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Peri Partum Headache...Importance of history

Postural headache 
  •  Think low CSF pressure headache, Postdural puncture headache (PDPH).

History of similar headaches

  • Think migrane ,1/3 to half of women with migraine will have a postpartum headache and the nature of symptoms are similar to their previous headaches.
Headache associated with antenatal/post-natal history of hypertension, proteinuria or seizure 
  • Think  Postpartum Preeclampsia.
Abrupt headache 
  •  think aneurysm subarachnoid haemorrhage, cerebral venous thrombosis and a vascular cause.

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