I never had "the" headache either with both of my pregnancies, but had sever PE. I also had massive sinus issues from 1st trimester until a few weeks after birth, and that included sinus headaches with pressure and pain between the eyebrows and just above my cheekbones. Ugh!I've had pre-e three times, and countless migraines, but I have never experienced the "pre-e headache". Even with severe preeclampsia with my first.
My doctors never told me of a way to differentiate between a migraine or a pre-e headache. Basically once I was in preeclampsia territory (blood pressure and/or proteinura trending up) they took any migraines very seriously. And wanted to know about any possible symptoms, including head pain that didn't respond to OTC meds.
I was almost induced a few days early this last pregnancy because of a migraine. Fortunately it responded to medication and went away, but at the time my doctor was very close to sending me to L&D and starting an induction.
Basically I would take any possible pre-e symptoms seriously. And that that sounds like a really good question for your friend to discuss with her doctors. In my case, my OB wanted to know about every possible symptom once my BP went up from baseline, including migraines. I was checking my blood pressure at home every day as well.
Hope this helps!
She has migraines on a weekly basis, and really needs to see the doctor, IMO when not pregnant! I'll have her talk to her doc, as well, once she's sure she's pg with #4. So far, they're just TTC and is waiting for O. She also has massive blurred vision with her non-pg migraines. I would think this would make it extra tricky for her OB to differentiate when she is pg. What do you think? Thank you so much for your help, ladies!!!! My friend's health worries me, because she doesn't want to see a doc for anything unless she's down with a fever for over a week.