PURPOSE: Some labouring @entity1 with @entity1337 experience severe @entity615 , typically between the scapulae. This @entity158 may complicate management of neuraxial @entity1337 /anesthesia, and it may also have important implications for the mode of delivery. This case series describes the clinical course and management of three @entity1 who developed @entity158 associated with @entity1337 . PRINCIPAL FINDINGS: Neuraxial labour @entity1337 was initiated in all @entity1 with a combined spinal-epidural technique and maintained via @entity1 -controlled epidural @entity1337 . Two @entity1 were nulliparous. One @entity1 experienced @entity158 during initiation of epidural anesthesia for Cesarean delivery after 19 hr of maintenance of labour @entity1337 with local anesthetic/opioid solution. The other two @entity1 experienced @entity158 during routine maintenance of epidural labour @entity1337 . In two @entity1 , the epidural space was identified using loss of resistance to air. Another @entity1 recalled experiencing @entity158 with her prior labour epidural. Management of these @entity1 included decreasing the epidural infusion rate, increasing the concentration of local anesthetic in the epidural infusion solution, administration of epidural opioids, and replacement of the epidural catheter. All @entity1 eventually experienced relief of their @entity158 . CONCLUSIONS: While little is understood about the etiology of this unique anesthetic complication, it may have important clinical consequences, including inadequate @entity1337 , inability to provide timely epidural anesthesia, and an increased risk of Cesarean delivery. Future work should characterize at-risk @entity1 , delineate effective treatment strategies, and identify any associated long-term consequences.

Interscapular @entity158 associated with XXXX : a case series.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity615 :: ('MESH:D001416', 'Disease') :: ['upper back pain'] @entity1337 :: ('MESH:D000699', 'Disease') :: ['analgesia', 'neuraxial labour analgesia'] @entity158 :: ('MESH:D010146', 'Disease') :: ['interscapular pain', 'pain']
@entity1337 :: (MESH:D000699,Disease) :: ['neuraxial labour analgesia']
