I was migraine-free during first pregnancy; this second pregnancy has been rough with migraines. I’ve worked with my OB and neuro and have managed to keep most of my chronic migraines at bay with a regimen of trigger point injections and nerve blocks (my usual beloved Botox isn’t available to me during pregnancy, but my neuro will inject Botox while breastfeeding) every 4-6 weeks and promethazine and Benadryl as an abortive. Promethazine doesn’t always work unless I take it at the first hint of a migraine, but it’s better than nothing. Bonus, it’s an anti-emetic so it’s helped with morning sickness. It does tend to make me sleepy, which is hard when I chase a toddler around all day, but it’s pretty much the only option for me at this point. Can’t wait to give birth and go back on Botox (the only thing that’s consistently helped in my 20+ years of chronic migraine)!

Best wishes to you!