Migraines in pregnancy is a very common headache seen in primary care, including during pregnancy.
Anxious-type headaches are very common in the general population, but rarely result in a visit to the doctor.
_ History and Diagnosis Critical causes of secondary headache can be easily eliminated.
_ Migraine improves during mid-pregnancy, usually in the first three months.
_Babies born to women with migraines are less likely to develop birth defects.
_ Pre-visit contraceptives include increasing the control of headaches while they are still in use and then making them safer before and during pregnancy.
Although headache medications are contraindicated during pregnancy and breastfeeding, there are relatively safe and effective alternatives.
Although many women experience a recurrence of headaches, migraines often return after giving birth.
_ Migraines are usually hereditary. If the mother or father has a migraine, the child has a 50% chance of having a migraine later on. If both parents have migraines, the baby’s risk increases to 75%.
When you are ready to get pregnant. . .
Congratulations on your decision to have a baby. The best time to prepare for your pregnancy is before you get pregnant. This is a good time to make a decision about good headache treatment. The good news is that many women experience headaches during pregnancy:
_ Headaches improve in three out of five women in the third month.
_ Headaches do not usually improve until the first second half.
_ Even if your headache improves, some of the more severe headaches that still need treatment may continue.
_ There are safe and effective treatments when trying to get pregnant and after getting pregnant. You should talk to your doctor about your headache treatment before trying to get pregnant.
_ Learn safe and effective medications you can use to control headaches during pregnancy and after delivery.
_ Make sure the headache medicine you are using during pregnancy and pregnancy is safe for you. It reduces the risks to the baby if she becomes pregnant while taking the medicine.
_ Try to control your headache as much as possible before you get pregnant.
Talk to your doctor before using prescription drugs and supplements to make sure they are safe during pregnancy. To reduce the risks to your baby, medication options often must be changed with pregnancy. Remember, there are many safe and effective medications and treatments that you can use during your pregnancy. Making medical changes before you get pregnant is the best way to provide the safest treatments for your baby.
I’m trying to get pregnant now, what should I do if I have a headache?
Acute migraine medication is used to treat severe migraine episodes. If you use emergency medicine more than two days a week, it can make your headaches worse and you may get too much medication or get a headache. Tell your doctor if you use or are taking emergency medicine more than two days a week. When you get a migraine, remember the following principles:
_ Start with non-medical treatments.
_ Do not take medication for mild headaches.
– If you are taking medication, use only the medicine your doctor recommends and use the recommended dose.
If you experience nausea with your migraine, ask your doctor to treat and reduce the nausea. If you have a mild migraine:
_ Apply heat or ice (any sedative) on your temples or neck for 20 minutes.
_ Start with relaxation techniques: deep breathing, imaging or biophysics.
_ Use acupuncture techniques (which drugs are not effective in treating headaches? Distribution).
_ Include positive messages about good promises.
_ Perform swinging exercises (described in Chapter Pain Reduction Practices).
_ Exercise that prolongs your painful environment. Make sure you stretch slowly, and at first until you feel a stretch.
_ Use distractions.
_ Do not despair – combining and repeating these techniques is often helpful. If you have moderate migraine:
_ Mild migraine Use these methods.
_ If paracetamol does not work, use paracetamol.
Treat nausea with non-medicinal treatments and, if necessary, medication (see what you can do if you experience nausea during pregnancy) if you have severe migraine:
_ Use the tools for mild and moderate migraines.
If acetaminophen and non-pharmacological treatments do not work, talk to your doctor about other treatments, such as Bendril, Lidocaine, nasal decongestant or anesthetic.
_ If you go to bed, you can get rid of a severe migraine. 188 Sources of Sick Headaches 10 Keep track of your headaches in notebooks and bring completed notebooks to see if your treatment is working.
Regardless of your nausea when you have a headache, notice how bad your treatments have been on a scale of 1 to 10. Do not use any prescription drugs, supplements or prescriptions without first talking to your healthcare provider.
How do I know if my migraines are getting worse during pregnancy?
Patients can monitor their response to treatment using headache calendars or notebooks (example presented in Chapter 10). Headache frequency and weight gain help evaluate patterns that may be helpful in a treatment plan.
It helps to provide important information about the duration of headaches as patients only lose weight once a day. Notes during pregnancy are especially important to ensure that the benefits of the treatment outweigh the side effects.
Does it hurt baby if I have migraines while I am pregnant?
Fortunately, babies born to women with migraines are more likely to develop congenital malformations. He compared the results with 38,151 newborns, of whom 713 were born to mothers with severe migraines during pregnancy.
The percentage of infants in mid-pregnancy and birth weight, as well as prenatal or low birth weight, is similar to that of infants born to mothers who do not have severe migraines during pregnancy.
Good nutrition of mothers during early pregnancy can affect the growth and development of the fetus.
Although studies assessing the effects of malnutrition or dehydration during pregnancy are associated with nausea and vomiting, hyperemesis gravidarum may occur, and severe and frequent migraines may contribute to dehydration and malnutrition.
The decision to use headache medication during pregnancy is important to prevent dehydration and ensure a good diet.
Do migraines get worse while I’m pregnant?
Primary headaches, especially migraines, improve especially during the first trimester of pregnancy when estrogen levels rise dramatically. Background studies show a sudden improvement in 50-80% of pregnant women with migraines and 30% with migraines.
In a recent study, 1,110 headaches were collected during pregnancy.
Headaches in the past or now have been reported in 97% of women, and headaches in the past are often migraines (85%) or anxiety (11%).
Only 7% of women reported having their first headache or new headache with their current pregnancy.
One in three women who had a first or new headache during this pregnancy was diagnosed with migraines and one in three had high blood pressure.
Other diagnoses in> 5% of patients include unexplained headache (7%), cervical headache (6%) and rheumatism (5%).
Recent studies suggest that most women experience an improvement in headaches during pregnancy, with two-thirds of women experiencing improvement after the third trimester.
Although most women experience headaches during pregnancy, women who report persistent headaches at the end of the first trimester (usually the first visit after delivery) do not see a significant improvement in headaches during the rest of the pregnancy.
A small study among 30 mixed migraine patients who experienced recurrent migraine headaches at the end of the first three months showed only an additional 30% improvement between 2nd and 3rd trimesters in the future, which is less likely to improves in women with migraines.
These data suggest that more intensive treatment should be given to women with migraines lasting up to two months, rather than follow-up.
Even when the primary headache improves during pregnancy, it returns shortly after birth. In a study among 49 pregnant women diagnosed with migraines, migraines occurred in 4% of women within two days, 34% in one week and 55% in one month. Breastfeeding reduced the risk of recurring headaches during the first week and the first few months after birth.
You are now pregnant. . .
Congratulations on getting pregnant! Make an appointment to talk with your doctor about her headache as soon as you know she is pregnant. You need to learn
_ Safe and ineffective medicines to control your headache;
_ What medicine can you safely take for pain and nausea?
_ What medications can be safely taken to prevent headaches if needed?
_ What should you do if your headache gets worse? Tell your doctor: _ What is your current headache pattern?
_ If there is a recent change in your head;
_ If you have other medical problems besides the headache;
_ What medications are taken in the hospital?
_ What supplements, vitamins, minerals and herbs are you taking?
_ What kinds of prescription drugs are you taking and who ordered them. Keep in mind that you do not expect to suffer from headaches during pregnancy.
For four out of five women, the headache will get better, so it will most likely get better. General recommendations for pregnant patients with headaches
_ Stop smoking.
_ Eat regular meals and snacks
-Don’t skip meals, especially breakfast.
_ Have a good night sleep.
_ Learn effective recreational techniques.
_ Learn neck extension exercises to relieve headaches.
_ Do not use over-the-counter, herbal, or over-the-counter medications without first checking with your healthcare provider.
_ Use safe and effective treatments to treat and relieve nausea.
_ Plan to treat a severe headache with your doctor. First, make sure you know what treatments to try.
_ If you have frequent headaches, talk to your doctor about preventive treatment. By effectively treating your headaches, you can better enjoy your pregnancy. Even if you don’t have a headache during pregnancy, talk to your doctor about safe treatment options you can use if you decide to breastfeed your baby. After giving birth, many women experience a relapse. Fortunately, breastfeeding often delays the return of headaches. Compared to pregnancy, there are more headache treatment options available while breastfeeding.
Some medications should be avoided while breastfeeding. Work with your provider to develop an effective and safe treatment plan.
I have heard that migraines are genetic. Do my migraines go to my child?
Headaches, including migraines, usually run in families. In a recent study among 5,474 German families, parental headache was closely linked to pediatric headache . In this sample, one parent reported headaches and 72% reported that the child had headaches.
In contrast, 28% of children who did not have headaches had headaches. Headaches are strong in family history, especially among migraine researchers.
Several candidate genes have identified potential locations for migraines. One in three people with migraines has at least one primary family member (parent, sibling or child) and has migraines . Generally, if a parent gets migraines, their children have a 50% chance of getting migraines. If both parents have migraines, their child also has a 75% chance of getting migraines.
Is migraines makes my pregnancy getting more complicated?
Migraines have an increased risk of pregnancy-related high blood pressure. In a case-control study, the incidence of primary headache was comparable to that of 75 women with high blood pressure during pregnancy and pregnancy and 75 women with uncomplicated pregnancies related to age and sex . Migraine history was supported by eclampsia at 59% and non-eclampsia, and 4% with eclampsia and 7% outside anxiety. These data suggest a link between migraines and preeclampsia.
Migraines, especially migraines, are also associated with an increased risk of ischemic stroke. Pregnancy is also associated with the occurrence of thrombotic events such as stroke.
For the Health Care Research and Quality Agency for Expenditure and Healthcare Utilities, data from the national patient and sample sample were obtained at a rate of 34.2 out of 100,000 shipments.
What non-pharmacological treatments are effective in treating headaches?
Non-medical acute headache treatments are designed to block pain signals by sending other signals through the nerves and spinal cord. When dealing with many other symptoms, it is difficult to focus on one thing at a time.
Pain management methods are designed to overload the brain pathways, preventing the transmission of migraine symptoms. It’s similar to the noise of the TV, the ringing of the telephone and the difficulty of keeping your checkbook in check when teenagers are running around the house.
If your brain focuses on relaxation techniques, joint and muscle movements, or other activities, the brain may not have enough capacity to transmit pain signals. Try a combination of the following techniques to maximize the benefits of headache relief.
Do not be discouraged if these methods do not always work. Try to use it before your migraines become severe. It can also be used in conjunction with over-the-counter migraine medications. _ Apply heat or ice (which is more soothing) to your temples or neck for 20 minutes. _ Start with relaxation techniques: deep breathing, imaging or biophysics.
Ask your provider or an environmentalist who is good at teaching these techniques to advise her. _ Include positive messages about good promises.
_ Perform swinging exercises (described in Exercises that reduce headaches).
_ Exercise that prolongs your painful environment. Make sure it stretches slowly, and only until you feel a stretch.
_ Use distraction.
_ Try acupuncture.
_ If other treatments do not help, some people will get headaches after sleeping. See if sleeping can relieve your headaches.
Progressive muscle relaxation Alternatively involves the relaxation and relaxation of muscles in your body. Start with your legs and move to your neck and face, first close your eyes and then exercise shorter and then relax the individual muscles in different parts of the body. Hold the tension for 10-15 seconds and then release.
Release the muscles in your legs, then your abdomen, then your arms, then your shoulders, then your neck, then your jaw, then your eyes and then your forehead.
Focus on the muscles as you move. Once you are familiar with this exercise, you will notice when your muscles become abnormal, even if you do not feel it. ‘For example, you may notice friction of jaws and neck when sitting or waiting in traffic. One rule in store. Once you feel this tension, then work to let go.
_ Secretly controlled relaxation take a deep breath and use the word “relax”. Begin this activity slowly, deeply and deeply. Place your hand on your stomach to make sure it goes in and out with each breath.
Hold for 5-10 seconds after inhalation, then shoot, repeating the word “relax” slowly. Once you are comfortable with this method, close your eyes and take deep breaths before experiencing stressful situations, such as a doctor’s visit, meeting your boss or talking to your spouse. This will relax your system and reduce the effects of stress on your physiology and headaches.
_ Replace negative, destructive thinking with positive, helpful messages – – Instead of thinking, ‘My day is now ruined’, say to yourself, ‘These migraines can be dealt with quickly. “- Instead,” Nothing removes migraines, “say to yourself.” If I use my acute migraine treatments, the pain will improve quickly. “” Instead, “Life is not fair. Why me?” yourself, ” I have good tools to control migraines. ”
_ When a migraine starts, many people suggest that they should sleep in a quiet room. This may be necessary if the pain is severe, but you can try to divert your brain’s attention by giving a stimulus when the migraines start.
If your migraines are still mild, try walking outside, playing a radio song, riding a bike, hitting some golf balls in the yard, throwing the ball to your dog, or any other fun activity. Avoid discouraging, high intensity or that do not require active participation (such as watching TV).
Heat & ice
_ Get warm or ice (which is soothing) on the neck and shoulders for about 20 minutes.
_ Confusion: Place a stack of books 1 to 2 inches high on the floor. Lie on the floor, leaning on books behind your head. The edges of the books should be close to the center of your head so that your neck is free. Relax so that your head lifts above your neck.
_ Push in a trigger point: You may notice certain points that make your pain worse when you press on your neck muscles. These are called trigger points. Press your fingers on any trigger points and hold it for 12-60 seconds. Release the pressure and continue with your normal stretching habits.
_ Swinging movements: Do the neck slowly, gently, rhythmically, side by side. Turn your head 1-2 inches from the front and the painful side. Go back and forth. Repeat for a total of 30 seconds, one at a time. Rest for 30 seconds; Repeat this until you feel more relaxed. Now turn your head to the side of the pain as shown above.
_ Perform neck stretches (described as practical exercises that reduce headaches).
_ Find a depression in the middle of your neck between the neck muscles and go up in this depression and go to the point where the neck meets the skull. Tighten the neck muscles for 2-3 minutes in deep circular motions.
_ Look for depression in every temple right behind your eyebrows. Massage for 1 minute firmly and deeply.
_ Look for depression between your eyebrows. Massage for 1 minute firmly and deeply.
_ Press this space with the thumb and forefinger of your other hand and find the muscle on the web between your thumb and forefinger. Perform deep and tight circular motions for 5 minutes in this area. Repeat with your other hand.
_ Sleeping with a migraine should be avoided in severe cases related to nausea that prevents physical activity.
_ Sleep can effectively block serotonin-producing pain pathways. Some people find migraines effective for 1 hour of sleep. Get out of bed unless your headache is severe, and get short-term headaches.
Can I use my migraine medication while I am pregnant or nursing?
Many migraine medications are available during pregnancy and breastfeeding and are relatively safe.
However, clinicians should keep in mind that the word safe refers to relative safety, based on the limited information sometimes available to women during pregnancy and breastfeeding. All medications are associated with some side effects. The therapist will appropriately choose the treatments that reduce safety risks as it increases the effectiveness.
Patients should understand that all medicines used during pregnancy or nursing care should be taken by a healthcare provider to ensure the safest treatment.
How do I know if my pregnancy headaches are not caused by a serious illness?
Headaches during pregnancy are often accompanied by severe, pre-existing headaches (especially migraines and tension).
In some cases, however, headaches may occur in other medical conditions (Table 1.2). Secondary causes of headache during pregnancy are infections, eclampsia / preeclampsia, vascular diseases (eg aneurysm, circulation and vascular disorders) and increased intracranial pressure.
Acute coronary heart disease, cerebral palsy, symptomatic cerebral palsy and unhealthy blood pressure (pseudotumorcerebri) occur with recurrences during pregnancy.
Pregnancy is also associated with a higher risk of coronary artery disease and postpartum cerebral artery disease . Cerebral venous thrombosis occurs in 10-20 women / 100,000 patients.
About 80% occur in the first two weeks of pregnancy, 8% in the third trimester and 8% after two weeks after delivery.
Unhealthy blood pressure (pseudotumorcerebri) can also be caused by high estrogen levels, and can occur or worsen during pregnancy.
Significant changes in activity during a new headache or migraine activity During pregnancy require a detailed history and physical examination to distinguish unhealthy, primary headaches from infectious headaches.
Headache associated with papilloma, focal neurological signs or symptoms or seizures indicate intracranial pathology, and a thorough neurological evaluation is necessary.
Migraine-like conditions during pregnancy and postpartum include: anesthesia, eclampsia, preeclampsia, cerebral arterial thrombosis, subarachnoid hemorrhage, intracranial tumors, idiopathic intracranial hypertension (pseudotumorcerebri) and meningitis.
In 63 pregnant women who reported to the emergency room with a headache complaint, magnetic resonance imaging or computer examination were normal, or in most of these women only abnormal findings were found (73%).
Pathological conditions include sinusitis (8%), cerebral venous thrombosis (6%), reversible leukoencephalopathy / eclampsia (6%), pseudotumor (3%) and intracranial hemorhage (3%).
Pathology was identified in 38% of patients with abnormal neurological examinations. Outbreaks appear to be exacerbated in 19% of patients with regular neurological examination.
Although abnormal neurological examination is predicted to increase the risk of intracranial haemorrhage, the absence of abnormal examination alone can not guarantee any pathology in the intestine.
Here are some tips to safely diagnose a new or disturbing headache during pregnancy
After delivery. . .
Congratulations on your new arrival! An exciting new chapter in your life has begun! Four out of five women experience three headaches during the third month, usually returning after childbirth. After your baby is born, the headache may return:
_ Hormonal levels;
_ The design of your sleep;
_ Stress related to new arrivals and changes in practice.
All of these factors can contribute to the recurrence of headaches. After your baby is born, your headache will affect your ability to cope with both you and your baby
—There are more reasons to manage your headache effectively. Medications for your headache can also affect the baby if you are a nurse, so you should talk to your healthcare provider about which medications are safe to use during nursing. Fortunately, the most effective headache treatments can be used during breastfeeding.
The decision to breastfeed your baby is important. It has many health benefits for the newborn as well as for the nursing mother.
Benefits of breastfeeding for the baby: – Proper nutrition;
– Give your baby the hormones and immune systems needed.
– Reduction of pediatric infections;
-Increase the bond with the mother.
_ Benefits of breastfeeding for the mother
– Delays the return of headache;
– Helps to improve weight loss after childbirth;
– Reduces the risk of developing breast cancer and ovarian cancer.
– Reduces the risk of rheumatoid arthritis;
– Encourage bonding with the child. If you decide to breastfeed your baby:
Schedule an office visit to your health care provider shortly after birth to develop a safe, effective treatment plan.
_ Evaluate non-medical approaches to treating headaches.
_ Headache Keep track of your headaches in a notebook.
_ Read more and when you can safely store breast milk if you want to supplement.
_ Talk to your provider about safe and effective contraceptives as they may be used during breastfeeding.
Can I still breastfeed if I have migraines?
Breastfeeding can cause recurrent and severe headaches. There are also a number of known health benefits of breastfeeding that should be considered by a woman considering breastfeeding. A series of more than 2,500 migraine researchers show that breastfeeding pain is rarely exacerbated.