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Racial and Ethnic Disparities in the Management of Postdural Puncture Headache With Epidural Blood Patch for Obstetric Patients in New York State

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Key Points Question Do patients in racial and ethnic minority groups giving birth receive an epidural blood patch for management of postdural puncture headache after neuraxial procedures less frequently than… Click to show full abstract

Key Points Question Do patients in racial and ethnic minority groups giving birth receive an epidural blood patch for management of postdural puncture headache after neuraxial procedures less frequently than non-Hispanic White patients giving birth? Findings This cross-sectional study found that, among the 8921 cases of obstetric postdural puncture headache identified in New York State hospitals, an epidural blood patch was used less often or its use was delayed for patients in racial and ethnic minority groups compared with non-Hispanic White patients. Meaning These findings suggest that there is a need to address racial and ethnic disparities in the management and prevention of serious complications associated with obstetric anesthesia care.

Keywords: puncture headache; epidural blood; postdural puncture; racial ethnic; blood patch

Journal Title: JAMA Network Open
Year Published: 2022

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