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FORT MYERS, FLA. -- The majority of postpartum headaches are primary headaches, and many go untreated, a large study suggests.
About 39% of 985 postpartum women in the prospective cohort study developed a postpartum headache. Primary headaches, such as tension or migraine headaches, were nearly 20 times more frequent than secondary headaches, such as postdural puncture headaches, Dr. Eric Goldszmidt reported in a poster presentation at the annual meeting of the Society for Obstetric Anesthesia and Perinatology.
Migraine and tension headaches accounted for about 73% of all headaches in the study, and musculoskeletal and cervicogenic headaches accounted for 15%. Postdural puncture headaches accounted for only 4.5%, and the remaining headaches were of an undetermined type, said Dr. Goldszmidt, staff anesthetist at Mount Sinai Hospital, Ontario, and a lecturer at the University of Toronto.
Development of postpartum headache and/or neck and shoulder pain was evaluated via interview and chart review at 3 days and 1 week postpartum, and patients were instructed to call if headache developed after that time.
Headache diagnosis was confirmed using an algorithm based on International Headache Society criteria, and risk factors for postpartum headache were identified. Women with known ...
Source: HighBeam Research, Postpartum headaches often go unrecognized.(Obstetrics)