Migraines and Pregnancy

Migraines and pregnancy headaches are common problems with frequent questions. Migraines are different from stress or tension headaches and usually more distressful. Migraine headaches are a type of vascular headache that is a result from blood vessels dilating in the brain.

Migraines and pregnancy are like flipping a coin. If you are prone to getting migraines before pregnancy, you may experience stronger headaches afterwards, or you may find that they diminish. It is also normal to experience your first migraine when you are pregnant. Some studies have found a slight correlation between migraines and hormones. Women tend to get migraines more often than men.

Migraines and Pregnancy: What is a migraine headache?

A migraine headache usually starts out dull and then eventually becomes a throbbing constant pulsating pain in the temples, front of the head or base of the head. Migraines are sometimes but not always accompanied by nausea and vomiting. Some people may experience an aura. An aura is wavy or jagged lines, or dots of flashing lights. You may also experience tunnel vision or blind spots.

Is there any danger for migraines in pregnancy?

The only danger is when your headache may be a sign of something else. You should ALWAYS call your health care provider when:

  • Your headache is accompanied by a fever
  • Your headache persists for more than a few hours or returns frequently
  • You are experiencing blurred vision

It is ALWAYS important to let your health care provider know when you are experiencing any headaches and the details about them.

How can you manage migraines and pregnancy?

Keep a migraines and pregnancy diary: This diary should include when migraines in your pregnancy occur, what “triggered” it, and how long it lasted. If you keep a log of your migraines in pregnancy, you can learn what triggers them and therefore avoid those things. Common triggers may include but are not limited to:

  • Stress
  • Chocolate
  • Cheese
  • Coffee
  • Weather
  • Hormones

Triggers are different for everyone; that is why it is important for you to keep a migraines and pregnancy diary.

Common home remedies for migraines in pregnancy include:

  • Apply a cold towel on your head
  • Take a cold shower
  • Take a nap
  • Exercise
  • Biofeedback (ask your doctor)
  • Relaxation techniques such as meditation or yoga

Medications for Migraines in pregnancy relief: Most health care providers consider acetaminophen to be the pain relief medication of choice during pregnancy but you should always talk with your own personal health care provider before taking any medication. Pregnant women should NOT take anything with aspirin unless prescribed by a health care provider. Consult with your health care provider about the best form of pain relief for your migraines during pregnancy.

Last Updated: 09/2008

Compiled using information from the following sources:

Williams Obstetrics Twenty-Second Ed. Cunningham, F. Gary, et al, Ch. 55.

National Headache Foundation, www.headaches.org

American Pregnancy Association, http://www.americanpregnancy.org

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