Head Injury Concerns: When to Seek Medical Attention During Pregnancy

Hit on the right side of the head?

Hello Dr.
Jiang: On Monday night, I bumped into the wall at the bottom of the stairs.
At that moment, I only felt pain from the impact and did not apply ice.
When I touch the area where I hit, it hurts.
The next day, I woke up with a headache that lasted all day, but it was less severe in the evening.
As of today (Friday), I have had a mild headache in the upper half of my head.
The area where I bumped it still hurts when I touch it, located between my right temple and above my ear.
I'm unsure if I need to seek medical attention.
I am currently 19 weeks and 4 days pregnant and have been experiencing cold symptoms, for which I have already sought medical care and am recovering.
In the past, when I had headaches, they would usually improve by the next day, but this has persisted for several days now.

Miss Ji, 20~29 year old female. Ask Date: 2018/12/21

Dr. Jiang Junyi reply Neurology

Hello, based on your description, generally speaking, if there is no loss of consciousness, the use of anticoagulants, or obvious localized hematomas, head injuries are mostly mild.
However, if the following conditions occur, delayed bleeding should be considered, and you should seek medical attention in the emergency room: (1) Deterioration of vision, seeing double (diplopia), or unequal pupil sizes.
(2) Clear fluid or blood leaking from the ears or nose.
(3) Confusion or abnormal behavior.
(4) Numbness or inability to move the limbs.
As for the slower recovery of headaches, it may be related to poor circulation due to your cold.
It is recommended to use analgesic ointments to relieve local symptoms.
If symptoms persist, it is advisable to consult a rehabilitation physician for discussion and treatment.
Wishing you good health and peace.
Dr.
Jiang from Taoyuan Medical Center cares about you.

Reply Date: 2018/12/21

More Info

When it comes to head injuries during pregnancy, it is crucial to be vigilant about any symptoms that may arise. Given your recent experience of hitting your head and the subsequent development of headaches, it is advisable to seek medical attention. Here are some key points to consider regarding head injuries, especially during pregnancy:
1. Symptoms to Watch For: After a head injury, it is essential to monitor for symptoms such as persistent headaches, dizziness, nausea, vomiting, confusion, or any changes in vision. In your case, the fact that you have experienced continuous headaches for several days following the injury is concerning. While headaches can be common during pregnancy due to hormonal changes, the context of a head injury necessitates further evaluation.

2. Potential Complications: Head injuries can lead to various complications, including concussions or more severe traumatic brain injuries. Pregnant women may be at a higher risk for complications due to changes in blood volume and pressure, which can affect how injuries manifest. It is important to rule out any serious conditions, especially since you mentioned that the pain is localized around the temple area, which could indicate a more significant issue.

3. Consulting a Healthcare Provider: Given your symptoms and the fact that you are pregnant, it is advisable to consult with a healthcare provider. They may recommend imaging studies, such as an MRI or ultrasound, which are safer alternatives to CT scans during pregnancy. These tests can help assess any underlying issues that may not be immediately apparent.

4. Managing Pain and Discomfort: While you are experiencing headaches, it is important to manage your pain effectively. Over-the-counter pain relief options may be limited during pregnancy, so discussing safe alternatives with your healthcare provider is essential. They may suggest non-pharmacological methods such as rest, hydration, and possibly physical therapy or relaxation techniques.

5. Emotional and Mental Health: Experiencing a head injury and the subsequent pain can be stressful, especially during pregnancy. It is important to address any anxiety or concerns you may have about your health and the health of your baby. Consider discussing these feelings with your healthcare provider, who may recommend counseling or support groups.

6. Follow-Up Care: If you do seek medical attention, ensure that you follow up as recommended. Sometimes, symptoms can evolve, and ongoing monitoring may be necessary to ensure that both you and your baby remain healthy.

In summary, while headaches can be common during pregnancy, the context of a head injury makes it essential to seek medical advice. Your healthcare provider can help determine the best course of action, ensuring that you receive the appropriate care and support during this time. Remember, it is always better to err on the side of caution, especially when it comes to your health and the health of your unborn child.

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