Frequency Of Headache Among Women In The Outpatient Clinics Of Gynecology And Obstetrics

Öz

Aim: To evaluate the frequency andtypes of headaches in women presenting to outpatient clinics of Gynecology and Obstetrics with various problems, and to further analyze the possible association between headache types and gynecologic or obstetric diagnosis.Material and Methods: Patients presented to Gynecology and Obstetrics outpatient clinics were enrolled the study. Socio-demographic data, obstetric and/or gynecologic diagnosis, existence of headache were assessed in a face-to-face interview with a structured questionnaire. Among the patients with headache, the characteristics of headache was interviewed with a symptom checklist based on a semi-structured diagnostic headache evaluation, according to criteria of the International Classification of Headache Disorders beta version-3 , and assigned them a clinical diagnosis of migraine, tension-type or other headaches.Results: 205 patients were enrolled the study and 170 patients had headache. Among these, 60.0% had migraine, 31.2% had tension-type headache , 8.8% had other types of headaches. There were no statistically significant association between headache types and gynecological and/or obstetric diseases. However, pregnancy, pelvic pain, and abnormal uterine bleeding were the most frequent obstetric and gynecological diagnosis, respectively, in patients with migraine. Tension-type headache frequency was found to be higher in patients with abnormal uterine bleeding, but this increased frequency showed no statistical significance p>0.05 .Conclusion: Headache is a common comorbid problem accompanying gynecologic and/or obstetric diseases. Since most of the patients with headache complaint had no diagnosis and treatment, it is important to question headache among women, in order to differentiate the possible secondary headaches which can be potential danger particularly in women with pregnancy or postpartum period.

Anahtar Kelimeler

• Headache frequency,women,gynecology and obstetrics outpatient clinics

Gebe ve Jinekoloji Polikliniklerine Başvuran Kadınlarda Baş Ağrısı Sıklığı

Öz

Amaç: Çeşitli nedenlerle jinekoloji ve gebe polikliniklerine başvuran kadınlarda baş ağrısının tipini, sıklığını ve baş ağrısı tipi ile jinekolojik veya obstetric tanı arasındaki muhtemel birlikteliği değerlendirmek.Gereç ve Yöntemler: Bu çalışma jinekoloji ve gebe polikliniklerine başvuran hastalarda yapılmıştır. Sosyodemografik veriler, jinekolojik ve obstetrik tanı, baş ağrısının varlığı yüzyüze görüşme esnasında yapılandırılmış anket formu ile değerlendirilmiştir. Baş ağrısı olan hastalarda, baş ağrısının özellikleri Uluslararası Başağrısı Hastalıkları Sınıflandırması Beta Sürüm-3 kriterlerine gore değerlendirilmiş ve migren, gerilim veya diğer başağrısı tiplerinin klinik tanısı bu kriterlere göre konmuştur.Bulgular: Çalışmaya kayıtlı 205 hastanın 170’inde baş ağrısı vardı. Baş ağrısı olan hastaların %60’ında migren, %31.2’inde gerilim tipi başağrısı, %8.8’inde ise diğer baş ağrısı tipleri vardı. Baş ağrısı tipleri ile jinekolojik ve/veya obstetric hastalıklar arasında istatistiki olarak anlamlı bir birliktelik yoktu. Ancak migrenli hastalarda, gebelik, pelvik ağrı ve anormal uterin kanama en sık rastlanan obstetrik ve jinekolojik tanıydı. Gerilim tipi baş ağrısı en sık anormal uterin kanaması olan hastalarda bulunmuştur fakat istatistiki olarak anlamlı değildir p>0.05 .Sonuç: Baş ağrısı jinekolojik ve/veya obstetrik hastalıklarla birlikte bulunan yaygın bir problemdir. Çünkü baş ağrısı şikayeti olan hastaların çoğu tanı ve tedavi almamıştır. Baş ağrısı olan hastaların sorgulanması, özellikle potansiyel tehlikelere neden olabilecek gebe ve postpartum hastalarda, sekonder baş ağrısı ile ayırım yapılmasında önemlidir.

Anahtar Kelimeler

• Baş ağrısı sıklığı,kadın,jinekoloji ve gebe poliklinikleri

Kaynakça

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