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Further Information

For further information on this subject please contact the PAU or labour ward where you delivered.


Darlington Memorial Hospital

Labour ward 01325 743449

PAU 01325 743025


University Hospital North Durham

Labour ward 0191 3332908

PAU 0191 3332142


www.cddft.nhs.uk.


Glossary

Epidural space– a space very close to the spinal cord which can be injected into provide pain relief.


Epidural Catheter – a fine plastic tube left in the back and used to give pain relief during your labour or caesarean section.

Spinal injection – a ‘once only’ injection into the fluid around the spinal cord which provides pain relief.



Reference

NAP3 - Major Complications of Central Neuraxial Block in the United Kingdom – Report and Findings. Royal College of Anaesthetists. London. 2009.





Publication Date: October 2017

Date Reviewed:

Responsibility for review: Acute Pain Service and Obstetricians

Leaflet reference: PIL/CG/0349

Version

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Maternity


Patient instructions after

epidural / spinal injection

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Introduction

Epidural infusions or spinal injections are used for pain relief during labour or caesarean section. Spinal injections last for a few hours. Epidural infusions may be used during labour or caesarean section. The epidural space is very close to the spinal cord. Serious complications from epidural / spinal injection are very rare (1:10,000). Very occasionally after an epidural or spinal injection, a collection of pus or blood can cause pressure on the spinal cord. If this happens it is vital to diagnose and treat it as quickly as possible. Expert hospital doctors must diagnose this to prevent delay in treatment and long lasting damage.


This leaflet tells you what symptoms to look for and what action to take if you think that you have a problem.



What are the signs and symptoms?



Will I be assessed before removal of the epidural catheter?

At the end of your treatment, the team of doctors and midwives looking after you will examine you. This is to make sure that you have no numbness or weakness in your legs. They will ask you to move your legs. This is to make sure that


the sensation in your legs is the same as it was before your delivery.

What if complications happen after removal of the epidural catheter or spinal anaesthetic and I’m still in hospital?

If you have altered sensation following your spinal or epidural, you can discuss this with the staff looking after you.


Once your epidural has been stopped you should regain normal sensation and power in your legs within a few hours. The midwives will monitor the movement in your legs even after the epidural infusion has finished. If you develop any of the signs and symptoms listed while you are still in hospital, speak to the midwife. Explain your concerns and the midwife will contact the on-call anaesthetist immediately. The midwife will know how to do this.



What if complications arise after I have gone home?

If you are at home and begin to experience any of the signs and symptoms listed above, you must seek expert advice immediately. Depending on your symptoms contact your community midwife, and if unable to speak to someone then contact your local Pregnancy Assessment Unit (PAU). Explain your symptoms and they will guide you as to what are the best next steps. Do not delay seeking advice.







ADULT COMMUNITY AND FURTHER EDUCATION BOARD ANNUAL REPORT 2008
Agreement of Training Programmes for Further Education Which is
AMENDMENT TO THE PAKISTAN PENAL CODE SECTION 509 FURTHER


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