Association Between Chronic Headache and Back Pain With Childbirth

Overview

This study uses a single questionnaire to evaluate two separate primary outcomes: 1. To identify association between chronic headache in women who have given birth to children as compared to a control group of women who have raised children but have not given birth to them 2. To identify association between chronic back pain in women who have given birth to children as compared to a control group of women who have raised children but have not given birth to them

Study Type

  • Study Type: Observational
  • Study Design
    • Time Perspective: Retrospective
  • Study Primary Completion Date: February 26, 2020

Detailed Description

Chronic headache and back pain have an excess prevalence in women as compared to men. This study uses a single survey that uses logic to assess for association between childbirth and chronic headache and between childbirth and chronic back pain using screening questions. The questions are, "Do you suffer from chronic headaches" and "Do you suffer from chronic back pain". Depending on the answer to the screening question, the subject will be given further questions only related to the syndrome that they endorsed. Arm 1) There is an association between chronic headache and childbirth over and above raising children. Secondary outcomes are temporal association between onset or worsening of headache and childbirth, association between migraine headache and childbirth, association between chronic headache and anesthetic complications. Arm 2) There is an association between chronic back pain and childbirth over and above raising children. Secondary outcomes are temporal association between onset or worsening of back pain and childbirth, association between chronic headache and anesthesia.

Arms, Groups and Cohorts

  • Chronic Headache
    • Women who endorse chronic headache
  • Chronic Back Pain
    • Women who endorse chronic back pain

Clinical Trial Outcome Measures

Primary Measures

  • Chronic headache
    • Time Frame: 10 minute questionnaire
    • Percent of patients with chronic headache who gave birth to children/Percent of patients with chronic headache who raised children but did not gave birth
  • Chronic back pain
    • Time Frame: 10 minute questionnaire
    • Percent of patients with chronic back pain who gave birth to children/Percent of patients with chronic back pain who did not gave birth

Secondary Measures

  • Migraine
    • Time Frame: 10 minute questionnaire
    • Percent of patients with migraine who gave birth to children/Percent of patients with migraine who did not gave birth
  • Temporal coincidence of headache and childbirth
    • Time Frame: 10 minute questionnaire
    • Women who developed or had worse headache within one year of delivery compared to one year of starting to raise a child not delivered
  • Temporal coincidence of headache and dural puncture
    • Time Frame: 10 minute questionnaire
    • Women who developed or had worse headache within one year of dural puncture compared to those who did not have a dural puncture

Participating in This Clinical Trial

Inclusion Criteria

  • Female representation Exclusion Criteria:

  • None

Gender Eligibility: Female

Female

Minimum Age: 10 Years

Maximum Age: N/A

Investigator Details

  • Lead Sponsor
    • Stanford University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Pamela Flood, Professor – Stanford University

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