Association Between Chronic Headache and Back Pain With Childbirth

Study Overview
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Brief Summary
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This study uses a single questionnaire to evaluate two separate primary outcomes: 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 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

Detailed Description
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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.

Official Title
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Association Between Chronic Headache and Back Pain With Childbirth

Conditions
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Headache Disorders, Secondary, Post-Dural Puncture Headache, Migraine Disorders, Back Pain, Anesthesia

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Female representation Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 10 Years

Sexes Eligible for Study
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Female

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Chronic Headache<br>Women who endorse chronic headache | |
| Chronic Back Pain<br>Women who endorse chronic back pain | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Chronic headache | 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 | 10 minute questionnaire | 
| Chronic back pain | Percent of patients with chronic back pain who gave birth to children/Percent of patients with chronic back pain who did not gave birth | 10 minute questionnaire | 

Secondary Outcome Measures

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