مقایسه خصوصیات سردرد میگرنی قبل و در دوران بارداری در خانم های مراجعه کننده به زایشگاه و بخش زنان بیمارستان 22 بهمن در سال 1391
Subject Areas : علوم پزشکیMohsen Mahdi Nejad Kashani 1 , Mahya Hossieni 2
1 -
2 -
Keywords: pregnancy, Migraine without Aura, Migraine with Aura,
Abstract :
Background: Migraine is widespread in population. The attack of migraine decrease in the period of pregnancy in comparison with before pregnancy. In this investigation, we study the features of migraine before and during the pregnancy. Methods: This analytical-descriptive study was carried out on 200 pregnant women with migraines who come to hospital two days before or seven days after childbirth, we check them with the standards of international group of headache before and during the pregnancy. We survey some characters in the first, the second, and the third month of pregnancy. These characters consist of age, occupation, education, the age of pregnancy, the number of pregnancy, the background of family about migraine, being of migraine during the Fluor. Also we characterize the variation of migraine about type, the frequency, the intensity and time of migraine in the first, the second, and the third month of pregnancy, and we study the variation of intensity, frequency and the period of headache in the first, the second, and the third month of pregnancy. Findings: : About the frequency of headaches,Frequency of less than once per week before pregnancy, first trimester pregnancy, second and third, respectively 36%, 45%, 68%, 78% Increased and Frequency of more than once per week before pregnancy, first trimester pregnancy, second and third, respectively 64%, 55%, 32%, 22% Has been reduced. Changes in headache intensity before and during pregnancy so that the percenet Of mild headaches before pregnancy, first trimester pregnancy, second and third, respectively 14%, 16%, 21%, 34% Has been reduced . The same ratio for the average headache for the percentage of 53%, 38%, 43%, 31%, and in all months except third trimester is reduced severe headaches from 14% to 8% at the end of the third trimester of pregnancy has been reduced. Most reductions in headache severity of the last third months of pregnancy than before pregnancy. About time headaches, headaches 4 hours to 1 day before pregnancy to 38% from 36% in the third trimester of pregnancy has been reduced . of course in first and second trimester pregnancy has been reduced. Headaches 1 to 2 days in third months of pregnancy (48%) 5% increase compared to pre-pregnancy then decline 13% in third months have been the end of the third quarter headaches 1 to 2 days 3 to 39 % is reached. Headaches 2 to 3 days in the third trimester of pregnancy, 19% lower than the third trimester , an increase of 3% and 2% over the last third months of pregnancy. Conclusion: Headache frequency, headache intensity and duration of headaches during pregnancy, especially during the third trimester of pregnancy reduced compared to before pregnancy. And many pregnant women suffer from migraines before pregnancy, recover during pregnancy.
1.Richard B.Lipton, Marcelo E.Bigal. Migraine and other Headache Disorders. 1st ed .New York: Taylor & Franics Group; 2006.p.23.
2.Lipton RB، Bigal ME، Diamond M، et al. Migraine prevalence، disease and the need for preventive therapy. Neurology. 2007;68:343-349.
3. Zacur HA. Hormonal changes throughout life in women. Headache.2006;46 (Suppl):S50-S55.
4.Sances G، Granella F، Nappi RE، et al. Course of migraine during pregnancy and postpartum: a prospective study. Cephalalgia.2003;23:197-205.
5.Roger Simon, David Greenberg, Michael Aminof. Clinical Neurology. 7th ed. New York: Mc Graw Hill; 2009.p.107-117.
6. Malene Kirchmann Eriksen, Jes Oslen. Migraine With Aura. Richard B.Lipton, Marcelo E.Bigal. Migraine and other Headache Disorders. 1st ed. New York: Taylor & Franics Group; 2006.p.189-191.
7. Fred Sheftell, Roger Cady. Migraine Without Aura. Richard B.Lipton, Marcelo E.Bigal. Migraine and other Headache Disorders. 1st ed. New York: Taylor & Franics Group; 2006.p.173-176.
8. Robert A.Davidoff. Migraine Manifestations, Pathogenesis, and Management. 1st ed. New York: Oxford University Press; 2002.p.136.
9. Robert A.Davidoff. Migraine Manifestations, Pathogenesis, and Management. 1st ed. New York: Oxford University Press; 2002.p.454.
10. Waldmiro A, Vilneide M, Maria de F, José Natal F. Course of migraine during pregnancy among migraine suferers before pregnancy. Arq Neuropsiquiatr.2011;69(4):613-619.
11.Wainscott G, Sullivan FM, Volans GN, Wilkinson M. The outcome of pregnancy in women suffering from migraine. Postgraduate Medical Journal .1978 ;54، 98-102.
12. Cripe SM, Sanchez S, Lam N, Sanchez E, Ojeda N, Tacuri S, Segura C, Williams MA. Depressive Symptoms and Migraine Comorbidity among Pregnant Peruvian Women. National Institutes Of Health.2010; 122(1-2): 149–153.
13. Menon R, Bushnell CD. Headache and pregnancy. Neurologist. 2008 Mar;14(2):108-19.
14. Digre KB. Headaches during pregnancy. Clin Obstet Gynecol. 2013 Jun;56(2):317-29.
15.MacGregor EA.Headache in pregnancy. Neurol Clin. 2012 Aug;30(3):835-66.
16. Gianni Allais, Sara Rolando , Cristina De Lorenzo, Gian Camillo Manzoni ,Paolo Messina , Chiara Benedetto ، et al. Migraine and pregnancy. Neurol Sci. 2013;34 (Suppl 1):S93–S99
17.Nappi RE, Albani F, Sances G, Terreno E, Brambilla E, Polatti F. Headaches during pregnancy. Curr Pain Headache Rep. 2011 Aug;15(4):289-94.
18. Olesen J. The international classification of headache disorders، 2nd ed. Cephalalgia .2004;24:1-151.
_||_