As a 4 year long sufferer of a CSF leak, I respectfully disagree with you!!
On Sat, Jun 16, 2018 at 7:43 AM Pamela Morrison <
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> Michelle
>
> Regarding your query about the mom who is suffering headaches when she
> nurses, I see that there have been a few responses mentioning the
> possibility of epidural (anaesthetic) as a cause.
>
> I just wanted to add my 0.2ml that I doubt that this is the cause in this
> case. In my experience, an Epidural Headache, when it happens, comes on as
> a consequence of an epidural anaesthetic - it happens quickly, is
> continuous, caused by post dural puncture, and is not helped by any amount
> of pain-killers. The advice is for the mother to lie absolutely flat to
> reduce the pain, which makes either nursing or pumping or caring the the
> baby just about impossible. If the OB can be persuaded to do a "patch" in
> the theatre, the relief felt by the mother is miraculous! A patch involves
> taking some of the mother's own blood and injecting it into or near the
> hole in the dura, the blood clots to stop the leak of spinal fluid, allows
> the pressure around the brain to increase and stop the headache. I used to
> find that speed was of the essence (ie this cannot wait over a weekend, or
> even til this afternoon!) and some advocacy was useful to explain to the OB
> the importance of fixing the pain so that the baby could be breastfed!
>
> It sounds like the cause of headache, which is only intermittent and only
> comes on with nursing, is not due to leaking spinal fluid, but to something
> else (letdown/oxytocin release/possible DMER?).
>
> Hope this helps the diagnosis of exclusion.
>
> Pamela Morrison IBCLC
> Rustington, England
>
>
>
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