There does seem to be some anecdotal evidence that some women get headaches worse during the early part of breastfeeding. However, these generally get better spontaneously. It was a little hard to read the post, but it seems to me the mother could be treated with something to prevent her migraines, rather than just pain relief. Perhaps propranalol (which is *not* contraindicated during breastfeeding). And perhaps she could also have something like sumatriptan (Imitrex) which she could take during an acute episode. Jack Newman, MD, FRCPC