Does Postpartum Migraine Occur?
In the first days after birth, a headache is not expected. Even in patients with a migraine before pregnancy is not expected. In addition, migraine decreases during pregnancy and may resume in the months following birth. If we have a headache after birth, even if we had migraines in the past, we should remember some situations and consult a physician. Postpartum Migraine
Headache in Painless Births (Epidural Anesthesia)
Epidural anesthesia is the most common cause of headaches in the first days after birth. In this method, which has become widespread under the name of painless birth, cerebrospinal fluid (CSF) may develop due to intervention. Pressure in the brain decreases due to leaking fluid, headache develops.
In headaches due to painless delivery, it is very typical for the pain to decrease or pass in the supine position. When the mother sits to breastfeed, the negative pressure in the brain increases with the effect of gravity. If he takes plenty of fluids and lies outside of breastfeeding, a headache will go away in a few weeks. If the headache is unbearable, caffeine may be given as a medicine. If severe pain persists after three days, a “blood patch” can be applied. This means that the patient’s own blood is injected into the epidural space in the spinal cord.
What is Dural Sinus Thrombosis?
A rarer and very serious condition is “dural sinus thrombosis”. This condition, which can also be seen during pregnancy, occurs more frequently in the postpartum period. Headache may be a harbinger of this condition. It is manifested by neurological findings such as edema at the base of the eye (a doctor can detect), epileptic seizures and stroke. Immediate blood-thinning treatment should be initiated.
Headaches starting on the days following birth should be careful. First of all, it should not be thought that the old migraine recurred. Mothers with migraines should not pass away because of a headache again. Postpartum Migraine