Abstract
Among primary headaches, migraine is the form more sensitive to the ovarian hormonal milieu. Migraine without aura (MO) benefits from the hyperestrogenic state of pregnancy and the lack of hormonal fluctuations, while migraine with aura (MA) presents distinctive features. Indeed, a very strong improvement of MO has been documented across gestation, and only a minority of pregnant women still suffers during the third trimester. On the other hand, fewer women with MA report improvement or remission, and new onset of aura may be observed during pregnancy. After delivery, breastfeeding exerts a protective action on migraine recurrence. The persistence of migraine during gestation seems to affect neonatal outcomes, and several studies indicate a link between migraine and an increased risk of developing gestational hypertension/preeclampsia and other vascular complications.
Original language | English |
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Pages (from-to) | 289-294 |
Number of pages | 6 |
Journal | Current Pain and Headache Reports |
Volume | 15 |
Issue number | 4 |
DOIs | |
Publication status | Published - Aug 2011 |
Keywords
- Aura
- Cardiovascular risk
- Cerebrovascular risk
- Gestational hypertension
- Headache
- Ischemic disease
- Lactation
- Low birth weight
- Migraine
- Placental abruption
- Postpartum
- Preeclampsia
- Pregnancy
- Preterm birth
ASJC Scopus subject areas
- Clinical Neurology
- Anesthesiology and Pain Medicine