Among the many changes you experience while pregnant, headaches can be one of the more frustrating symptoms. Headaches during pregnancy are common—especially in the first and third trimesters—and they can range from a dull ache or to a sharper, throbbing pain.

Let’s look at a few reasons why you might be experiencing headaches during pregnancy, as well as safe ways to manage them and help you feel more comfortable when they occur.

Why Do Headaches Happen During Pregnancy?

Your body goes through a whirlwind of hormonal, physical, and emotional shifts during pregnancy. Unfortunately, all of these changes can be attributed to triggering a headache. Common causes include:

  • Hormonal changes, especially in early pregnancy
  • Increased blood volume and circulation
  • Fatigue or lack of sleep
  • Dehydration
  • Low blood sugar
  • Stress or tension
  • Caffeine withdrawal

If you had migraines before pregnancy, you might notice they improve. Or, for some people, they might get worse. Every pregnancy is different.

Headache Relief During Pregnancy WFMC

Natural Relief Options That Are Safe for You and Baby

When you’re expecting, it’s important to be more aware of what you put in your body. It’s not recommended to take NSAIDs (nonsteroidal anti-inflammatory drugs) after 20 weeks of pregnancy, which includes common headache-relieving medications like aspirin and ibuprofen. Thankfully, there are several non-medicated ways to ease headache pain:

  • Drink water: Sometimes a headache is your body’s way of asking for fluids. Staying hydrated is already important during pregnancy, and it can be useful in preventing or easing some headaches.
  • Eat regularly: Skipping meals or not eating enough can lead to low blood sugar, which can trigger a headache. Keep snacks handy to avoid dips in energy.
  • Rest and sleep: Make rest a priority. Try to keep a consistent sleep routine and rest when you can.
  • Use cold or warm compresses: A cold cloth on your forehead or a warm compress on your neck and shoulders can help ease tension headaches.
  • Manage stress: Deep breathing, prenatal yoga, and gentle stretching can reduce stress that might be contributing to your pain.
  • Watch your posture: As your body changes, poor posture can lead to tension in your neck and shoulders. If you need some extra support, supportive chairs and pillows can help.

Medications: What’s Safe?

Some medications are safe during pregnancy, but always talk to your provider before taking anything—even over-the-counter pain relievers. Acetaminophen (Tylenol) is generally considered safe for occasional use during pregnancy, but ibuprofen and aspirin should usually be avoided unless your provider specifically recommends them.

Never hesitate to reach out to your care team if you’re unsure or have questions.

When to Call Your Provider

Most headaches are nothing to worry about, but sometimes they can signal something more serious. Contact your provider if you experience:

  • sudden, severe headache that isn’t like anything you’ve felt before
  • Vision changes, like blurriness or seeing spots
  • Swelling, especially in your hands or face
  • High blood pressure
  • Headaches that don’t go away or keep coming back

These could be signs of preeclampsia, a serious pregnancy condition that requires prompt attention.

You Deserve Comfort

Headaches during pregnancy can be exhausting, but they don’t have to take over your experience. It’s okay to ask for help, rest when you need to, and seek relief. You’re doing the amazing work of growing a human, which deserves all the support and care possible! At WFMC Health, we’re here to support your well-being and answer your questions every step of the way.

This article is meant for informational purposes only. If you have questions or would like further information, make an appointment with your primary care provider.

This article was first published on WFMCHealth.org.