![]() Acupuncture is also considered safe during pregnancy. Procedures such as nerve blocks using a numbing medicine called Lidocaine have been shown to be safe and effective to get rid of severe headaches during pregnancy. In general, a few anti-inflammatory medications have been considered relatively safe option only in the 2 nd trimester, and should never be used in the 1 st trimester due to risk of abnormal placental implantation and and 3 rd trimester due to risk of premature closure of a hole in the heart of the unborn baby called ductus arteriosus. Small doses of caffeine (doses below 300mg). In the 1 st trimester the following have been considered as relatively safe, although they may potentially cause rare side-effects involving the liver, heart rhythm and nerve problems: The next step would be to use over-the-counter pain medications that have been shown to be relatively safe in pregnancy. What treatments are safe to take if I do have a migraine when I am pregnant?įirst line therapy: always start with the non-medical strategies if possible. Any loss of consciousness (passing out).Any change to your typical migraine headache.New aura, prolonged auras or neurological symptoms with your headache.Sudden severe headache that reaches a maximum intensity in less than 1 minute.However, here are a list of some headache symptoms that would make a doctor consider more urgent tests: In general, if you have any concerns about a headache during pregnancy, you should seek medical attention. When should I be concerned about a headache during pregnancy? This should be monitored by your family doctor or your obstetrician. What has been seen is that pregnant migraineurs may be at increased risk of some conditions like pre-eclampsia, premature birth and low birthweight. You can have a migraine headache without danger to you or your unborn child. Is it dangerous to have a migraine during my pregnancy? Several studies have shown that your migraine headaches may worsen in the first trimester, but luckily up to 60-70% improvement in your headaches can be seen by the 2 nd and 3 rd trimester. There are a lot of factors during the entire 9 months of pregnancy and even throughout the 6-weeks after pregnancy that can influence your headaches such as hormonal changes, stress, interrupted sleep, nausea and dehydration. What happens to my migraines if I get pregnant? It is important to keep in mind to look for other causes of headaches during pregnancy before considering migraine. For physicians, pregnancy is also considered as a “red flag” in patients complaining of headaches. Treating migraine during pregnancy can be challenging as the migraine pattern may change, and most importantly the medications used to treat the migraine have to be safe for the mother and her unborn baby. Migraine commonly occurs during a women’s reproductive years. Please discuss any question with your health care provider before making health decisions. Migraine is associated with medical and obstetrical complications during pregnancy, and women with frequent migraine attacks may need to be considered high risk.** Pregnancy is a sensitive situation in medicine. Noninvasive neuromodulation devices are already available and will likely play a greater role in the coming years. Relatively safe oral, parenteral, and procedural therapies are available for pregnant women. Acute and preventive treatment plans during pregnancy and lactation are plausible but may require shifts in therapeutic hierarchy. Migraine frequency in women typically improves during pregnancy, although this trend is less certain when aura is present and after delivery. Peripheral nerve blocks and noninvasive neurostimulation devices are procedural and emerging therapies that have promising safety profiles for pregnant women with headache disorders.Īcute headache occurring in pregnancy and the postpartum period is a red flag requiring diagnostic vigilance. Recent data suggest hazards for compounds containing butalbital and possibly a better safety profile for triptans than previously believed during pregnancy. Migraine is now an established risk factor for the development of preeclampsia. Migraine improvement is typical for most pregnant women, but the prognosis for women who have migraine with aura or chronic migraine is less predictable. Red flags for secondary headache specifically among pregnant women include elevated blood pressure and lack of a previous headache history, as well as a prolonged duration of the headache attack in those with a prior history of migraine. ![]() This article reviews the importance of proper diagnosis, natural history, and management of headache disorders in pregnant and postpartum women. Headache disorders are extraordinarily common and disproportionately impact women of childbearing age.
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