New research suggests that women with severe migraines may be much more likely to experience complications during pregnancy and childbirth. Although the study couldn’t link migraines or their treatment to the complications explicitly, it does remind us that alternate treatments for migraine might be good during pregnancy. TMJ treatment is a drug-free approach that can reduce or eliminate migraines. Since many women develop TMJ during pregnancy, this might be an ideal time for women to determine if they will benefit from treating their TMJ.
Complications for Mother and Child
This study looked at a small sample of women (90) who sought emergency care for migraines during pregnancy. It found that these women had much higher rates of pregnancy complications than the general public.
For example, 20% of the migraineurs had preeclampsia, compared to about 8% in the general population. Women with preeclampsia experience dangerously high blood pressure, swelling in hands and feet, and protein in their urine, evidence of kidney damage.
About 30% of women with migraines had a preterm birth, compared to only about 10% of the general population. And 19% of women delivered a low-birth weight baby, compared to just 8% in the general population.
Women with migraines who were also aged 35 and over had a much higher risk of complications than others: about seven times more likely to experience complications.
What Is the Cause?
Researchers pointed out that they couldn’t attribute the pregnancy complications as being caused by the severe migraines, so we have to be careful thinking that migraines cause pregnancy and birth complications. It may be that, in some cases, at least, the migraines are actually caused by the complication. The high blood pressure associated with preeclampsia, for example, could contribute to migraines, which are neurovascular headaches.
Most of the women in this study (62%) received a combination of pills and intravenous drugs to treat their migraines. Again, though, researchers pointed out that their study didn’t allow them to attribute a causal role to the drugs, although many drugs are associated with pregnancy complications.
TMJ and Pregnancy
Many women experience TMJ during pregnancy. Although one small study showed that women seemed to have fewer instances of TMJ, it’s nonetheless common for women to report TMJ along with other joint pains during pregnancy. There are many potential causes. Some women start clenching and grinding their jaw because of the stress of pregnancy. Others experience pressure on the jaw joints related to swelling during pregnancy. Still others may find that postural changes related to pregnancy can impact their jaw joints. Sometimes TMJ was an intermittent annoyance before pregnancy, then worsened, but other women develop TMJ with no previous history.
No matter what the cause of pregnancy-related TMJ, it is possible to get treatment without drugs. TMJ treatment can involve simply relaxing your jaw and designing an orthotic that can hold your jaw in a more relaxed position. After your pregnancy, we can evaluate the state of your TMJ and determine whether ongoing or alternate treatment is necessary.
If you are experiencing TMJ symptoms such as migraine, jaw pain, or tinnitus during pregnancy, we might be able to help. Please call (248) 825-8277 for an appointment with a Detroit TMJ dentist at the Michigan Center for TMJ & Sleep Wellness.