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Headaches During Pregnancy: Causes, Relief, and When to Worry

23 Feb 2025
Headaches During Pregnancy Causes, Relief, and When to Worry
Headaches are a common pregnancy symptom, especially in the first and third trimesters. While they’re often harmless, they can be frustrating—especially when you’re trying to avoid unnecessary medications. The good news? Most pregnancy headaches are manageable with safe remedies. Below, we’ll explore what causes them, natural relief options, and when to call your doctor.

Why Do Headaches Happen in Pregnancy?

Many factors can trigger headaches during pregnancy, including:

1. Hormonal Changes

  • Estrogen and progesterone increase rapidly, which can affect blood flow and cause headaches.

2. Increased Blood Volume & Circulation

  • More blood pumping through your body can increase pressure in blood vessels, leading to headaches.

3. Dehydration & Hunger

  • Not drinking enough water or skipping meals can trigger low blood sugar headaches.

4. Caffeine Withdrawal 

  • If you’ve cut back on coffee or soda, your body may go through withdrawal, causing headaches.

5. Sinus Congestion & Allergies

  • Increased mucus production and nasal swelling during pregnancy can cause sinus headaches.

6. Stress & Lack of Sleep

  • Physical and emotional stress, combined with pregnancy fatigue, can make headaches worse.

7. Poor Posture & Tension

  • As your body changes, extra strain on your neck, shoulders, and spine can cause tension headaches.

Safe & Natural Ways to Relieve Headaches

Before reaching for medication, try these pregnancy-safe headache remedies:

1. Stay Hydrated

  • Aim for 8-10 glasses of water per day to prevent dehydration-related headaches.
  • Infuse your water with lemon, cucumber, or mint if plain water is unappealing.

2. Eat Regular, Balanced Meals

  • Low blood sugar can trigger headaches, so eat small, frequent meals with protein and healthy carbs.

3. Rest & Relax

  • Take short naps and try deep breathing exercises or prenatal yoga to ease stress.
  • Dim the lights and lie down in a quiet, cool room when a headache strikes.

4. Apply a Warm or Cold Compress

  • Use a cold compress on your forehead for migraine relief.
  • Try a warm compress on your neck and shoulders for tension headaches.

5. Get a Prenatal Massage

  • A gentle neck, head, or shoulder massage can help relieve tension headaches.

6. Adjust Your Posture

  • Sit and stand upright with good back support to reduce strain on your neck and shoulders.

7. Use Aromatherapy

  • Lavender or peppermint essential oils (in a diffuser or diluted with a carrier oil) may help ease headaches.

8. Take a Warm Shower

  • Let warm water run over your neck and shoulders to relieve tension.

9. Get Fresh Air & Light Exercise

  • A short walk outdoors can boost circulation and relieve stress-induced headaches.

Safe Medications for Pregnancy Headaches

If natural remedies don’t help, some medications are safe during pregnancy:

Safe to Take:

  • Acetaminophen (Tylenol) – Safe for mild to moderate headaches when used as directed.

Avoid:

  • Ibuprofen (Advil, Motrin) – Not recommended, especially in the third trimester.
  • Aspirin – Should be avoided unless prescribed by a doctor.
Always check with your doctor before taking any medication.

When to Call Your Doctor

While most pregnancy headaches are harmless, some can be a sign of serious complications like preeclampsia (a dangerous condition that causes high blood pressure). Call your doctor if you experience:
  • Severe, persistent headaches that don’t go away
  • Blurred vision, dizziness, or seeing “floaters”
  • Pain on the right side of your abdomen
  • Swelling in your hands, face, or feet
  • High blood pressure (if monitored at home)
These could be signs of preeclampsia, which requires immediate medical attention.

Final Thoughts: Managing Pregnancy Headaches

Headaches are a normal part of pregnancy, but that doesn’t mean you have to suffer. With hydration, rest, good nutrition, and safe remedies, you can find relief and enjoy a more comfortable pregnancy. If headaches become severe or frequent, always check with your doctor to rule out underlying conditions.

You’re doing an amazing job, mama—take care of yourself!

Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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