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Headaches during pregnancy.

S de Gaalon1, A Donnet2

  • 1Service de neurologie, hôpital Laënnec, CHU de Nantes, Nantes, France.

Revue Neurologique
|August 26, 2020
PubMed
Summary
This summary is machine-generated.

Pregnancy headaches are common, with secondary headaches often caused by vascular or infectious issues. Migraine headaches typically improve during pregnancy, favoring non-pharmacological treatments.

Keywords:
HeadacheMigrainePregnancyVascular disorders

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Area of Science:

  • Neurology
  • Obstetrics

Background:

  • Headaches are frequent and challenging during pregnancy.
  • Secondary headaches affect one-third of pregnant women, often due to vascular or infectious causes.
  • Primary headaches, including migraine, commonly change during pregnancy.

Purpose of the Study:

  • To review the diagnosis and management of headaches in pregnant women.
  • To discuss modifications in primary headache disorders during pregnancy.
  • To highlight treatment considerations, emphasizing non-pharmacological approaches.

Main Methods:

  • Review of anamnestic and clinical features for headache diagnosis.
  • Consideration of brain imaging requirements.
  • Analysis of primary headache modifications during pregnancy.
  • Evaluation of treatment strategies, including non-pharmacological options.

Main Results:

  • Secondary headaches in pregnancy frequently stem from vascular and infectious disorders.
  • Migraine, particularly without aura, often improves during pregnancy.
  • Tension-type headache and cluster headache appear less influenced by hormonal changes.
  • Non-pharmacological treatments are preferred for managing headaches in pregnancy.

Conclusions:

  • Accurate diagnosis of secondary headaches in pregnancy requires thorough investigation.
  • Migraine management during pregnancy should prioritize safety and non-pharmacological methods.
  • Understanding the impact of pregnancy on primary headaches is crucial for effective care.