I certainly think it is silly to tell someone to wean because of migraine headaches, though every person is an individual. The approach to migraines in nursing should be just like the approach to moms not nursing, taking care with proper choice of meds. A person who has migraines may notice more headaches if she is tired, off schedule, has a change in diet, etc. Actually, I notice that once women become postmenopausal, migraines diminish quite a bit in frequency, and a nursing women who is ammenorheic is certainly similar to a postmenopausal women in terms of ovarian function! I don't know if there is any literature about migraines in nursing women, but it would make a great study. I would definitely review in detail with this patient dietary triggers, changes in schedules, prior history of headache patterns, and then try meds before weaning...weaning would be for sure the last resort! Anne Eglash MD