Effective Migraine Treatment in Pregnant and Lactating Women

Marcus - Effective migraine treatment
£43.99
£43.99
Authors/editors: Dawn A Marcus and Philip A Bain
ISBN: 978-1-60327-438-8
Page count: 207
Publisher: Humana
Publication year: 2009

More than 28 million Americans suffer from migraine headaches, with migraine affecting nearly one in five women in their reproductive years. Effective Migraine Treatment in Pregnant and Lactating Women: A Practical Guide, provides a comprehensive resource to address diagnosis, testing, and treatment of headaches in reproductively fertile women. This important new book offers a wealth of practical, ready-to-use, clinically tested tips and recommendations to treat women with headaches during pregnancy and nursing. Although women may ideally prefer to restrict migraine treatments during pregnancy, up to one in three pregnant women self-medicate for symptoms, especially with analgesics. Fortunately, there are many effective treatment options that can be safely used when pregnant and breastfeeding. Available therapies include medication and nonmedication treatments, traditional and alternative therapies, and nutritional supplements. This book uniquely answers frequently asked questions by patients and offers healthcare providers easy-to-use office tools for patient education and charting documentation. Resources are provided within the text, with printable materials available on the enclosed CD for ready use in the clinic. The authors of this important new work have collaborated to provide a resource that will help clinicians provide women with the tools and knowledge to become empowered and to gain control over their migraines when trying to conceive, during pregnancy, and when nursing.

Table of contents:

1 Understanding Migraine and Pregnancy
Typical Concerns Your Patient May Have
2 Safety Rating Systems for Drugs Used in Pregnancy and Lactation
Pregnancy
Medication Use During Pregnancy
Understanding Reproductive Risk
Tools for Assessing Reproductive Risk
Lactation
Trends in Breastfeeding
Maternal Drug Effects on the Baby
Helpful Online and Print Resources
3 Non-Pharmacological Headache Treatments
Trigger Identification and Avoidance
Cause or Coincidence?
Trigger Avoidance or Desensitization?
Psychological Pain Management Skills
Relaxation and Biofeedback
Stress Management
Cognitive Restructuring
Distraction
Effective Psychological Pain Management Technique
Delivery Systems
Healthy Lifestyle Habits
Diet
Sleep
Smoking
Exercise and Physical Therapy
Aerobic Exercise
Stretching Exercises
Intraoral Appliances
Massage and Other Manual Therapies
4 Acute Treatment Options for the Pregnant Headache
Patient
Design Safer Treatment Plans Before Conception
Develop a Safer and Effective Acute Treatment Plan
Don’t Medicate Mild Headaches
Treat Nausea Aggressively
Maximize Non-drug Treatments
Select the Safest Effective Medications
Effectively Communicating Medication Advice
Regularly Assess Treatment Efficacy
Scheduling Follow-Up Visits
5 Acute Treatment Options for the Lactating Headache Patient
Consider Important Secondary Causes of Headache
Anticipate Headache Recurrence After Delivery
Utilize Good Principles of Acute Headache Treatment
Select the Safest Medications
Time Maternal Medication Dosing
Specific Medication Recommendations
6 Preventive Treatment Options for the Pregnant Headache Patient
Identify Patients Needing Preventive Therapy
Provide Safe and Effective Prevention Recommendations
Consider Possible Future Pregnancy When Using Prevention in Non-pregnant Patients
Maximize Safe and Effective Non-medication Treatments
Utilize Medications in Select, Difficult-to-treat Patients
7 Preventive Treatment Options for the Lactating
Headache Patient
Plan for Headache Recurrence After Delivery
Include Plans for Contraception
Develop a Safe and Effective Preventive Treatment Plan
Maximize Effective Non-medication Treatments
Select Safe Medications
Time Drug Administration to Minimize Effects
8 Urgent Care/Emergency Treatment of the Acute, Severe Headache in Pregnant and Lactating Patients
Utilize a Consistent Evaluation and Treatment Plan
Rule Out Secondary Causes of Headache
Treat Dehydration
Treat Nausea Aggressively
Always Consider Non-medication Treatments
Treat Pain Appropriately
Consider Trigger Point Injections or Occipital Blocks
Arrange Post-ED Follow-up
9 Work-up for Headache During Pregnancy and Lactation
Headache History
Red Flags/Alarm Symptoms
Physical Examination
Spinal Fluid Examination
Neuroimaging
10 Patient Headache Resources
References
General Information
When you’re ready to get pregnant
Now that you’re pregnant
After you’ve delivered
Daily Headache Diary
Headache Treatment
Now that I’m trying to get pregnant, what can I do when I get a headache?
What non-drug treatments are effective for treating headaches?
Practicing relaxation techniques
Tips for performing relaxation techniques
Stress management
Headache-reducing exercises
Nausea Treatment
What can I do if I’m feeling nauseated during
my pregnancy?
Additional Headache Resources
Where can I find reliable online information about migraine
and other headaches?
Where can I learn more about managing headaches?

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