What is a common cause of spinal headaches in postpartum patients?

Spinal headaches, often referred to as post-dural puncture headaches, are primarily caused by a puncture of the dura mater during procedures such as epidural anesthesia or spinal taps. When the dura is punctured, cerebrospinal fluid (CSF) can leak out, leading to lower CSF pressure around the brain and spinal cord. This decrease in CSF pressure can cause a headache that typically worsens when the patient is upright and improves when they lie down.

This condition is particularly common in postpartum patients who have recently undergone an epidural or spinal anesthesia, making understanding the cause critical for both prevention and management of these headaches. Managing the incidence of this complication involves ensuring proper technique during procedures and providing adequate hydration and support post-procedure.