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Navegación de la atención de la migraña durante el embarazo y la lactancia
Chelsea K Stone1, Meesha Trivedi2, Soma Sahai-Srivastava1
1Department of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, California.
Current opinion in obstetrics & gynecology
|February 11, 2026
Resumen
El manejo de la migraña durante el embarazo y la lactancia requiere una planificación cuidadosa y terapias seguras. Las estrategias basadas en la evidencia aseguran la salud materna y minimizan los riesgos para el bebé.
Área de la Ciencia:
- Neurología Neurología.
- Obstetrías y Obstetricia.
- Farmacología Farmacología.
Sus antecedentes:
- El manejo de la migraña durante el embarazo, el posparto y la lactancia presenta desafíos únicos.
- Los enfoques tradicionales a menudo implican evitar la medicación, lo que podría comprometer el bienestar materno.
- La evidencia y las directrices recientes requieren un enfoque más matizado y basado en la evidencia.
Objetivo del estudio:
- Revisar la evidencia actual sobre el manejo de la migraña durante el embarazo y la lactancia.
- Proporcionar recomendaciones basadas en directrices para el tratamiento de la migraña aguda y preventiva.
- Para abordar la seguridad de las terapias específicas para la migraña durante la lactancia y la interrupción de la medicación previa a la concepción.
Principales métodos:
- Revisión exhaustiva de la literatura de las pruebas recientes.
- Análisis de las directrices del Colegio Americano de Obstetras y Ginecólogos.
- Desarrollo de un marco de atención colaborativo e individualizado.
Principales resultados:
- El manejo de la migraña requiere una toma de decisiones individualizada, integrando estrategias farmacológicas y de procedimiento.
- Un marco de colaboración equilibra la preservación de la función materna con la minimización del riesgo fetal y neonatal.
- Las intervenciones de procedimiento de baja exposición pueden reducir la discapacidad de la migraña.
Conclusiones:
- Un cuidado efectivo de la migraña durante el embarazo es alcanzable y esencial.
- La planificación estructurada de la preconcepción y la selección segura de la terapia son cruciales.
- La atención neurológico-obstétrica coordinada apoya la salud materna y mejora los resultados.
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