Headaches during pregnancy

Rossella E. Nappi; Francesca Albani; Grazia Sances; Erica Terreno; Emanuela Brambilla; Franco Polatti

doi:10.1007/s11916-011-0200-8

Headaches during pregnancy

Rossella E. Nappi, Francesca Albani, Grazia Sances, Erica Terreno, Emanuela Brambilla, Franco Polatti

Research output: Contribution to journal › Article › peer-review

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
Pages (from-to)	289-294
Number of pages	6
Journal	Current Pain and Headache Reports
Volume	15
Issue number	4
DOIs	https://doi.org/10.1007/s11916-011-0200-8
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

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title = "Headaches during pregnancy",

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.",

keywords = "Aura, Cardiovascular risk, Cerebrovascular risk, Gestational hypertension, Headache, Ischemic disease, Lactation, Low birth weight, Migraine, Placental abruption, Postpartum, Preeclampsia, Pregnancy, Preterm birth",

author = "Nappi, {Rossella E.} and Francesca Albani and Grazia Sances and Erica Terreno and Emanuela Brambilla and Franco Polatti",

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AU - Nappi, Rossella E.

AU - Albani, Francesca

AU - Sances, Grazia

AU - Terreno, Erica

AU - Brambilla, Emanuela

AU - Polatti, Franco

PY - 2011/8

Y1 - 2011/8

N2 - 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.

AB - 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.

KW - Aura

KW - Cardiovascular risk

KW - Cerebrovascular risk

KW - Gestational hypertension

KW - Headache

KW - Ischemic disease

KW - Lactation

KW - Low birth weight

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KW - Placental abruption

KW - Postpartum

KW - Preeclampsia

KW - Pregnancy

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Headaches during pregnancy

Abstract

Keywords

ASJC Scopus subject areas

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