{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:57:31Z","timestamp":1778029051600,"version":"3.51.4"},"reference-count":0,"publisher":"Hindawi Limited","license":[{"start":{"date-parts":[[2009,1,1]],"date-time":"2009-01-01T00:00:00Z","timestamp":1230768000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Scientific World JOURNAL"],"published-print":{"date-parts":[[2009]]},"abstract":"<jats:p>Obstetric anesthesia-related complications occur as a result of labor epidural or spinal placement. The purpose of this continuous quality-improvement audit was to review the occurrence of accidental dural punctures (ADPs), postdural puncture headaches (PDPHs), and failed regional anesthetics at an academic tertiary-care medical center over a 5-year period. Obstetric anesthesia complications contained in three databases consisting of ADPs, PDPHs, and failed regional anesthetics were matched to a perinatal database, with no complications serving as controls. Of the 40,894 consecutive parturients, there were 765 documented complications. Complication rates were 0.73% (95% CI: 0.65\u20130.82) for ADP, 0.49% (95% CI: 0.43\u20130.56) for PDPH, and 0.65% (95% CI: 0.57\u20130.73) for failed regional anesthetic. When compared to the no complication group, factors associated with obstetric anesthesia complications included increased weight and BMI (<jats:italic>p<\/jats:italic>&lt; 0.01), epidural block (<jats:italic>p<\/jats:italic>&lt; 0.01), and vaginal delivery (<jats:italic>p<\/jats:italic>&lt; 0.01).<\/jats:p>","DOI":"10.1100\/tsw.2009.94","type":"journal-article","created":{"date-parts":[[2009,8,3]],"date-time":"2009-08-03T01:03:34Z","timestamp":1249261414000},"page":"715-722","source":"Crossref","is-referenced-by-count":9,"title":["A 5-Year Audit of Accidental Dural Punctures, Postdural Puncture Headaches, and Failed Regional Anesthetics at a Tertiary-Care Medical Center"],"prefix":"10.1100","volume":"9","author":[{"given":"Sukhdip","family":"Singh","sequence":"first","affiliation":[{"name":"Magee-Womens Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shagufta Y.","family":"Chaudry","sequence":"additional","affiliation":[{"name":"Magee-Womens Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy L.","family":"Phelps","sequence":"additional","affiliation":[{"name":"Duquesne University, School of Business, Pittsburgh, PA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel C","family":"Vallejo","sequence":"additional","affiliation":[{"name":"Magee-Womens Hospital, Department of Anesthesiology, University of Pittsburgh School of Medicine, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"98","container-title":["The Scientific World JOURNAL"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2009\/596392.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/tswj\/2009\/596392.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2016,8,23]],"date-time":"2016-08-23T11:08:30Z","timestamp":1471950510000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/tswj\/2009\/596392\/abs\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009]]},"references-count":0,"alternative-id":["596392"],"URL":"https:\/\/doi.org\/10.1100\/tsw.2009.94","relation":{},"ISSN":["1537-744X"],"issn-type":[{"value":"1537-744X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009]]}}}