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This study uses a single questionnaire to evaluate two separate primary outcomes:
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Chronic Headache | Women who endorse chronic headache | ||
| Chronic Back Pain | Women who endorse chronic back pain |
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| 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 |
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Temporal coincidence of back pain and regional anesthesia | Women who developed or had worse back pain within one year of regional anesthesia compared to those who did not have regional anesthesia | 10 minute questionnaire |
Inclusion Criteria:
Exclusion Criteria:
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Female
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Chronic pain patients who have elected to be contacted for research studies
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Lucille Packard Children's Hospital | Palo Alto | California | 94305 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36597120 | Derived | Zhang M, Cooley C, Ziadni MS, Mackey I, Flood P. Association between history of childbirth and chronic, functionally significant back pain in later life. BMC Womens Health. 2023 Jan 3;23(1):4. doi: 10.1186/s12905-022-02023-2. |
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Depending on agreement. De identified data only
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| ID | Term |
|---|---|
| D051271 | Headache Disorders, Secondary |
| D051299 | Post-Dural Puncture Headache |
| D008881 | Migraine Disorders |
| D001416 | Back Pain |
| ID | Term |
|---|---|
| D020773 | Headache Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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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 |
| D051270 | Headache Disorders, Primary |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |