Migraine and pregnancy: an internet survey

Abstract

Data in the literature show that migraine tends to improve during pregnancy in most migrainous women. The aim of this Internet survey was to obtain the most likely cross section of the situation in the general population with respect to the presence and course of migraine in pregnancy. All women who participated were asked to answer questions pertaining to their history of pregnancy and headache. One thousand and eighteen women participated in the survey; only 775 met the eligibility criteria for inclusion. One hundred and ninety-five women (25.2 %) reported having had a headache only before pregnancy, 425 (54.8 %) before and during pregnancy, and 155 (20.0 %) only during pregnancy. Women suffering from headache before and/or during pregnancy were much more likely to have headaches with more migrainous features at the ID Migraine Screener test when compared to women whose headache began during pregnancy. ''Definite migraines'' were 277/620 (44.7 %) and 26/155 (16.8 %), respectively, in the two groups (p \ 0.0001). Among the 620 females that suffered from headache before pregnancy, 375 (60.5 %) improved, 195 (31.5 %) showed complete resolution of the disorder, and 180 (29.0 %) had a reduction in headache frequency. Moreover, the multinomial logistic model (with headache pattern as dependent variable) proved fetal presentation as significant (p = 0.0042). Women with ''new headache'' (No/Yes pattern) had an OR (95 % CI) of 1.9 (1.2-3.0) of breech presentation at delivery versus those with a stable pattern of headache (Yes/Yes). Finally, women with not recent pregnancy stated they suffered from headache less than the women with recent pregnancy.

Abdominal migraine in the differential diagnosis of acute abdominal pain

“…It is noteworthy that evidence of migraine relief in pregnancy and puerperium was published [20,21], as is our case. The acute attacks are generally responsive to NSAIDs, especially when associated with antiemetics, whereas a minority of patients respond to abortive sumatriptan therapy.…”

Influenza during pregnancy: Incidence, vaccination coverage and attitudes toward vaccination in the French web-based cohort G-GrippeNet

“…In pregnant women and women who plan a pregnancy, several web-based studies have already been undertaken, mainly focusing on pre-conception risk factors for adverse pregnancy outcomes [43][44][45][46][47]. Regarding influenza, only one annual transversal web-based survey is conducted each year since 2010/2011 in the USA to assess vaccination coverage among pregnant women [35,48].…”

“…This rate was higher in women older than 40 years (RR = 3.0, 95%CI [1.1-8.3], p = 0.03) and during first/second trimesters compared to third trimester (RR = 4.0, 95%CI [1.4-12.0], p = 0.01). Crude vaccination coverage was 39% (95%CI, [31][32][33][34][35][36][37][38][39][40][41][42][43][44][45][46][47] and weighted vaccination coverage was estimated at 26% (95%CI, [20][21][22][23][24][25][26][27][28][29][30][31][32][33][34]. Health care provider recommendation for vaccination (corrected OR = 7.8; 95%CI [3.0-17.1]) and non-smoking status (cOR = 2.1; 95%CI [1.2-6.9]) were associated with higher vaccine uptake.…”

Migraine attacks in the pharmacy: a gender subanalysis on treatment preferences

“…The ID Migraine Screener test consists of three questions [2][3][4][5]: nausea or vomiting (Yes, No), photosensitivity (Yes, No), limited daily activities during headache (Yes, No) and can be used to classify subjects into definite migraine (3/3 positive answers) or probable migraine (2/3 positive answers).…”

“…The study entailed the administration of a 9-item questionnaire, the first part of which comprised items from the ID Migraine Screener test [2,3] which investigates the different types of headache and whether the subject suffers from migraine headache according to symptom occurrence and severity. On this basis, subjects were categorized as having ''Definite migraine'' or ''Probable migraine'' [1,4].…”