Neurological complications after delivery

Regional analgesia provides effective pain relief during delivery. Postpart al neurological deficits may be due to pressure of the fetal head on nerve structures at the pelvic rim or may be a complication of epidural analgesia . Nerve injuries due to spontaneous delivery and instrumental delivery are much more common than neurological deficits from epidural analgesia such as epidural hematoma or epidural abscess.The pattern of nerve damage is usual ly unilateral and non segmental.This case report describes the differential diagnosis of neurological deficit after spontaneous delivery under epidura l analgesia and a discussion of the recent literature. Finally recommendati ons for the treatment of neurological deficits after delivery under epidura l analgesia are presented.