1.Hypotension: becose block of symphatetic nerve supply to the lower part of the body leads to peripheral vasodilatation.
2.Accidental dural puncture: There is 50% possibility of a low pressure headache which last for few days from leakage of cerebrospinal fluid into the epidural space.
As treatment is recomanded:
-lactate solution infused into the epidural space
-bed rest for 4 days
-analgesics
-blood patch,if the previous methods failed.
3.Subarachnoid injection:
The usual dose needed for spinal block is less than that required for epidural block so if accidentally injected into the subarachnoid space it m result in paralysis of the respiratory muscle.
4.Increased incidence of foreceps delivery: as the maternal perineal reflex and urge to push is blocked leading to prolonged second stage.
5.Neurological complications:
Patches of numbness on the outer side of the thighs or legs for few days.
6.Fracture of the cathered:
Fragments are left in situ as it cause no problems.
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