Neurology Specialist Dr.Sema Demirci answers questions about pregnancy and migraine in 8 questions.
1) Are there effects of pregnancy that increase or decrease migraine attacks?
It is known that there is a relationship between migraine and sex hormones. First menstruation, menstrual periods, use of contraceptives, pregnancy, menopause and hormone replacement treatments affect estrogen levels in the blood and affect migraine. Increased estrogen or a certain level of continuity is thought to improve the healing of migraine in pregnant women or reduce attacks. However, this mechanism worsens migraine attacks in some pregnant women or new migraine does not explain such cases. The rapid decline of estrogen is thought to be responsible for migraine attacks during menstrual period and postpartum period. Pregnant women with migraine may have complete recovery or reduction rates of 80% in migraine attacks, especially during the 2nd and 3rd trimesters.
This decrease is especially observed in migraine patients with menstrual migraine attacks and without aura (patients without pre- or pre-pain symptoms). Severe vomiting of pregnancy or a pregnancy-related problem during the second 3-month period may prevent recovery. 2-4 New migraine abilir may occur in 2-4% of pregnant women. The probability of an attack in a pregnant woman with migraine is especially 50% in the first week after birth. Recurrence of migraine may be more common in mothers with migraine who do not breastfeed after birth.
2) Is Headache Migraine in Pregnancy?
The incidence of migraine during pregnancy in women without migraine is around 2-4%. All men and all pregnant and non-pregnant women should consult with the relevant specialist and perform the necessary investigations in case of headaches accompanied by other disorders that are very severe, increased or persistent, which are completely different from previous or previous pain. Preeclampsia during pregnancy, eclampsia, toxemia and problems such as blockage of the veins of the brain and vascular system, aneurysm (vascular ballooning) due to serious disorders such as bleeding between the brain membranes headache Magnetic resonance imaging (MRI) may be the most appropriate imaging technique in pregnant women. Headaches that meet certain criteria set by the International Headache Association are defined as migraine. The most important of these criteria is to show that the pain is not related to any disease in the body or brain.
3) What are the problems that women with migraine may encounter during pregnancy?
Studies have shown that there is no difference between migraine-free and migraine-free pregnancies in terms of miscarriages, pregnancy toxemia, congenital abnormalities and stillbirth.
However, especially severe migraine attacksIn pregnant women who have severe migraine attacks or those who have frequent migraine attacks, the choice of drugs should be very selective in order to protect the development of the baby and relatively weak interventions are performed during painful periods and this may be a problem for the pregnant woman.
4) Does migraine harm the baby during pregnancy?
In the comparison of migraine and migraine-free pregnants in terms of infant development, there was no difference except that the birth weight was slightly lower in the babies with migraine.
In pregnant women with severe and long migraine attacks, it is recommended to intervene without prolongation of the attack with fluid supplementation and appropriate painkillers if necessary, as infant stress and water loss may occur.
5) Is there any migraine medication that does not harm the baby?
Information on the effect of many drugs on pregnant women and lactating women is limited due to the fact that drug studies in these groups are not suitable for infant health. In the United States (USA) by the Food and Drug Administration Board, pregnant women and nursing women are no migraine medication identified as safe. Some overseas centers (Denmark) have centers that use migraine medications at relatively low doses in a very limited number of patients. The publications of these centers have reported no adverse effects other than low birth weight and preterm birth in infants. However, the number of patients is insufficient to evaluate the side effects.
6) What are the triggering factors for migraine in pregnancy?
There is no characteristic of migraine triggering factors in a healthy pregnancy. Migraine, hormone treatments, alcohol intake, canned foods, aspartame (found in sweeteners), eating excessive chocolate or stale cheese, missing meals, following periods of stress or stress, tension, sadness, depression, excessive light, fluorescent or loud Environments can be triggered by sudden air changes, high altitude, insomnia, excessive sleep, head trauma, excessive physical effort, fatigue and some medications. It is appropriate to try to avoid such triggering conditions during pregnancy.
7) Is Meditation and Yoga Good for Pain?
Migraine can be triggered by excessive and compelling exercises and tension. Therefore, activities based on relaxation and relaxation that do not involve compelling figures may at least be useful in preventing the occurrence of pain. This type of exercise is also recommended for a healthy pregnancy.
8) What should be done for pregnant women who do not reduce migraine crises?
Drug use in pregnant women should generally be restricted due to efforts to ensure a healthy and appropriate termination of pregnancy and to keep baby development at its best. However, as in all health problems, benefit and harm calculations should be done well. It is clear that prolonged and frequent recurrent migraine attacks will have negative aspects in terms of infant and pregnancy process. In such cases, the US Food and Drug Administration Board identified it as the least risky. drugs should be started at low dosesDuring the treatment, the development of the baby should also be monitored more closely.