Headache during Pregnancy – Causes and Management

Along with many other problems, women experience occasional headaches during pregnancy. A Headache during Pregnancy can mean a lot of things. During the first trimester, the headache can be related to any primary cause but in second and third trimesters, headaches indicate some other health problems faced by the woman.

Common symptoms of headache during pregnancy

Headache is mostly Throbbing, Pulsating, or Aching in character. The intensity may vary from dull to severe. Some other symptoms that may accompany the headache during pregnancy are dependant upon the type of headache experienced.

  • Migraine: Nausea, Vomiting, Photophobia, and Phonophobia are common symptoms experienced with a migraine.
  • Tension Headache: Dull pain gripping in character is experienced in the form of a band around the head.
  • Cluster Headache: A Headache that originates at the occiput and radiates towards the forehead is most commonly observed in a Cluster Headache, which is accompanied by Nausea, Vomiting, and scalp tenderness.
  • Along with these, severe pain on both sides of Head, on one side of Head, and behind the eyes is also experienced.


The main cause of Headache during pregnancy is hormonal changes, the mother experiences throughout the gestational period. These hormonal changes along with other causes such as Dehydration, Hypertension, and drastic weight changes can trigger a Headache. However, the causes may vary in each Trimester.

First Trimester:

In the first trimester, the headache usually has a primary cause. Which can be one of these:

  • Photophobia
  • Lack of sleep
  • Excessive vomiting and dehydration
  • Hypoglycemia
  • Caffeine withdrawal ( as prescribed by the Obstetrician)
  • Lack of physical activity
  • Stress and Tension
  • Dairy products

Second and Third Trimester:

Frequent headaches during second and third trimesters of pregnancy might indicate some other underlying illness. These can range from simple issues like a bad posture and lack of sleep to serious causes such as Hypertension and Gestational Diabetes.
These problems not only cause Headache during Pregnancy but also pose high risks to the baby’s health.

Migraines and Pregnancy

Estrogen is believed to cause Migraines during pregnancy. But hormone changes along with other symptoms can be serious triggers for a Migraine attack.The major complication that may have caused Migraines during Pregnancy is Pre-eclampsia. However, taking good care and tracking the triggers and avoiding them can help decrease the frequency.

Headache during Pregnancy


A primary Headache can easily b picked by taking a proper history. For secondary causes and looking for underlying causes some diagnostic tests might be recommended by your doctor. These can be:

  • Blood glucose levels.
  • Vision tests
  • Ultrasound of Head and neck
  • EEG, ECG.
  • MRI and CT Scan.


Talk to your doctor before taking any regular headache medication. Avoid aspirin and ibuprofen at any cost. Try alternative natural home remedies to treat the pain caused by the headache.


  • Identify your triggers and try to avoid them.
  • Avoid smoking.
  • Change your posture.
  • Abstain from drinking coffee and other caffeine-containing beverages.
  • Take a lot of rest and stay stress-free.
  • Eat healthily.
  • Try acupuncture, acupressure, and massages.

Home remedies:

  • Take rest.
  • Stay hydrated.
  • Use ice packs for inflammation.
  • Try head massages.
  • Try easy exercises.

Medical treatment:

  • You can take a low dose of Paracetamol (Tylenol).
  • Some doctors also recommend taking a small dose of Aspirin.
  • Other than that underlying cause is treated.

When to see the doctor?

If your diet is okay and the headache is becoming more frequent and you start having other symptoms along with that you should consult a doctor.


Do migraines during pregnancy affect my baby?

Apparently occasional migraines don’t cause too much harm but if you are having more episodes than usual, consult your obstetrician

What Medications should I avoid taking for Headache during Pregnancy?

Avoid taking Aspirin and Paracetamol especially during the first three months of pregnancy.

What other symptoms should I look for?

Deranged Blood sugars, Hypertension, and Excessive vomiting might indicate a lot of underlying causes.

What does Early Pregnancy Headaches feel like?

These headaches are usually dull but throbbing in character and might go away in a couple of hours if you take proper rest.