Headache following inadvertent dural puncture is a common source of complaint. Dural tap is not, in itself, enough to demonstrate negligence, as long as it is correctly managed. This means that good analgesia should be established for labour and the patient followed up daily while in hospital. Any complaint of headache, neck pain or visual disturbances should be documented and definitive treatment, in the form of epidural blood patch, offered early. Any mother who has suffered a dural tap or postdural puncture headache should be encouraged to contact the hospital if there is a recurrence/worsening of symptoms. These patients should be routinely followed up at 6-10 weeks postpartum.
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