Headache During Pregnancy

Maggioni, Ferdinando; Alessi, Chiara; Maggino, T; Zanchin, Giorgio

doi:10.1046/j.1468-2982.1997.1707765.x

Cited by 139 publications

(140 citation statements)

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“…Similar to our findings, others have also found that a history of previous headaches is a significant risk factor for the development of postpartum headaches. 7,8,10 Stein et al 8 and Maggioni et al 12 also found an increased incidence in multiparous women. Perhaps one explanation is that multiparous women have more complicated lives after delivery as compared to primiparous women.…”

Section: Discussionmentioning

confidence: 92%

The incidence and etiology of postpartum headaches: a prospective cohort study

Goldszmidt

Kern

Chaput

et al. 2005

Can J Anesth/J Can Anesth

128

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Purpose: We sought to determine the incidence, etiology, characteristics and risk factors for all headaches in the first week postpartum. Methods:This was a prospective cohort study of 985 women delivering over a three-month period in a single tertiary-care institution. These women underwent a structured interview and follow-up to collect demographic data and to assess for the presence and characteristics of postpartum headache (PPHa) or neck/shoulder pain. All headaches were diagnosed using an algorithm based on the diagnostic criteria of the International Headache Society. Multivariate analysis was used to examine possible risk factors.Results: Three hundred eighty-one of the 985 study participants (39%) reported headaches or neck/shoulder pain during the study period. The median time to onset of the PPHa was two days (0, 6; 1st and 3rd quartiles) and duration was four hours (2, 24; 1st and 3rd quartiles). Primary headaches accounted for > 75% of PPHa. Only a small number of headaches (4%) were incapacitating. Postdural puncture headache accounted for 4.7% of all PPHa. Significant risk factors for the development of PPHa were: known inadvertent dural puncture [odds ratio (OR) adj = 6.36; 95% confidence interval (CI) 1.29, 31.24]; previous headache history (1-12/yr-OR adj = 1.57; 95% CI 1.01, 2.44; > 12/yr-OR adj = 2.25; 95% CI 1.63, 3.11); multiparity (OR adj = 1.37; 95% CI 1.03, 1.82) and increasing age (OR adj = 1.03/yr; 95% CI 1.00, 1.06). Conclusions: Postpartum headaches are common, often first noted after discharge from hospital. The majority are related to primary headache disorders. Increased awareness of this epidemiological relationship and improved diagnosis of primary headache conditions may lead to improved headache-specific therapy and avoidance of unnecessary investigations or readmission to hospital. 1,29, 31,24] ; des antécédents de céphalées 57 ; IC de 95 % 1,01,2,44 ;25 ; IC de 95 % 1,63,3,11) ; la multiparité (RR aju =1,37 ; IC de 95 % 1,03,1,82) et l'âge croissant (RR aju = 1,03/an ; IC de 95 % 1,00,1,06 Objectif

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Section: Discussionmentioning

confidence: 92%

The incidence and etiology of postpartum headaches: a prospective cohort study

Goldszmidt

Kern

Chaput

et al. 2005

Can J Anesth/J Can Anesth

128

View full text Add to dashboard Cite

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“…However, it is not obvious a priori that there is a bias related to migraine in GA distribution of births, and the few previous studies to investigate outcome of pregnancy in woman with migraine did not consistently find more preterm labor or low birth weights. 8,36,37 Other important limitations are the low observed prevalence of migraine (perhaps suggesting it is active or severe migraine that is reported), the lack of medical documentation and classification, and lack of information on migraine subtype, severity, frequency or recency; and no information on medications use or on whether there was associated placental pathology. We report the observations in the hope that these shortcomings will be rectified in a future study designed to investigate this association.…”

Section: Complex Web Of Interactionsmentioning

confidence: 99%

Migraine and preterm birth

Blair

Nelson

2010

J Perinatol

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Objective: To investigate whether maternal migraine was associated with preterm birth.Study Design: Case-control sample within a population-based study of risk factors for cerebral palsy (CP). Infants without CP were matched for gestational age with those with CP. Maternal migraine was self-identified at first prenatal visit, most in the first trimester.Result: Infants without CP born to women with migraine had a higher rate of preterm birth (odds ratio (OR) ¼ 3.5, 95% confidence interval (CI) 1.5, 8.5), as did infants who died in the perinatal period (OR ¼ 7.3, 95% CI 0.98, 54), the difference marginal for nominal statistical significance. In all outcome groups, infants of women with migraine had a higher observed rate of suboptimal intrauterine growth. In term infants, the rate of maternal migraine was higher in those with CP than in controls (OR ¼ 2.18, 95% CI 0.92, 5.25). Pre-eclampsia was reported more frequently in women with migraine who gave birth to a child with CP or a perinatal death, particularly in those born preterm; OR ¼ 5.1 (1.3, 20) and OR ¼ 2.9 (1.1, 7.6), respectively, but not in women giving birth to a control whether term or preterm.Conclusion: Maternal migraine, as self-reported early in pregnancy, was associated with preterm birth in survivors without CP and in infants who died in the perinatal period. The combination of maternal migraine and pre-eclampsia was associated with CP and perinatal death. The association of maternal migraine with outcomes of pregnancy warrants further study.

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“…1 The prevalence of headaches during pregnancy has been reported to be as high as 35%. 2 Although most headaches are unrelated to an intracranial pathologic lesion, some headaches may herald ominous diagnoses, including eclampsia, stroke, tumor, subarachnoid hemorrhage, or cerebral venous thrombosis. Emergent evaluation of headache in the pregnant patient requires rational selection of acute neuroimaging studies, yet guidelines do not exist.…”

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confidence: 99%