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Published on: June 2, 2014
Migraine in pregnancy and lactation
Paru S David1, Juliana M Kling, Amaal J Starling
1Division of Women's Health-Internal Medicine, Department of Internal Medicine, Mayo Clinic, 13737 N. 92nd St, Scottsdale, AZ, 85260, USA, david.paru@mayo.edu.
Migraine headaches are common in women and can change during pregnancy and lactation. This review covers how to evaluate and treat migraines in pregnant and breastfeeding women safely.
Area of Science:
- Neurology
- Women's Health
Background:
- Migraine headaches disproportionately affect women.
- Hormonal changes during pregnancy and lactation impact migraine patterns.
- Secondary headache conditions pose risks during pregnancy.
Purpose of the Study:
- To review the evaluation and management of migraine during pregnancy.
- To discuss safe treatment options for migraines in pregnant and lactating women.
Main Methods:
- Literature review of studies on migraine in pregnancy and lactation.
- Analysis of diagnostic workup for headaches in pregnant women.
- Synthesis of current treatment guidelines and medication safety data.
Main Results:
- Pregnancy and lactation alter migraine presentation and severity.
- Certain migraine medications pose risks to the fetus or infant.
- Careful evaluation is crucial to differentiate primary from secondary headaches.
Conclusions:
- Effective migraine management during pregnancy and lactation requires tailored approaches.
- Prioritizing maternal and fetal safety is paramount when selecting treatments.
- Further research is needed to expand safe therapeutic options.
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