Recognized and unrecognized dural punctures in 12,981 labor epidurals: an audit of management.

Purpose: Unintentional dural puncture (DP) and post-dural puncture headache (PDPH) continue to cause discomfort and disability in a small proportion of post-partum women. We report an audit of the management of recognized and unrecognized DP over 10 years.

Methods: Clinical data were prospectively collected for women who experienced a recognized DP or developed symptoms following a neuraxial procedure.