Postpartum Neuropathies

AbstractPurpose of ReviewThis 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 FindingsRecent 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.SummaryObstetric 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.
Source: Current Anesthesiology Reports - Category: Anesthesiology Source Type: research