What is migraine in pregnancy?
Headache, migraine manifested by severe pain in the temples should definitely not be perceived as a simple headache. Migraine, which is a completely neurological disorder, is generally the most common in women at a young age when hormones are secreted very actively. In general, 20% of women and 8% of men have migraine problems and are experienced very seriously. What is migraine in pregnancy?
Especially migraine, which is felt in the form of throbbing in the temples, progresses in attacks. In some cases, migraine attacks, which occur monthly, in others, every 3 months and in others, cause complaints in addition to pain, as well as nausea, vomiting, sensitivity to sound and light.
It is known that genetic factors play a very important role in the emergence of a migraine problem where both the diagnosis and treatment process is difficult. Namely; While the risk of migraine sufferers is around 40% for those with a family member in their family, the risk of experiencing migraines is almost 75% for both mother and father sufferers. It is known that hormonal changes play a very serious role in addition to genetic factors in the emergence of migraines. As such, it is normal that the risk of migraine problems is very high, especially in young and reproductive women. In fact, the incidence in women is 3 times higher than that of men. As such, menstrual periods where women experience the most hormonal change, and especially pregnancy, are the periods when women experience the most severe migraine problem.
Migraine during pregnancy
According to many studies on migraine, there is a close relationship between migraine and sex hormones. The first menstrual periods, menstrual periods, use of contraceptives, pregnancy, menopause and hormone replacement therapies affect the estrogen levels in the blood. As explained above, the change in hormonal secretions is also very effective in the emergence of migraines. It is thought that the increase in the amount of estrogen in the body or a certain high level of continuity leads to the improvement of migraine or reduction of attacks in pregnant women. However, this mechanism does not work in the same way in all expectant mothers, and some pregnant women may experience conditions such as worsening migraine attacks or new migraine onset that are not pre-pregnancy. It is known that; The rapid decline of estrogen in the body can be responsible for a menstrual period and postpartum migraine attacks. Women who have migraine problems before pregnancy can have a full recovery or decrease in migraine attacks reaching 80%, especially in the 2nd and 3rd trimester of pregnancy.
It is known that the aforementioned reduction in migraine pain is more common especially in patients with migraine attacks associated with the menstrual period and in patients who do not have preceding symptoms before or during pain. Having severe pregnancy vomiting or a pregnancy-related problem that may occur in the second trimester of pregnancy may also prevent a migraine from healing or even trigger the problem. An average of 2-4% of women who do not have migraine problems before pregnancy may develop a new migraine problem.
In a prospective mother with a migraine, the risk of an attack is about 50%, especially in the first week after birth. Also, recurrence of migraine attacks can be seen more frequently in mothers who do not breastfeed their babies after birth.
What should be done if the migraine existing before pregnancy continues during pregnancy?
Migraine is an important neurological health problem that occurs in one of every 3-4 women of reproductive age, although it can be seen in every society, women, men, young, old people. Particularly very severe migraine attacks and repeated drug use in every pain are problematic for everyone, but it creates problems and anxiety for expectant mothers. Because it is often not possible to relieve very severe migraine pain without using medication. However, doctors make very serious warnings about not using drugs during pregnancy. It is very well known that the drugs used without a doctor’s prescription cause harm to the baby and pregnancy.
In fact, most of the women who had headaches from time to time before pregnancy mention that these headaches decreased by about 70% after conception. Especially in the period after the first 3 months of pregnancy, these attacks can disappear completely. What is known about migraine in pregnancy; It is generally seen that migraine decreases in pregnancy, disappears completely in some, it continues in some parts while it increases in much less. What is rarely encountered in this regard is that headache, which was absent before pregnancy, can start during pregnancy.
Is migraine treated during pregnancy?
Taking drugs other than the drugs and supplements routinely recommended by the doctor following the pregnancy during pregnancy can definitely cause drawbacks. In fact, it is not recommended to treat expectant mothers for most of the ailments that existed before or during pregnancy. It is preferred to stop and tolerate the discomfort that usually exists during pregnancy.
Neural therapy is the most appropriate treatment for migraines during pregnancy, and medication is not very appropriate. While the general relaxation is provided with small procaine needles to be applied to the skin for mothers who have migraine problems during pregnancy, that is, very short-acting local anesthetic needles, this is definitely a temporary solution. It is thought that the small amount of medication used in this treatment does not harm the baby. However, the most correct approach to this issue is to eliminate the situations and conditions that cause migraine attacks.
In those who continue migraine problems during pregnancy, the problem is mostly in the throat region and during pregnancy, the neurosurgery is easily applied to this area and the expectant mother is relieved. Apart from this, no treatment method is chosen, the continuation of the treatment is left after birth. The most ideal approach in this regard; It is the finding of the factors that cause migraine before pregnancy and treatment of women planning a pregnancy. It is much more important to treat those who should use migraine treatment drugs almost every day before pregnancy.
A migraine that did not exist before pregnancy but started during pregnancy
In women who do not have migraine problems before pregnancy, the emergence of migraine during pregnancy is rarely experienced. In some expectant mothers, severe headaches may begin in the third trimester of pregnancy, that is, in the last 3 months. In such a situation, especially in the severe headache that starts after the 30th week of pregnancy, the problem of pregnancy poisoning called pre-ecstasy comes to mind. Eclampsia is the patient’s having a crisis like epileptic seizures due to pregnancy poisoning. In the pre-eclampsia problem, the mother’s blood pressure rises and edema develops in the body. In the case of this type of eclampsia, the majority of patients have a headache that starts from the back of the neck and continues very severely.
In case of a headache that cannot be identified during pregnancy and continues for no reason, the expectant mother should definitely be evaluated in terms of eclampsia. In women who have a high risk of developing additional blood pressure, there may be only headache symptoms. The constant headache of the woman and the feeling of tension under the right rib require urgent medical attention.
Is every headache migraine during pregnancy?
Headache is a common condition that usually passes spontaneously after one or several hours of pain, which is usually tolerated by pain medication. headache problem has become so chronic in some people that it never passes without using medication. However, in the case of pregnancy, painkillers are not recommended too much. As such, the answers to questions such as whether migraine headaches during pregnancy or whether medication should be used or which can be used are wondered.
Considering that the risk of migraine occurrence in pregnancy is around 2-4% in women who do not have migraine before pregnancy, it is known that this rate is not at all underestimated. All people young, old, men, women, pregnant or not; If there are headaches that do not exist before or are completely different from previous pain, very severe, increasing or persistent, accompanied by other disorders, they should definitely consult the relevant specialist. In such a situation, it is very important to investigate the causes without wasting time. If the problem is investigated, it is also determined whether it is a normal headache or migraine, and there is a cure or avoidance for it.
Problems such as preeclampsia, eclampsia, toxemia during pregnancy, and serious disorders such as bleeding between the brain membranes due to brain vein vascular system and aneurysm (vascular ballooning) can cause headaches. The most suitable one of the imaging techniques during pregnancy is magnetic resonance imaging, namely MR. In this way, if headaches that meet certain criteria determined by the international headache association are detected at the end of imaging, migraine diagnosis can be made. If the tests show that the pain is not associated with any disease in the body or brain, migraine is diagnosed.
What kind of problems do migraine patients encounter during pregnancy?
Studies on the effects of migraine in pregnancy; shows that migraine does not trigger expectant mothers to encounter problems such as miscarriage, pregnancy toxemia, congenital abnormalities, and stillbirth. However, especially severe migraine attacks experienced by the expectant mother leave the expectant mothers to use drugs and the expectant mother has problems with the use of drugs. Already used in pregnancy, the power of cutting these attacks is very low.
Does migraine harm the baby during pregnancy?
There are some studies showing that babies of mothers with migraine problems are born with a lower weight than those without a migraine. Apart from this, there was no problem in terms of a baby. In addition, liquid supplements are recommended for expectant mothers with very severe and prolonged migraine attacks, as baby stress and water loss may occur. Even if necessary, migraine attacks can be stopped without extending too much by using appropriate pain relievers.
Is there a migraine medicine that does not harm the baby during pregnancy?
All research and studies on drug use in pregnancy; show that no medication should be taken except for routine drugs and supplements related to pregnancy recommended by the doctor. In this context, pain relievers taken for neither migraine nor any other problem during pregnancy are completely safe and do not harm the baby. Experts agree that pregnant women and lactating women do not have a migraine drug, which is described as completely safe.
What are the factors that trigger migraines during pregnancy?
The factors that trigger migraines in a healthy ongoing pregnancy have no specific feature. Migraine in general; hormone treatments, alcohol intake, canned foods, eating aspartame, excessive chocolate or old cheese in sweeteners, missed meals, periods following stress or stressful period, tension, sadness, depression, excessive light, fluorescent light or loud environments, sudden weather changes can be triggered by high altitude, insomnia, excessive sleep, head trauma, excessive physical exertion, fatigue and some medications used. In this context, it would be best to avoid such trigger situations during pregnancy.