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Headache during pregnancy

F Maggioni1, C Alessi, T Maggino

  • 1Department of Neurology and Psychiatric Sciences, University of Padova, Italy.

Cephalalgia : an International Journal of Headache
|December 17, 1997
PubMed
Summary
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Most women experiencing primary headaches, including migraine with aura (MA) and migraine without aura (MO), find significant relief during pregnancy. Headache improvement often continues in subsequent pregnancies for about half of women.

Area of Science:

  • Neurology
  • Obstetrics & Gynecology
  • Women's Health

Background:

  • Primary headaches are common neurological conditions.
  • Pregnancy can significantly alter headache patterns.
  • Understanding headache changes during pregnancy is crucial for maternal and infant well-being.

Purpose of the Study:

  • To investigate the impact of pregnancy on primary headache disorders.
  • To assess headache remission rates and recurrence patterns during and after pregnancy.
  • To evaluate the safety of primary headaches in relation to pregnancy and newborn outcomes.

Main Methods:

  • A questionnaire was administered to 430 women within 3 days postpartum.
  • Data collected included headache history (pre-pregnancy, during pregnancy), delivery details, and newborn condition.

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  • Headache sufferers were classified using International Headache Society (IHS) criteria (1988).

    • Main Results:

    • 29.3% of women reported primary headaches (migraine with aura, migraine without aura, tension-type headache).
    • Approximately 80% of participants experienced headache remission or >50% reduction in attacks during pregnancy.
    • Headache improvement was most notable after the first trimester and generally safe for pregnancy and newborns.

    Conclusions:

    • Primary headaches often improve significantly during pregnancy, with most women experiencing remission or reduced attack frequency.
    • Headache improvement observed in the first pregnancy may persist in subsequent pregnancies for about 50% of women.
    • Primary headaches do not appear to pose increased risks to pregnancy, delivery, or newborn vitality.