medigraphic.com
Revista Médica Sinergia

2020, Number 01

<< Back Next >>

Revista Médica Sinergia 2020; 5 (01)

Update on headaches during pregnancy

Chaves LE, Silva DRF, Solis SJB

Language: Spanish
References: 18
Page: 337
PDF size: 164.58 Kb.


ABSTRACT

Headache is one of the main reasons for consultation in health services, and its frequency increases with reproductive age and even can be disabling. Pregnancy is now considered by itself a warning sign in headaches. These can be primary or secondary causes, the former being the most frequent. However, during pregnancy there are secondary causes that become more important, so it should be important to know how to recognize each of them. The diagnosis is clinical, based on a good anamnesis and a good physical examination. Imaging studies should be sent only when they are really warranted, as they are cost effective and slow the diagnosis. The therapeutic approach is always a challenge in this group of patients, since care should be taken not to cause fetal damage. There are no category A drugs for this specific pathology, and the most recommended pharmacological treatment measure is the use of acetaminophen, although non-pharmacological measures are also important.


REFERENCES

  1. Buitrago J, Murillo R, Meneses A, Rivera P, Ascencio H, Bosch R. Frecuencia y factores de riesgo asociados a la cefalea postparto en el Hospital universitario Erasmo Meoz de San José de Cúcuta. Revistas.unipamplona.edu.co. 2019 [accesado 22 de Octubre 2019]. Disponible en: http://revistas.unipamplona.edu.co/ojs_viceinves/index.php/INBIOM/article/view/2165

  2. Moreno K, Fung M. Manejo de la cefalea en la paciente embarazada que acude al servicio de emergencias: Revista medica de Costa Rica y Centroamérica. 2014, LXXI (611): 417-419. [accesado 09 Sep. 2019]. Disponible https://www.medigraphic.com/pdfs/revmedcoscen/rmc-2014/rmc143i.pdf

  3. Buonanotte C, Buonanotte M. Migraña aguda en embarazo: oportunidades terapéuticas. 2019 [accesado 22 de Octubre 2019]. Disponible: https://www.sciencedirect.com/science/article/abs/pii/S1853002816300325?via%3Dihub

  4. Negro A, , Delaruelle Z, Ivanova TA, Khan S, Ornello R, Raffaelli B, Terrin A, Reuter U, Mitsikostas DD. Headache and pregnancy: a systematic review. The Journal of Headache and Pain. 2017 Oct 19;18(1). https://doi.org/10.1186/s10194-017-0816-0

  5. Schoen J, Campbell R, Sadosty A. Headache in Pregnancy: An Approach to Emergency Department Evaluation and Management. Western Journal of Emergency Medicine. 2015 03 23;16(2):291- 301. https://doi.org/10.5811/westjem.2015.1.23688

  6. Doblas Gómez P, Martín Orlando J, López Díaz A. Migraña y gestación. Revisión bibliográfica. 2019 [accesado 18 de Octubre 2019]. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0210573X14000227?via%3Dihub

  7. Raffaelli B, Siebert E, Körner J, Liman T, Reuter U, Neeb L. Characteristics and diagnoses of acute headache in pregnant women - a retrospective cross-sectional study. The Journal of Headache and Pain. 2017 [accesado 22 October 2019];18(1). https://doi.org/10.1186/s10194-017-0823-1

  8. Sperling JD, Dahlke JD, Huber WJ, Sibai BM. The Role of Headache in the Classification and Management of Hypertensive Disorders in Pregnancy. Obstetrics & Gynecology. 2015 08;126(2):297- 302. https://doi.org/10.1097/aog.0000000000000966

  9. Robbins M, Farmakidis C, Dayal A, Lipton R. Acute headache diagnosis in pregnant women. Neurology. 2015;85(12):1024-1030. https://doi.org/10.1212/WNL.0000000000001954

  10. Do TP, Remmers A, Schytz HW, Schankin C, Nelson SE, Obermann M, Hansen JM, Sinclair AJ, Gantenbein AR, Schoonman GG. Red and orange flags for secondary headaches in clinical practice. Neurology. 2018 Dec 26;92(3):134-144. https://doi.org/10.1212/wnl.0000000000006697

  11. MacGregor EA. Migraine in pregnancy and lactation. Neurological Sciences. 2014 05;35(S1):61- 64. https://doi.org/10.1007/s10072-014-1744-2

  12. Sandoval Paredes J, Sandoval Paz C. Uso de fármacos durante el embarazo. 2019 [accesado 9 de Setiembre 2019]. Disponible en: http://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/732

  13. Vera Carrasco, O. (2015). Uso de fármacos en el embarazo. Revista Scielo Bolivia Available at: http://www.scielo.org.bo/pdf/rmcmlp/v21n2/v21n2_a10.pdf Accesado 11 Setiemre. 2019

  14. Wells RE, Turner DP, Lee M, Bishop L, Strauss L. Managing Migraine During Pregnancy and Lactation. Current Neurology and Neuroscience Reports. 2016 03 21;16(4). https://doi.org/10.1007/s11910-016-0634-9

  15. Marchenko A, Etwel F, Olutunfese O, Nickel C, Koren G, Nulman I. Pregnancy Outcome Following Prenatal Exposure to Triptan Medications: A Meta-Analysis. Headache: The Journal of Head and Face Pain. 2015 [accesado 9 de Octubre 2019];55(4):490-501. https://doi.org/10.1111/head.12500

  16. Govindappagari S, Grossman TB, Dayal AK, Grosberg BM, Vollbracht S, Robbins MS. Peripheral Nerve Blocks in the Treatment of Migraine in Pregnancy. Obstetrics & Gynecology. 2014 Dec;124(6):1169- 1174. https://doi.org/10.1097/aog.0000000000000555

  17. Pearson SM, Burish MJ, Shapiro RE, Yan Y, Schor LI. Effectiveness of Oxygen and Other Acute Treatments for Cluster Headache: Results From the Cluster Headache Questionnaire, an International Survey. Headache: The Journal of Head and Face Pain. 2019 01 11;59(2):235- 249. https://doi.org/10.1111/head.13473

  18. Buettner C, Nir R, Bertisch S, Bernstein C, Schain A, Mittleman M et al. Simvastatin and vitamin D for migraine prevention: A randomized, controlled trial. Annals of Neurology. 2015 [accesado 18 Octubre 2019];78(6):970-981. https://doi.org/10.1002/ana.24534




2020     |     www.medigraphic.com