DEAL­ING WITH MI­GRAINES

Your Pregnancy - - Feature -

If you’re a mi­graine suf­ferer, here’s some great news: “Mi­graines are less com­mon and less se­vere for known mi­graine suf­fer­ers dur­ing preg­nancy, es­pe­cially in the third trimester,” ac­cord­ing to Dr Grundlingh. The aura (the sen­sory dis­tur­bances that of­ten come with mi­graines, such as flashes of light, blind spots, vi­sion changes and tin­gling in hands or face) might be more but the head pain is usu­ally less. The not-so-great news is that you can still get mi­graines dur­ing preg­nancy and treat­ments are lim­ited. Dr Grundlingh says stan­dard mi­graine kits from phar­ma­cies are not rec­om­mended for preg­nant women. “Acute, se­vere mi­graines can be treated with an anti-emetic (drug used to treat vom­it­ing and nau­sea), pethi­dine (an opi­oid pain med­i­ca­tion) and parac­eta­mol. Su­ma­trip­tan (a drug used to treat mi­graines and clus­ter headaches) might be an op­tion in some pa­tients,” he says, but warns that no med­i­ca­tions should be taken without med­i­cal su­per­vi­sion. Like with headaches, avoid the trig­gers: caf­feine, stress, bad pos­ture and de­hy­dra­tion. “Make sure that you eat well, re­duce stress, get enough sleep and, im­por­tantly, ex­er­cise, as this helps lower the in­ci­dence of mi­graines,” ad­vises Dr Grundlingh. He adds that stud­ies sug­gest mi­graines might in­crease the risk of pre­ma­ture labour or pre-eclamp­sia, so it’s vi­tally im­por­tant to let your doc­tor or health­care provider know if you ex­pe­ri­ence any mi­graines.

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