Headache in the postpartum period is common with
multifactorial etiology
•
Postdural puncture headache (PDPH)  potential
complication after unintentional dural puncture during
labor epidural placement
•
Other causes of headache in the post partum period
should also be investigated

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A 24 year old gravida 4 para 1 female with PMH of
Protein S deficiency, Prothrombin gene mutation,
anxiety and depression receive d a labor epidural for
induction of labor at 38 w 2d for IUGR
•
On prophylactic enoxaparin therapy for thrombophilia
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Complained of headache on PPD 2  migraine,
discharged home, enoxaparin continued