Headache in Challenging and Special Circumstances: Pregnancy and Lactation

Yılmaz, Ezgi; Çevik, Işın Ünal

doi:10.5505/agri.2018.85688

Cited by 3 publications

(2 citation statements)

References 97 publications

(138 reference statements)

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“…ACOG recommends the evaluation of secondary headaches with a careful history, physical examination, and other tests as appropriate, including imaging techniques and spinal fluid examination when indicated (27,40,(43)(44)(45)(46)(47)(48)(49)(50).…”

Section: Evaluation Of Primary and Secondary Headachesmentioning

confidence: 99%

Headaches in Pregnancy and Postpartum

2022

Obstetrics &Amp; Gynecology

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PURPOSE:To provide updated evidence-based recommendations for the evaluation and treatment of primary and secondary headaches in pregnancy and postpartum.TARGET POPULATION:Pregnant and postpartum patients with a history of or experiencing primary or new secondary headaches.METHODS:This guideline was developed using an a priori protocol in conjunction with a writing team consisting of two specialists in obstetrics and gynecology appointed by the ACOG Committee on Clinical Practice Guidelines–Obstetrics and one external subject matter expert. ACOG medical librarians completed a comprehensive literature search for primary literature within Cochrane Library, Cochrane Collaboration Registry of Controlled Trials, EMBASE, PubMed, and MEDLINE. Studies that moved forward to the full-text screening stage were assessed by two authors from the writing team based on standardized inclusion and exclusion criteria. Included studies underwent quality assessment, and a modified GRADE (Grading of Recommendations Assessment, Development, and Evaluation) evidence-to-decision framework was applied to interpret and translate the evidence into recommendation statements.RECOMMENDATIONS:This Clinical Practice Guideline includes recommendations on interventions to prevent primary headache in individuals who are pregnant or attempting to become pregnant, postpartum, or breastfeeding; evaluation for symptomatic patients presenting with primary and secondary headaches during pregnancy; and treatment options for primary and secondary headaches during pregnancy and lactation. Recommendations are classified by strength and evidence quality. Ungraded Good Practice Points are included to provide guidance when a formal recommendation could not be made because of inadequate or nonexistent evidence.

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Section: Evaluation Of Primary and Secondary Headachesmentioning

confidence: 99%

Headaches in Pregnancy and Postpartum

2022

Obstetrics &Amp; Gynecology

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“…As shown from the literature, a large number of cases of postpartum headaches are not recognized, and consequently, are slightly or not treated, often coming back after discharge for a revaluation [ 40 ]. Yilmaz and Çevik made a review to analyze the proper approach to headache and the strategies to promote best practice in pregnancy and lactation [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Don’t Forget Rare Causes of Postpartum Headache! Cases Report and Literature Review

et al. 2021

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Headache is a common finding in the postpartum period, caused by a spectrum of different conditions. Most headaches in the postpartum period are self-limiting and benign in etiology, but there are some potentially serious causes to be considered. We disclose two cases of postpartum headache, initially considered as post-dural puncture headache (PDPH), that evolved into a harmful condition and showed that an expanded differential diagnosis for headache in the postpartum is mandatory, requiring a high level of attention from health professionals. In fact, a careful examination of the medical history, physical examination, and the recognition for the need for early neuroradiological imaging should incre[se diagnostic accuracy.

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Assessment of Postdural Puncture Headache in Women Under Elective Cesarean Section: A Randomized Trial Study

Jadidi

Khorramnia

et al. 2022

Trends in Med Sci

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Background: Spinal anesthesia is the most common anesthesia technique used for cesarean section. Postdural puncture headache (PDPH) is one of the consequences following spinal anesthesia. Objectives: The primary aim of this study was to compare the incidence of PDPH with 25-gauge Quincke and Whitacre’s spinal needles. Secondary outcomes were mean severity of PDPH, need for analgesic, movement limitation, and associated symptoms and signs followed up for 1 week after surgery. Methods: In this randomized trial study, 130 women were randomly divided into 2 equal groups based on the excel file and random between function. They received spinal anesthesia with either Quincke or Whitacre spinal needles. The incidence of PDPH was followed up 1 week later. Among PDPH women, secondary outcomes and symptoms/signs (such as nausea, vomiting, neck pain, and shoulder pain) were evaluated for 1 week after surgery. Results: All 130 women completed the study. PDPH was observed in 16 women (12.3%), including 6 (9.2%) in the Whitacre group and 10 (15.4%) in the Quincke group, which was not statically significant (P = 0.424). However, secondary outcomes and associated signs and symptoms were more common in the Whitacre group than in the Quincke group, followed up for 1 week in this trial. It can be related to more primary headache history in the Whitacre group than in the Quincke group. Conclusions: Overall, the Whitacre spinal needle is better than Quincke in reducing the incidence of PDPH, but primary headache history in young women causes higher mean severity of PDPH in them. Also, primary headache history causes more associated symptoms and signs in women with PDPH.

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Headache in Challenging and Special Circumstances: Pregnancy and Lactation

Cited by 3 publications

References 97 publications

Headaches in Pregnancy and Postpartum

Headaches in Pregnancy and Postpartum

Don’t Forget Rare Causes of Postpartum Headache! Cases Report and Literature Review

Assessment of Postdural Puncture Headache in Women Under Elective Cesarean Section: A Randomized Trial Study

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