Marcus Dawn A
Pain Evaluation & Treatment Institute, 5750 Centre Avenue, Pittsburgh, PA 15206, USA.
Expert Rev Neurother. 2008 Mar;8(3):385-95. doi: 10.1586/14737175.8.3.385.
Headache patterns for both primary and secondary headaches are often modified in women during pregnancy. Although approximately two thirds of women with migraines experience headache improvement during pregnancy; women who continue to suffer from migraine or other headaches during pregnancy need effective clinical care to include appropriate diagnostic studies, counseling about expectations during pregnancy and lactation, and modifications in therapeutic regimens to minimize risk to the fetus and nursing baby. This review describes the epidemiology of headache during pregnancy and lactation, to include both effects of these conditions on headache activity and possible concerns about how a maternal headache diagnosis may influence the course and outcome of pregnancy. Although restrictions in diagnostic testing and medication interventions are often necessary during pregnancy and breastfeeding, this review describes evaluation and management strategies that provide effective clinical care while minimizing risk to the developing baby.
原发性头痛和继发性头痛的模式在孕期女性中常常会发生改变。虽然约三分之二的偏头痛女性在孕期头痛症状有所改善；但在孕期仍患有偏头痛或其他头痛的女性需要有效的临床护理，包括进行适当的诊断性检查、提供关于孕期和哺乳期预期情况的咨询，以及调整治疗方案以尽量降低对胎儿和哺乳婴儿的风险。本综述描述了孕期和哺乳期头痛的流行病学情况，包括这些情况对头痛发作的影响以及关于母亲头痛诊断可能如何影响妊娠过程和结局的潜在担忧。虽然在孕期和哺乳期通常需要限制诊断测试和药物干预，但本综述描述了评估和管理策略，这些策略在为发育中的婴儿尽量降低风险的同时提供有效的临床护理。
