HEADACHE AND MIGRAINE IN PREGNANCY

Headache is one of the most common complaints during pregnancy as it is very common in non-pregnant women. Approximately 80% of women between the ages of 20-50 are more or less suffering from headaches. Among the factors that cause it to be seen so often, hormonal changes in the body during menstrual periods, pregnancy and after childbirth play an important role. Most of these headaches in women are migraine or tension headaches.
The headaches mentioned below are some of the most common types. However, there are hundreds of reasons that can cause headaches in a pregnant woman or a person. For this reason, headache is a condition that should never be underestimated and should not be overcome by taking painkillers. You should definitely consult a neurologist, especially in severe and recurrent headaches, and the cause and type of pain should be investigated. Preeclampsia is one of the important causes of headache in pregnancy and sometimes it may be the first warning complaint. In short, as in every person, headache is a very common complaint in pregnant people, and mostly people with headaches do not have pregnancy poisoning or any other bad cause. Nevertheless, every pregnant woman should consult a doctor and investigate the cause. Because rarely, it can be an important condition that causes headaches.
Migraine in Pregnancy
Migraine-type headache is a throbbing-like pain that is usually felt in one half of the head, may be accompanied by nausea-vomiting, sensitivity to light, and that repeats periodically. The fact that hormonal drugs such as menstrual period, menopause, pregnancy and even birth control pills affect migraine type pain indicates that female hormones (especially estrogen) play an important role in the formation of migraine. (Migraine is also seen in men, but less) Generally, migraine pains are relieved in periods of low estrogen levels such as menstrual period or post-pregnancy, and on the contrary, migraine pains increase during periods of increased estrogen level such as pregnancy. In the studies conducted, most of the patients stated that migraine pain increased during pregnancy, while a few patients reported that their pain did not change or decrease. Migraine headaches are common in the first months of pregnancy, and less frequently in the last months. Migraine usually relieves after the first 3 months of pregnancy, but sometimes it can be the other way around. Some pregnant women may encounter migraine for the first time during their pregnancy, although it has not been before. It is common for migraine pain to continue after birth, but breastfeeding mothers have less pain. Studies have shown that migraine does not have any negative effects on the development or outcomes of pregnancy whether or not it is treated.
Symptoms such as nausea, vomiting, sensitivity to light, ringing in the ears may be accompanied by migraine. When a migraine is suspected, a neurologist should be consulted. Sadness, depression, stress, fatigue, excessive coffee and chocolate, excessive light and excessive sound environments, insomnia, excessive exercise, birth control pills are factors that exacerbate migraine.
Migraine medications are generally not used against the risk of being harmful during pregnancy. However, some drugs are compulsorily used in migraine attacks that do not pass. Paracetamol derivative pain relievers are used for migraine pain.
Tension Type Headache
Tension-type headache is a pain that feels like pressure and tension all over the head. It is more common than migraine and, unlike migraine, conditions such as light and sound effects, nausea and vomiting are less common in tension-type headaches. It is not anticipated that the tension headache before pregnancy will intensify after the onset of pregnancy. Because, unlike migraine, it is not a pain affected by hormones. Paracetamol-derived pain relievers are used for treatment during pregnancy. Also, relaxation therapies can be useful.
Cluster Headache
Although cluster headache is 8 times more common in men than in women, it can rarely be encountered during pregnancy. Severe penetrating explosive-style pain in the unilateral eye and temple areas, usually occurring on almost the same days with an interval of 4 or 8 weeks. On the side of the pain, complaints such as flushing, tears, runny nose occur. Cluster headaches are not affected by hormonal periods such as pregnancy, menstrual period, menstruation.
HEADACHE AFTER BIRTH
After birth, there may be a headache due to all the reasons listed above. Preeclampsia - elevated blood pressure can rarely occur after birth. In cases of birth with spinal anesthesia, headache may occur due to some flow of cerebrospinal fluid out.

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