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Headache During Gestation: Evaluation of 1101 Women

Published online by Cambridge University Press:  02 December 2014

Eliana M. Melhado ,
Jayme A. Maciel  and
Carlos A.M. Guerreiro
Eliana M. Melhado
Affiliation:
Department of Neurology, State University of Campinas
Jayme A. Maciel
Affiliation:
Department of Neurology, State University of Campinas
Carlos A.M. Guerreiro
Affiliation:
Department of Neurology, State University of Campinas
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Abstract

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Objective:

The purpose of this study was to evaluate the presence of headache in women with a previous history or new-onset headache during the current gestation, classify the findings, and describe the clinical characteristics and outcome of the headache.

Methods:

From January/1998 to June/2002 we prospectively evaluated 1101 pregnant women (12-45 years old), with a history of headache, at two prenatal clinics and an inpatient obstetric public hospital. Women were interviewed using a semi-structured questionnaire during the first, second, and third gestation trimesters and immediately after delivery. All interviews were conducted by one of the authors, using the International Headache Society Classification (IHSC-2004).

Results:

In 1029 women there was a history of headache prior to the current pregnancy, 36 (3.4%) women first experienced headache during this pregnancy and 40 patients experienced new types of headache. In these 76 patients with new onset headache during pregnancy, 40 had secondary headache (52.6%), 31 had primary headache (40.8%), and 5 had headache not classified elsewhere (6.6%). According to IHSC- 2004 criteria, we found migraine in 848/1029 women (82.4%), with pregestational headache.

Conclusions:

Most of the pregnant women presented with headache, mainly in migraine, prior to pregnancy, and most of the headaches improved or disappeared during the second and third gestation trimester. In a relatively small number of pregnant women, a new type of headache started during the gestation.

Résumé:

RÉSUMÉ:Objectif :

Le but de cette étude était d'évaluer pendant une grossesse la présence de céphalée chez des femmes ayant une histoire antérieure de céphalée ou une céphalée dont le début était récent, de classifier les céphalées et de décrire les caractéristiques cliniques et l'évolution de la céphalée.

Méthodes :

Nous avons évalué de façon prospective 1101 femmes enceintes, âgées de 12 à 45 ans, ayant une histoire de céphalée, qui ont fréquenté deux cliniques prénatales et le service d'obstétrique d'un hôpital publique, entre janvier 1998 et juin 2002. Chaque femme devait répondre à un questionnaire semi-structuré administré lors d'une entrevue pendant le premier, le second et le troisième trimestre de la grossesse et immédiatement après l'accouchement. Toutes les entrevues ont été faites par un des auteurs et la classification de la International Headache Society (IHSC-2004) a été utilisée.

Résultats :

Il y avait une histoire antérieure de céphalée chez 1029 femmes avant la grossesse en cours, 36 femmes (3,4%) ont commencé à avoir des céphalées pendant la grossesse en cours et 40 patientes ont présenté un nouveau type de céphalée. Parmi ces 76 patientes, 40 avaient une céphalée secondaire (52,6%), 31 présentaient une céphalée primaire (40,8%) et 5 avaient une céphalée non classifiée (6,6%). Selon les critères de l'IHSC-2004, 848 femmes parmi les 1029 qui souffraient de céphalée avant la grossesse souffraient de migraine.

Conclusions :

La plupart des femmes enceintes ont présenté de la céphalée, surtout de la migraine, avant la grossesse et la plupart des céphalées se sont améliorées ou ont disparu pendant le second et le troisième trimestre. Chez un petit nombre de femmes enceintes, un nouveau type de céphalée est apparu pendant la grossesse.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 34 , Issue 2 , May 2007 , pp. 187 - 192
Copyright
Copyright © The Canadian Journal of Neurological 2007

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