Are there physical or medical conditions that would prevent someone from getting a labor epidural?
Yes. Underlying back problems like spina bifida or spina bifida occult are absolute contraindications to LEA. Previous lower back surgery and severe scoliosis can make placement of LEA more complicated and, in some cases, impossible. Other contraindications for LEA include; brain tumors or conditions that cause an increase in intracranial pressure, infection at the intended puncture site, allergies to a specific class of local anesthetics, certain blood thinner medications (excluding aspirin or ibuprofen-like drugs), and certain medical conditions that prevent your blood from clotting properly. Chronic back pain, progressive neurological diseases (for example multiple sclerosis), blood infection, and preexisting neurological deficits in your back or legs could also be contraindications to LEA. Your anesthesiologist will take your complete medical history and any questions you have about specific medical problems and LEA. 6. Is there a “window of opportunity” for getting an epidural or
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