Headaches

Headaches during pregnancy: Causes and safe relief methods

Headache, especially tension headache, often bothers expectant mothers, mainly in early gestation. This is linked to a whole set of changes occurring in the body. It is important not only to know how to alleviate the condition but also to be able to distinguish ordinary pain from potentially dangerous symptoms.

Causes of headache in different trimesters

• First trimester: This is a period of hormonal storm. A rapid rise in hCG and estrogen, increased blood volume, blood pressure changes — all can provoke headache. Additional triggers may include fatigue, morning sickness, dehydration, stress and even withdrawal from the usual dose of caffeine.
• Second and third trimesters: Causes become more “mechanical”. This may be tension of neck and back muscles due to increased weight and posture changes, poor sleep quality or problems with blood pressure.

When is a headache a “red flag”?

A strong, pulsating headache in the second half of pregnancy that does not subside after rest and is not relieved by permitted analgesics (acetaminophen) is a serious sign of preeclampsia. This is a serious complication that requires immediate medical attention. Particularly worrisome are headaches accompanied by high blood pressure, swelling and visual disturbances.

Never take pain‑relieving medications, especially ibuprofen‑based ones, without consulting a doctor. For more on medication safety, read the article "Medications during pregnancy".