Adverse Pregnancy Outcomes and Migraine: What We Know and What We Can Do.

Migraine is a neurologic disease defined by attacks of headache and nonheadache symptoms.(1) It is common, with the highest 3-month prevalence (23.5%) being in women 18-44 years old.(2) For them, migraine is also the number 1 cause of disability.(3) Pregnancy is a major health and life event with peak birth rates in women of this same age.(4) Migraine may affect women's choices to become pregnant, with 20% avoiding pregnancy because they fear that migraine may worsen during pregnancy, make the pregnancy more difficult, or have negative effects on their child.(5) Patients are recognizing the intersection of migraine and pregnancy and have concerns. Clinicians need to be informed and ready to respond.