Quite often I hear from pregnant women that they have a headache. «Doctor, what should I take?».
It seems like a simple question. But the modern classification of headache has about 200 types of pain, considering the cause of it. If the cause is different, then, of course, different treatment is, right?
At the Annual Meeting of the American College of Obstetricians and Gynecologists in May 2022, doctors finally talked about headaches in pregnant women, but focused mostly on migraines.
What did we learn?
- There are almost no clinical studies on headache in pregnant women
- We know more about the safety of drugs in relation to the fetus, so we take into account new data
- Pregnancy itself is actually a good treatment for pain
- Migraine does not worsen during pregnancy. On the contrary, in 83% of women it decreases
- Preventive treatment of migraine during pregnancy may need to be discontinued, but taking into account risk factors
- Some medicines (Divalproex sodium, topiramate) should be stopped at the initiation of planning the pregnancy as they may harm the fetus.
- ACE inhibitors and herbal medicines should not be used during pregnancy
- Calcium channel blockers, beta-blockers and antihistamines are safe for pregnancy
- In case of tension headache, be careful with medications that contain aspirin or butibital (barbiturate).
Read more information in the proposed ACOG Guidelines «Headaches in «Headaches in Pregnancy and Postpartum» from May 2022
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