Migraine And Pregnancy: What Should We Know
DOI:
https://doi.org/10.25077/aoj.4.2.251-260.2020Abstract
Migraine is a common headache characterized by unilateral throbbing-like headache and pulsating in nature and sometimes associated with aura. Migraine is a disabling disorder that among adults is more prevalent among women than men. It is primary headache that is often found in pregnancy. Migraine is a common disorder in women of childbearing age, and usually requires pharmacological treatment. Migraine can be considered an important risk factor for hypertensive and vascular diseases during pregnancy. Migraine therapy in pregnancy is very challenging, it must taken into a consideration about the health of the mother and fetus. Several effective antimigraine medications are reasonably safe for use by pregnant and breastfeeding women. Prophylactic theraphy should be given to patient with recurrent migraine attacks in pregnancy. Nonpharmacological strategies are always first-line treatment options for mild migraine, and should also be used complementarily whenever pharmacological treatment is required. Women with migraine should be offered periconceptional counselling to promote a safe and healthy pregnancy.
Keywords: migraine; pregnancy; therapy
References
Negro A, Delaruelle Z, Ivanova T, et al. Headache and pregnancy: a systematic review. The Journal of Headache and Pain 2017;18(1)
Kwok, G. Migraine During Pregnancy: Could Acupuncture Play a Role. MBBS 4.
Ng N, Cox S, Maiti S. Headache in pregnancy: an overview of differential diagnoses. J Preg Child Health. 2015; 2:1
Frederick Ihunnaya O. Chung-fang Qiu, Daniel A. Enquobahrie, Sheena K. Aurora, B. Lee Peterlin, Bizu Gelaye, and Michelle
A.Williams. Lifetime Prevalence and Correlates of Migraine among Women in a Pacific Northwest Pregnancy Cohort Study. Headache. 2014 April ; 54(4): 675–685.
Kvisvik Elisabeth Volden Lars Jacob Stovner, Grethe Helde, Gunnar Bovim, Mattias Linde. Headache and migraine during pregnancy and puerperium: the MIGRA-study. J Headache Pain (2011) 12:443–451
Sayin Murat, Gulsen Seren GURGEN2, Sevgi Sıdıka SAYIN3, Gonul GUVENC1, Nurullah YUCEER. Does the Anti-Migraine Drug Rizatriptan Affect Early Neural Tube Development in Chick Embryos? Turk Neurosurg, 2018
Peter J Goadsby,1 Jay Goldberg,2 Stephen D Silberstein3 Migraine in pregnancy. BMJ | 28 JUNE 2008 | VOLUME 336
Baggaley Susan. Pregnancy and migraine management. Headache and Neuroophtalmology Department of Neurology University of Utah 2017.
ICHD-3 Beta, Cephalalgia 2013;33:609-828
Raffaelli Bianca, Eberhard Siebert, Jeannette Körner, Thomas Liman, Uwe Reuter and Lars Neeb. Characteristics and diagnoses of acute headache in pregnant women a retrospective cross-sectional study. The Journal of Headache and Pain (2017) 18:114
Faubion Stephanie S, Pelin Batur and Anne H. Calhoun. Migraine Throughout the Female Reproductive Life Cycle. Mayo Clin Proc. I May 2018;93(5):639-645
MacGregor EA. Migraine in pregnancy and lactation: a clinical review. J Fam Plann Reprod Health Care. 2007:33(2)
Robbins Matthew S . Headache in pregnancy. American Academy of Neurology. CONTINUUM (MINNEAP MINN) 2018;24(4, HEADACHE):1092–1107.
Amundsen Siri, Hedvig Nordeng, Katerˇina Nezvalová-Henriksen, Lars Jacob Stovner and Olav Spigset. Pharmacological treatment of migraine during pregnancy and breastfeeding. Nat. Reviews Neurol. 11, 209–219 (2015)
Tepper Deborah. Pregnancy and Lactation – Migraine. The Journal of Head and Face Pain.2015
Marozio L, Di GF, Benedetto C. History of migraine and increased risk of preeclampsia. Austin J Clin Neurol. 2015; 2(8): 1072
Bushnell, Jamison, M. & James, A. H. Migraines during pregnancy linked to stroke and vascular diseases: US population based case–control study. BMJ 338, b664 (2009)
Mayans L, Walling A. Acute migraine headache: treatment strategies. American Academy of Family Physicians. 2018; 97(4): 243-251
Marchenko Alexander, Fatma Etwel, Olukayode Olutunfese, Cheri Nickel, Gideon Koren, Irena Nulman. Pregnancy Outcome Following Prenatal Exposure to Triptan Medications: A Meta-Analysis. Headache. 2015 American Headache Society
Spielmann Kevin, Angela Kayser, Evelin Beck, Reinhard Meister and Christof Schaefer. Pregnancy outcome after anti-migraine triptan use: A prospective observational cohort study. 2017. Cephalalgia0(0) 1–12
Bordini CA, Roesler C, Carvalho DS, Macedo DD, Piovesan E, Melhado EM, et al. Recommendations for the treatmen of migraine attackks- a Brazilian consensus. Arq Neuropsiquiatr 2016;74(3):262-271
Duang Silvia, Pina Bozzo Hedvig Nordeng, Adrienne Einarson..Safety of triptans for Migraine headaches during pregnancy and breastfeeding Canadian Family Physician Vol 56: june 2010
Wells RE, Turner DP, Lee M, Bishop L, Strauss L. Managing Migraine During Pregnancy and Lactation. Curr Neurol Neurosci Rep. 2016 Apr;16(4):40
Mehta Niharika. Headaches in the pregnant patient. Rhode Island Medical Journal 2015: 29-30
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