Migraine During Pregnancy: What Pregnant People Need To Know

migraine during pregnancy

During the prenatal counseling visit, acute treatment options during conception trials and pregnancy are discussed. For women who use an ovulation tracker, we encourage use of standard migraine treatment for acute attacks from menses until ovulation. After ovulation, first-line treatment is acetaminophen, which is continued if pregnancy occurs. In addition to acetaminophen, our preferred abortive regimen includes caffeine, diphenhydramine and/or metoclopramide, followed next by sumatriptan. Neuromodulation devices are often discussed prior to conception and a trial is recommended then to see if it would be an effective treatment option. All treatment decisions are made in conjunction with a discussion of the available data for use of each medication in pregnancy.

Please click here to read the FDA’s safety guide when taking medications during pregnancy. Triptans are one of the most commonly prescribed first-line medications that are specifically for the treatment of migraine attacks, says Starling. If you read the package labeling, it will tell you that the drug is not something that should be used in pregnancy and that it’s not been studied in the setting of pregnancy, she says. Most headaches during pregnancy including migraine are nothing to worry about. But that’s not to say that migraine attacks aren’t incredibly annoying, and, in some cases, dangerous for pregnant women and their babies.

Receiving a formal migraine diagnosis is the first milestone when working with your doctor to identify a personalized and effective treatment plan. Continuing to talk with your doctor throughout the course of your treatment is important for determining the strategies that prove beneficial and those that may not be as effective. Migraine is a disabling disease that no one should have to go through alone.

migraine during pregnancy

According to CHOP, pop over to these guys does not harm the fetus. This includes preeclampsia, a sudden rise in blood pressure during pregnancy. Untreated, this can develop into eclampsia, a more serious condition. When a person experiences migraine, they usually feel an intense throbbing pain on one or both sides of the head. Finding people whom you can lean on for support can help lift some of the burden of managing migraine before, during and after pregnancy.

However, some triptans have been around for quite some time and have a considerable amount of registry data for being used during pregnancy, says Starling. Pregnancy exposure registries are studies that collect health information on exposure to medical products such as drugs and vaccines during pregnancy. Sometimes I’ll use these injections once every month or even as frequently as once every week for my patients who are pregnant. It can often work as a preventive treatment for them or be used to break an attack that might be ongoing, she says. Lidocaine injections at the base of the skull called an occipital nerve block can be really helpful in stopping a migraine attack, says Starling. This can help with base of the skull or neck pain, as well as with the pain that can radiate from the back of the head but settles in behind the eyes, she says.

This improvement may be due to the increased oestrogen levels and increased levels of natural pain-killing hormones (endorphins). During pregnancy, oestrogen levels increase sharply, while progesterone levels decrease internet and rise again towards the end of the pregnancy. If you’re seeing a headache specialist, double-check with your obstetrician or certified midwife about the safety of any medications or devices during pregnancy.

When placed over the vagus nerve in the neck, it releases a mild electrical stimulation to the nerve’s fibers to relieve pain. Calcium channel blockers and antihistamines are the safest migraine prophylactic medications in pregnancy. If your support system is lacking, consider joining a support group. Finding a community of people who understand try what he says exactly what you’re going through is like being welcomed home after a long, tiring day. Our Move Against Migraine support group is a place for you to connect with others (via Facebook) who live with migraine to exchange stories and find community and support. Don’t give up on your search to find an integrative treatment that works for you.

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