{"id":11386,"date":"2022-10-13T10:57:16","date_gmt":"2022-10-13T09:57:16","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=11386"},"modified":"2024-12-27T10:41:07","modified_gmt":"2024-12-27T10:41:07","slug":"migraine-chronic-headache-in-pregnancy","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/neurology\/headache\/migraine-chronic-headache-in-pregnancy\/","title":{"rendered":"Migraine\/Chronic Headache in pregnancy"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Migraine-treatment-in-pregnancy-June-24-M-Moragas.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Migraine-in-Pregnancy-Triage-Support-Jan-2021.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Download PDF<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Migraine and Pregnancy<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Migraine will often improve during pregnancy.<\/li>\n\n\n\n<li>Migraine may change to migrainous aura without headache<\/li>\n\n\n\n<li>Maximise non-drug therapies (trigger avoidance, adequate sleep\/nutrition\/hydration, rest with symptoms)<\/li>\n\n\n\n<li>Drug therapies: Bottom line \u2013 avoid them all except paracetamol\/NSAID unless really necessary. See figures takenfrom Amundsen, S. et. al. Nat. Reviews Neurol. 11, 209\u2013219 (2015); doi:10.1038\/nrneurol.2015.29 Also available on Refhelp<\/li>\n\n\n\n<li>Note that Valproate is now contraindicated in women of childbearing age for migraine.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M.A &amp; M.M. 05-06-24<\/strong><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><strong>Migraine and Pregnancy<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Migraine will often improve during pregnancy.<\/li>\n\n\n\n<li>Migraine may change to migrainous aura without headache<\/li>\n\n\n\n<li>Maximise non-drug therapies (trigger avoidance, adequate sleep\/nutrition\/hydration, rest with symptoms)<\/li>\n\n\n\n<li>Drug therapies: Bottom line \u2013 avoid them all except paracetamol\/NSAID unless really necessary. See figures takenfrom Amundsen, S. et. al. Nat. Reviews Neurol. 11, 209\u2013219 (2015); doi:10.1038\/nrneurol.2015.29 Also available on Refhelp<\/li>\n\n\n\n<li>Note that Valproate is now contraindicated in women of childbearing age for migraine.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Migraine-treatment-in-pregnancy-June-24-M-Moragas.pdf\" data-type=\"link\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Migraine-in-Pregnancy.png\" target=\"_blank\" rel=\"noreferrer noopener\">Download the PDF<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Migraine-treatment-in-pregnancy-June-24-M-Moragas.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Migraine-in-Pregnancy-Triage-Support-Jan-2021.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Advice for Management of Migraine\/Chronic Headache in pregnancy<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Download PDF Migraine and Pregnancy M.A &amp; M.M. 05-06-24<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":3989,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[841],"class_list":["post-11386","page","type-page","status-publish","hentry","category-https-apps-testing28-scot-nhs-uk-refhelp-guidelines-migraine-chronic-headache-in-pregnancy"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/neurology\/headache\/https-apps-testing28-scot-nhs-uk-refhelp-guidelines-migraine-chronic-headache-in-pregnancy\/\" rel=\"tag\">Migraine\/Chronic headache in pregnancy<\/a>","rttpg_excerpt":"Download PDF Migraine and Pregnancy M.A &amp; M.M. 05-06-24","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/11386","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=11386"}],"version-history":[{"count":8,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/11386\/revisions"}],"predecessor-version":[{"id":22173,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/11386\/revisions\/22173"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3989"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=11386"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=11386"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}