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Headaches During Pregnancy: Causes, Remedies, and When To Seek Help

By Dr. Shubham Pandey +2 more

Key Highlights: 

  • Various factors can cause headaches during pregnancy, including hormonal changes, dehydration, insufficient sleep and stress 
  • Common types of headaches that may occur during pregnancy: tension, migraine, cluster 
  • Some types of headaches can be symptoms of more serious health conditions, such as severe headache with additional symptoms or sudden, intense headaches 
  • Safe headache management methods during pregnancy include acetaminophen, hydration, balanced diet, rest, massage, relaxation techniques and yoga 
  • It is important to consult with your healthcare provider before taking any medication or seeking medical help for headache during pregnancy 

Introduction 

During pregnancy, headaches are not rare. They can be annoying too. By knowing the types of headaches, their causes, the best ways to manage them and when to ask for professional help, you can ensure your well-being and your baby’s health. 


In this blog, we take a deep dive into the kinds of headaches that can happen during pregnancy. We will understand what causes these headaches and what triggers them. Also, we will learn about the most effective management options. On top of all that, we’ll talk about the vital role of your healthcare provider and how to reach out to them in need. So, why not get to know these matters and be prepared? This way, you can make your pregnancy experience better. 

Did you know?

  • Tension headaches can be treated with over-the-counter medicines like paracetamol and ibuprofen. source: healthdirect.gov.au
  • Acupuncture may help relieve headache pain, but its benefits may be due to nonspecific effects. source: NCCIH
  • Relaxation techniques have conflicting evidence on their effectiveness for tension headaches. source: NCCIH
  • Butterbur may help reduce the frequency of migraines, but there are concerns about liver toxicity. source: NCCIH

Causes of Headaches During Pregnancy 

There are many reasons why pregnant women get headaches. By understanding the cause of your headache, you can find a better way to deal with it. A few important causes are discussed here.  

1. Hormonal Changes 

Change in the levels of hormones, especially estrogen and progesterone, during pregnancy is a known cause of headaches. Changes in blood circulation due to the increased blood volume during pregnancy can also cause headahes. 

2. Dehydration 

Dehydration is a common cause of headaches, not only during pregnancy but also in general. Be sure to drink lots of fluids to hydrate yourself well. You should aim for at least eight glasses of water every day. 

3. Insufficient Sleep 

Bad sleep quality or sleeping on and off can lead to headaches. Make sure you have a set bedtime routine and get seven to nine hours of good sleep every night. 

4. Low Blood Sugar 

Skipping meals or eating food that is not healthy can result in low blood sugar. This low sugar level can cause headaches. Following a balanced diet plan and eating regular meals with healthy snacks in between them may be helpful. 

5. Stress and Anxiety 

Personal stress and anxiety can trigger headaches. Using relaxation methods like deep breathing, thinking calmly and prenatal yoga can help control stress levels during pregnancy. 

6. Caffeine Withdrawal 

Cutting back on your caffeine intake because you are pregnant may lead to headaches due to withdrawal symptoms. Be sure to talk with your healthcare provider about having a safe level of caffeine during pregnancy. 

7. Sinus Congestion 

Pregnancy can worsen sinus congestion, which in turn can cause headaches. So, if you think your headaches are due to sinus issues, you should check with your healthcare provider for suitable treatment options. 

Please see the table below for a snapshot of the possible causes of headaches during pregnancy: 

Causes Description 
Hormonal Changes Fluctuations of estrogen and progesterone, along with changes in blood flow, can trigger headaches. 
Dehydration Drinking insufficient fluids can lead to dehydration, a common cause of headaches. 
Insufficient Sleep Poor sleep quality or irregular sleep patterns may contribute to headaches. 
Low Blood Sugar Skipping meals or eating unhealthy snacks can result in low blood sugar, triggering headaches. 
Stress and Anxiety Emotional stress and anxiety can provoke headaches during pregnancy. Use relaxation techniques to manage stress. 
Caffeine Withdrawal Cutting back on caffeine intake may cause headaches due to withdrawal. Speak with your healthcare provider about maintaining a safe level of caffeine consumption. 
Sinus Congestion Pregnancy can exacerbate sinus congestion, resulting in headaches. Consult with your healthcare provider for appropriate treatment options if sinus issues are suspected. 

Headaches by Trimester 

The number and harshness of headaches may change during different phases of pregnancy. Let’s see what commonly causes headaches during the first trimester and the middle and later trimesters of pregnancy. 

First Trimester 

In the first trimester, your body goes through rapid changes. These changes make you more susceptible to headaches. 

Common Causes 

  • Changes in hormones 
  • Increased blood volume 
  • Stress and worry 
  • Dryness and low blood sugar 
  • Cutting back on caffeine 
  • Lack of sleep 

Remedies and Precautions May Include: 

  • Drinking a lot of water to stay hydrated 
  • Trying to have regular meals and healthy snacks 
  • Practicing good sleep habits and setting up a bedtime routine 
  • Having a safe level of caffeine intake after talking to your healthcare provider 
  • Using ways to relax, such as deep breathing or thinking calming thoughts 

Second and Third Trimesters 

For some women, headaches may become rarer or less harsh during the second and third trimesters. Despite this, certain factors may still lead to headaches during these periods. 

Common Causes 

  • Bad posture due to added body weight 
  • Not having enough sleep 
  • Tension and rigidity in muscles 
  • High blood pressure or gestational diabetes 

Remedies and Precautions May Include: 

  • Practicing good posture while sitting and standing 
  • Doing mild exercises and stretching to relieve muscle tension 
  • Keeping an eye on your blood pressure and blood sugar levels regularly, as advised by your healthcare provider 
  • Maintaining healthy eating habits and a balanced diet with the right amount of carbohydrates 

It is important to consult with your healthcare provider before taking any medication or seeking medical help for headache during pregnancy. 

The following table offers a brief overview of Headaches by Trimester: 

Trimester Common Causes Possible Remedies and Precautions 
First Trimester Hormonal fluctuations, increased blood volume, stress, dehydration, etc. Hydration, regular meals, good sleep hygiene, relaxation techniques, safe caffeine intake 
Second and Third Trimesters Poor posture, insufficient sleep, muscle strain, high blood pressure Good posture, gentle exercises, stretching, monitoring blood pressure, healthy eating habits 

If you’re pregnant, paracetamol is the first pain reliever you should choose for headaches. If you must take paracetamol during pregnancy, do it only when it is absolutely essential. Your chemist, midwife or general practitioner will give you guidance on the dosage and the time period of the medicine.

Dr. Siddharth Gupta, MD

Also Read: Essential Oils for Headaches: A Research-Based Guide to Natural Relief

Common Types of Headaches During Pregnancy 

It helps to know what type of headache you have. This knowledge will guide you to find the right way to deal with it. Let’s have a chat about the three main types of headaches that can happen during pregnancy: 

1. Tension Headaches 

Tension headaches are quite common among expecting moms. They feel like dull, never-ending pain on your head or neck. It’s often like a tight band wrapped around your head. 

Causes 

  • Hormonal shifts during pregnancy 
  • Feeling stressed and not getting enough sleep 
  • Dryness and low levels of blood sugar 
  • Bad posture due to the added weight of your body 

Symptoms 

  • Mild to harsh pain on the forehead or the sides and back of the head 
  • Tight feeling around the head and neck 
  • A nonstop, dull ache, which may get worse as the day goes on 

Possible Remedies 

  • Small doses of Acetaminophen (Tylenol), as advised by your healthcare provider 
  • Hot or cold presses on the sore spot 
  • Light stretches and ways to relax, such as deep breathing or thinking calming thoughts 
  • Enough sleep and staying well-hydrated 

2. Migraine Headaches 

Compared to tension headaches, migraines are nasty. Additional symptoms often accompany migraines. Individuals usually feel an intense throbbing pain on one side of their head. 

Causes 

  • Changes in hormones during pregnancy 
  • Some foods like chocolate, cheese or citrus fruits 
  • Skipping meals and bad nutrition habits 

Symptoms 

  • Medium to harsh throbbing or pulsating pain on one side of the head 
  • An upset stomach and throwing up 
  • Oversensitivity to light and sound 
  • Changes in vision, like seeing spots or light flashes 

Possible Remedies 

  • Acetaminophen, as suggested by your healthcare provider 
  • Putting ice packs or warm presses on the head and neck area 
  • Resting in a dark, calm room 
  • Having a small amount of caffeine, as too much can kickstart migraines 

3. Cluster Headaches 

Cluster headaches are quite rare, particularly during pregnancy. The term “cluster” refers to them occurring in groups, or patterns. They are mainly marked by sharp, stabbing pain around the eye or one side of the head. 

Causes 

  • The exact reasons for cluster headaches during pregnancy are not fully known. However, they are thought to be linked to changes in hormones and blood circulation. 

Symptoms 

  • Severe, piercing pain around or behind one eye 
  • Swelling and tears in the affected eye 
  • Blocked nose and sweating on the face 

Possible Remedies 

  • Checking in with your healthcare provider for suitable medication and guidance, as over-the-counter painkillers might not give enough relief 
  • Placing cold or warm presses on the sore spot 
  • Keeping the head and neck comfy and well-supported 

The following table gives an overview of the types of headaches during pregnancy: 

Type Causes Symptoms Remedies 
Tension Headaches Hormonal changes, stress, dehydration, etc. Mild to moderate pain, tightening sensation around the head and neck Acetaminophen, compression, gentle stretches, relaxation techniques 
Migraine Headaches Hormonal fluctuations, certain foods Moderate to severe throbbing pain, nausea, vomiting, sensitivity to light Acetaminophen, ice/warm compresses, resting in a dark room, minimal caffeine 
Cluster Headaches Unknown, possibly hormonal changes Intense, stabbing pain, swelling and tearing in eye, nasal congestion Medical consultation, cold or warm compresses, comfortable head positioning 

It is recommended that you consult your healthcare provider if you are suffering from frequent headaches particularly when you are pregnant. Your headache may also signal a more severe condition such as preeclampsia or high blood pressure, which can have severe consequences for both mother and the baby if not dealt with immediately. 

Want to deal with frequent headaches during pregnancy? Well, there are a few things that might trigger the headache, such as chocolate, alcohol, yoghurt, vintage cheese, peanuts, fresh yeast-baked bread, cured meats, and soured milk. By avoiding these typical triggers, one may also lessen the risk of getting a headache.

Dr. Rajeev Singh, BAMS

Hypertension during Pregnancy 

High blood pressure or hypertension can also show up during pregnancy and can be risky. If left unchecked, hypertension can cause serious problems. 

1. Symptoms of Hypertension 

  • Harsh and non-stop headache 
  • Swelling in the face, hands, or feet 
  • Quick weight gain 
  • Pain in the belly area 
  • Discomfort in the stomach and throwing up 
  • Blurred vision and seeing spots 
  • Issues with breathing 

2. Management of Hypertension during Pregnancy 

Your healthcare provider may suggest working with a diet expert to make a meal plan that is low in salt (sodium) and high in fiber. Regular, moderate workout can also help lower your blood pressure. 

In some cases, your healthcare provider may prescribe medication to control your blood pressure. Always check with your healthcare provider before starting any new medicines during pregnancy. 

3. Complications Linked with Hypertensive Headaches 

Hypertensive headaches can show complications like preeclampsia (serious condition due to high blood pressure) or eclampsia (seizures due to high blood pressure). If not managed properly, hypertension can cause serious problems such as stroke, low oxygen to the baby, preterm delivery, low birth weight or placental detachment. You must get swift medical care to avoid making risks for the mother and baby’s lives. 

Management of Headaches During Pregnancy 

When having headaches during pregnancy, it’s key to find alternatives that are safe. These should also work well and not put the mother and her baby at risk. 

Safe Medications 

While it’s best to avoid medicines during pregnancy, acetaminophen (Tylenol) is usually thought to be least damaging for occasional use. Always talk with your healthcare provider before taking any medicine during pregnancy. This will make sure it is safe for you and your baby. 

Guidelines for Using Medication 

  • Talk about the risks and benefits with your healthcare provider 
  • Take the amount advised by doctor, which is usually the smallest amount that works for the shortest possible time 
  • Never fail to follow the medicine instructions given by your healthcare provider 

Home Remedies 

You can lessen the need for medicines during pregnancy by using home remedies to ease headache pain. Doing this may lower the risk of harming your unborn baby. Here are some helpful home remedies: 

1. Hydration 

Keep hydrated to prevent headaches caused by dehydration. Plan to drink at least eight glasses of water every day. 

2. Balanced Diet 

A balanced diet gives all the vital nutrients to support your body and your baby’s growth. Don’t skip meals and stick to a regular eating routine. If certain foods trigger your headaches, don’t eat them during pregnancy. 

3. Massage and Relaxation Techniques 

Massage your head, neck and shoulders to relieve muscle tension and ease headache pain. Deep breathing workouts, thinking calmly and prenatal yoga can also handle stress and promote relaxation. 

4. Sleep and Rest 

Make sure you get enough sleep by getting into good sleep habits and aiming for seven to nine hours of sleep each night. Take short naps during the day to ease headaches even more. 

5. Cold or Warm Compresses 

Putting a cold or warm press on your head or neck may give relief from headache. You can try out both cold and warm presses and decide which one is better for you. 

6. Stretching and Exercise 

Light workouts like walking, swimming, or prenatal yoga can relieve tension, better circulation and level hormone amounts. Doing a workout on a regular basis also helps you keep a healthy weight during pregnancy. 

Every pregnant woman has a unique journey. If you are having a difficult pregnancy, it’s advisable that you consult your doctor before initiating any home remedy for your headaches as some of these may not be suitable for you based on your particular condition. 

The following table gives a quick look at Treatment for Headaches During Pregnancy: 

Safe Medications Home Remedies 
Acetaminophen (Tylenol) Hydration, balanced diet, massage and relaxation techniques, sleep and rest, cold or warm compresses, stretching and exercise 

When to Seek Medical Help 

A majority of headaches during pregnancy are not serious. You may be able to manage them with the right home remedies and medicine when needed. However, there are exceptions: 

Severe Headache with Additional Symptoms 

If you have a severe headache that is bundled with blurry vision, swelling, pain in the belly, or quick weight gain, get in touch with your healthcare provider right away. These symptoms can show preeclampsia or another risky condition. 

1. Sudden and Intense Headaches 

A sudden, severe headache, sometimes called a “thunderclap” headache, could mark a more serious health issue. For example, it could be a burst aneurysm or reversible cerebral vasoconstriction syndrome. Get medical care right away if you have this type of headache. 

2. A Headache Accompanied by Vision Changes 

Vision changes mixed with a headache may be a sign of a migraine. Or it can be a sign of a more serious condition like preeclampsia. Call your healthcare provider if you have a headache grouped with blurred vision, seeing spots, or any other vision problems. 

3. Persisting Headache without Relief 

If you have a headache that keeps going despite trying home remedies and taking the right medicine, reach out to your healthcare provider. Constant headaches may show an underlying issue. You may need more checks and the right treatment. 

Tips to Reduce Headaches in Pregnancy 

You can lessen the chance of getting headaches during pregnancy by doing these things: 

1. Maintaining a Healthy Lifestyle 

Develop a habit of doing regular workouts, eating balanced meals and hydrating yourself well. Set up a routine sleep time table for enough rest. Tame stress by using techniques that help relax. These could include deep breathing, thinking calmly, or prenatal yoga. 

2. Recognizing Triggers 

Find and avoid specific foods, activities or situations that may bring on headaches during pregnancy. Keeping a record of your headaches to find likely triggers and patterns can help. 

3. Regular Prenatal Care 

Regularly attend prenatal visits. Share all your worries with your healthcare provider, even about headaches. They can give you personalized tips depending on your situation and needs. 

Conclusion 

Understanding the types of headaches caused during pregnancy and their potential triggers, measures to tackle them and the necessity of professional help is vital. With the correct precautions and by following your healthcare provider’s advice, you can lessen discomfort and make sure of your welfare during pregnancy. 

Remember, it matters to know the triggers, relievers and when to ask for help. Be upfront and be in control of your welfare and the well-being of your unborn child. 

Frequently Asked Questions (FAQ) 

When should I be worried about headaches during pregnancy? 

If the headache is intense, sudden and severe, bundled with other symptoms, or continues without getting better despite home remedies, then you should get in touch with your healthcare provider right away. 

How can I get rid of a headache while pregnant? 

To ease headache pain during pregnancy, you could use a cold or warm compress, light massage, relaxation methods, drink enough fluids, or have a regular sleep schedule. After talking with your healthcare provider, you may also take low doses of acetaminophen (Tylenol) for relief. 

Is it normal for a pregnant woman to have headaches every day? 

While headaches happen often during pregnancy, having them daily is not the norm. If you have headaches every day, get in touch with your healthcare provider to find the causes and make the right treatment plan. 

Are headaches normal in the 2nd trimester? 

Headaches can come up at any part of pregnancy. But, some women may have fewer or less serious headaches in their second trimester. This happens because the body gets used to certain hormonal changes by then. 

References:

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  3. Centers for Disease Control and Prevention (CDC). High Blood Pressure During Pregnancy [Internet]. [cited 2023 Sep 19]. Available from: https://www.cdc.gov/bloodpressure/pregnancy.htm
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