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Abstract
Background
Migraine is a common headache disorder that affects mostly women. In half of these, migraine is menstrually associated, and ranges from completely asymptomatic to frequent pain throughout pregnancy.
Methods
The aim of the study was to define the pattern (frequency, intensity, analgesics use) of migrainous headaches among women with and without menstural migraine (MM) during pregnancy, and define how hormonally-related factors affect its intensity.
Results
The analysis was based upon data from 280 women, 18.6% of them having a self-reported MM. Women with MM described a higher headache intensity during early pregnancy and postpartum compared those without MM, but both groups showed improvement during the second half of pregnancy and directly after delivery. Hormonal factors and pre-menstrual syndrome had no effect upon headache frequency, but may affect headache intensity.
Conclusions
Individual treatment plan is necessary for women with migrainous headaches during pregnancy, especially for those suffering highest symptoms load.
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Details
1 Health Services Research Centre, Akershus University Hospital, Lørenskog, Oslo, Norway; Faculty of Dentistry, University of Oslo, Oslo, Norway
2 Department of Neurology, Akershus University Hospital, Lørenskog, Oslo, Norway
3 Health Services Research Centre, Akershus University Hospital, Lørenskog, Oslo, Norway; Department of Neurology, Akershus University Hospital, Lørenskog, Oslo, Norway; Institute of Clinical Medicine, Campus Ahus, University of Oslo, Lørenskog, Norway
4 Health Services Research Centre, Akershus University Hospital, Lørenskog, Oslo, Norway; Department of Neurology, Akershus University Hospital, Lørenskog, Oslo, Norway; Institute of Clinical Medicine, Campus Ahus, University of Oslo, Lørenskog, Norway; Domain for Mental and Physical Health, Norwegian Institute of Public Health, Oslo, Norway