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J Gynecol Obst Bio R · Jan 1997
Review[Infectious complications after peridural obstetric anesthesia].
- E Marsaudon, F Berthier, and C Eyhorn-Berthier.
- Service de Médecine Interne/Infectiologie, Centre Hospitalier de Châteauroux.
- J Gynecol Obst Bio R. 1997 Jan 1;26(2):159-62.
AbstractInfective complications after epidural anesthesia for delivery are uncommon. We reviewed 21 cases of epidural abscesses, 7 cases of meningitis and one spondylitis reported in the literature. These infections usually occurred in debilitated patients either by direct contamination at puncture or indirectly from a neighboring infection or from the blood stream. Prognosis depends on early diagnosis. The first manifestations are spinal stiffness or local pain. Signs of neurological deficiency come later at a stage when complete recovery is compromised. This emphasizes the importance of the clinical examination before delivery in search for skin or deep infections.
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