

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Sinnott, M., Fernando, R. Postpartum Neuropathies. Curr Anesthesiol Rep 13, 49–58 (2023). https://doi.org/10.1007/s40140-023-00550-8

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