Barts Sexual Health Centre, St Bartholomew's Hospital, London EC1A 7BE, UK.
Neurol Clin. 2012 Aug;30(3):835-66. doi: 10.1016/j.ncl.2012.04.001. Epub 2012 Jun 9.
Primary headaches are most common in women during their reproductive years and are affected by the hormonal fluctuations during pregnancy. Most headaches follow a benign course during pregnancy, although migraine is associated with increased risk of hypertensive disorders of pregnancy and stroke. Management of primary headaches during pregnancy is essentially similar to management in the nonpregnant state, with a few exceptions. This article reviews the epidemiology, prognosis, and management of primary headaches during pregnancy and lactation, and considers secondary headaches that are important to exclude.
原发性头痛在女性生育期最为常见，且受孕期激素波动的影响。大多数头痛在怀孕期间呈良性过程，尽管偏头痛与妊娠高血压疾病和中风的风险增加相关。怀孕期间原发性头痛的管理与非妊娠状态基本相似，但也有一些例外。本文回顾了妊娠和哺乳期原发性头痛的流行病学、预后和管理，并考虑了需要排除的继发性头痛。
