Abstract
Postpartum headache is described as a complaint of headache and neck or shoulder pain in the first 6 weeks after delivery. It is one of the most common symptoms with up to 39% of parturients experiencing headache in the first postpartum week. Regional anaesthesia has become the preferred choice for analgesia and anaesthesia in obstetric patients. With increasing awareness among our non-anaesthetic colleagues that post-dural puncture headache (PDPH) is a complication of regional anaesthesia, it is common for obstetric anaesthetists to be asked to review women with postpartum headache. It is very important therefore that anaesthetists are familiar with the possible differential diagnoses of postpartum headache and the management options available. In this article, we will discuss the causes of postpartum headache, their diagnosis, and management. In particular, we will focus on PDPH as this continues to be a significant cause of postpartum headache which poses particular challenges for the obstetric anaesthetist.
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