Gestational headaches: characteristics and influencing factors in SouthWestern Nigeria

Document Type



Internal Medicine (East Africa)


Background: factor s Headache is one of the common neurological diseases in pregnancy but its pattern and influencing are yet to be determined in our environment in Nigeria. The aim of this study was to determine the prevalence and characteristics, as well as the modifying factors for gestational headaches in Ogbomoşo, Nigeria.

Methods: This study was a biinsti pregnant women attending the antetutional crosssectional descriptive study. Three hundred and eight (308) eligible natal care of the Ladoke Akintola University of T local government hospitals in Ogbomoso were recruited consecu 2013. Using an interviewer administered questionnaire, sociodemographic, obstetrics and headache related variables were obtained from eligible pregnant women. Gestational headaches were characterized using classification of headache disorders II (ICHD determined before and duriII). ng pregnancy. Improvement rates (d were determined.

Results: The prevalence of Headaches before and during pregnancy w 0.661).Migraine prevalence was 8.4% and 5.5% before and prevalence of Tension

Conclusions:Type Headaches (TTH) was echnology and Ogbomoso South tively, between November10, 2012 and February 28, the international The prevalence of migraine and tension type headache were efined by reduced headache frequency and severity) as 25% and 23.3% respectively (P during pregnancy respectively (P = = 0.34); while the 16.5% and 17.9 % before and during pregnancy (P 0.63). Improvement rate was 100% for migraine and 85.5% for TTH. Multiple logistic regressions revealed that poor personal income, unemployment and multi-parity were predictive factors for headaches in pregnancy. = Migraine and Tension type headaches were prevalent in this population and they are worsened by poor personal income, unemployment and multiparity. Interventions and programs to subsidize antenatal care may prevent gestational headaches in this population.


This work was published before the author joined Aga Khan University.


International Journal of Reproduction, Contraception, Obstetrics and Gynecology