Women with migraine may have a higher risk of pregnancy
complications like preterm delivery, gestational high blood
pressure and preeclampsia, according to a preliminary study.
Researchers also found that women with migraine with aura
may have a somewhat higher risk of preeclampsia than women
with migraine without aura. Roughly 20% of women of
childbearing age experience migraine, but the impact of
migraine on pregnancy outcomes has not been well understood.
This large prospective study found links between migraine
and pregnancy complications that could help inform doctors
and women with migraine of potential risks they should be
aware of during pregnancy. For the study, researchers looked
at more than 30,000 pregnancies in roughly 19,000 women over
a 20-year period. Of those pregnancies, 11% of the women
reported that they were diagnosed by a doctor with migraine
before pregnancy. Researchers examined women's complications
during pregnancy such as preterm delivery, defined as a baby
born before 37 weeks gestation, gestational diabetes,
gestational high blood pressure, preeclampsia, and low
birthweight. After adjusting for age, obesity, and other
behavioral and health factors that could affect the risk of
complications, researchers found that when compared to women
without migraine, women with migraine had a 17% higher risk
of preterm delivery, a 28% higher risk of gestational high
blood pressure, and a 40% higher risk of preeclampsia. Of
the 3,881 pregnancies among women with migraine, 10% were
delivered preterm, compared to 8% of the pregnancies among
women without migraine. For gestational high blood pressure,
7% of pregnancies among women with migraine developed this
condition compared to 5% among pregnancies in women without
migraine. For preeclampsia, 6% of pregnancies among women
with migraine experienced it, compared to 3% of pregnancies
among women who did not have migraine. In addition, when
looking at migraine with and without aura, women who had
migraine with aura were 51% more likely to develop
preeclampsia during pregnancy than women without migraine,
while those who had migraine without aura were 29% more
likely. Researchers found that migraine was not associated
with gestational diabetes or low birthweight. While the
risks of these complications are still quite low overall,
women with a history of migraine should be aware of and
consult with their doctor on potential pregnancy risks. More
research is needed to determine exactly why migraine may be
associated with higher risks of complications. In the
meantime, women with migraine may benefit from closer
monitoring during pregnancy so that complications like
preeclampsia can be identified and managed as soon as
possible.
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