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CORRESPONDENCE |
Postpartum post-dural puncture headache
E-mail: dmlevy@nhs.net
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EditorI was interested to read the report of a parturient who appears to have sustained an intracerebral haemorrhage (ICH) shortly after an epidural blood patch.1 The authors reviewed cerebrovascular pathology in the puerperium and the contribution of obstetric regional analgesia. I was intrigued, however, by the (unreferenced) assertion that a continuous infusion of oxytocin can cause hypertension that might result in bleeding from aneurysms or weak areas in cerebral vessels. I have searched to no avail for the basis of this statement. In contrast to ergometrine, which can indeed cause dangerous hypertension secondary to vasoconstriction, there is no restriction to the use of oxytocin, either for augmentation of labour or prevention of atonic postpartum haemorrhage, in women with hypertensive
Nottingham, UK
* E-mail: chandru104@yahoo.co.uk
Lancaster, UK
* E-mail: doczeidan@hotmail.com
Beirut, Lebanon
* E-mail: c.bleeker@anes.umcn.nl
Nijmegen, The Netherlands