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Headache in Pregnancy.

Matthew S Robbins

    Continuum (Minneapolis, Minn.)
    |August 4, 2018
    PubMed
    Summary
    This summary is machine-generated.

    Headache management in pregnant women requires careful diagnosis and vigilance for red flags. While many experience migraine improvement, some cases indicate higher risk and necessitate tailored treatment strategies.

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    Area of Science:

    • Neurology
    • Obstetrics
    • Women's Health

    Background:

    • Headache disorders significantly affect women of childbearing age.
    • Pregnancy and postpartum periods present unique challenges for headache diagnosis and management.

    Observation:

    • Elevated blood pressure and prolonged headache duration are red flags in pregnant women.
    • Migraine frequency often improves during pregnancy, but aura and chronic migraine prognoses vary.
    • Migraine is a risk factor for preeclampsia.

    Findings:

    • Butalbital compounds may pose risks; triptans may have a better safety profile than previously thought.
    • Peripheral nerve blocks and noninvasive neurostimulation show promise for pregnant women.
    • Safe oral, parenteral, and procedural therapies are available for managing headaches during pregnancy and lactation.

    Implications:

    • Acute headaches in pregnancy warrant diagnostic vigilance.
    • Migraine during pregnancy is linked to obstetrical complications, potentially classifying affected women as high-risk.
    • Noninvasive neuromodulation devices are emerging as valuable tools for headache management in pregnant populations.