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Migraine During Pregnancy
Migraines occur due to blood vessels dilating in the brain. Being prone to migraine headaches, it can either become stronger, diminish or start during pregnancy. Hormonal changes in women can be slightly correlated to migraines. Doctors recommend non-drug related therapies throughout the pregnancy especially in the first trimester. We will look into some specific suggestions in the prevention or treatment of migraines and medications recommended.
Suggestions for Migraine Prevention
Rest – Rather than using medications, rest is the best remedy, especially in the first trimester. Dark, quiet room really helps as headaches get aggravated with bright light and loud noise.
Stress – Reducing stress is very imperative which can be achieved by sharing responsibilities, exercise, rest and decreasing commitments.
Sleeping/eating patterns – Headaches can be minimized by regulating sleep and eating patterns, hence meals should not be skipped.
Caffeine – Caffeine often triggers headaches and should be reduced in the first trimester as much as possible.
Trigger identification – Identifying triggers before a headache starts, like certain food, MSG, lack of sleep, odors, alcohol, etc. can be avoided as much as possible.
Hydration – Drinking plenty of fluids avoids dehydration which in turn prevents of reduces headaches.
Relaxation techniques – Relaxation techniques, massages, biofeedback, etc. is quite helpful in reducing headaches.
Ice packs – If used early during migraine attacks, it is an effective way to reduce pain.
Treatment
Generally there should be certain restrictions in the use of prescription medications for migraine, during pregnancy, however, if used should be discussed with the physician or the gynecologist. Since non-drug treatments have no side effects, it should be practiced before any over-the-counter drugs. Some effective ones are resting in a dark quiet room, cold packs at the back of the neck or the head, acupuncture and massage therapy. Medications if taken any, should be chosen carefully as it can reach the foetus through the placenta. If advised by a physician, small doses of acetaminophen can be taken after the first trimester of pregnancy. Caffeine drinks can help rid headaches at times, hence there are several drugs that contain caffeine in them for this purpose only. The most challenging part in the treatment of migraine during pregnancy is to maximize migraine relief and minimize harm to the foetus.
Conclusion
Adequate studies have proved that migraine in pregnant women poses no threat to miscarriage or any birth defects in the foetus, but, it needs to be addressed and treated adequately. If not it can lead to a snowball effect, starting with poor food intake, dehydration, lack of sleep, increased levels of stress and depression, hence affecting relationships, all of which can be harmful to the mother and the foetus. With treatment options available, proper care, and identifying migraine triggers, enough time can be spent enjoying the pregnancy and preparing for the newborn.