Headaches are common during the first 3 months of pregnancy.
Causes
The causes are not always known. These things may play a part:
Changes in hormones
Increase in blood volume
High blood pressure in pregnancy
Tension
Stress
Being hungry
Poor eating habits
Food items that some women are sensitive to. Some examples are:
Aged cheeses, such as cheddar
Aspartame (the artificial sweetener in NutraSweet)
Nuts and peanut butter
Soy sauce
MSG
Onions
Sinus headaches occur more often during pregnancy. That’s because hormone levels are higher. The hormones cause the mucous membranes to get stuffed up. It can be different with migraine headaches, though. For some women, these happen less often after the first trimester.
Severe headaches can be one of the signs of preeclampsia if they occur in late pregnancy.
Self-Care
Eat at regular times throughout the day. Don’t go hungry for a long time. Also, drink plenty of fluids.
Rest in a quiet, dark room with your eyes closed.
Avoid loud noises and crowds. Don’t strain your eyes.
Get plenty of sleep at night. Take naps during the day, if you can.
Relax. Picture a calm, soothing place. Breathe slowly and deeply.
Massage the base of your neck with your thumbs. Start under your ears. Work to the middle of the back of your head. Then massage both temples gently.
Get a foot massage.
Exercise moderately during pregnancy. That’s if your health care provider says it’s okay.
Take a warm bath or shower.
Which feels better to you: a cold or a warm washcloth? Apply that to the area that aches. Put it on the back or top of the head. This can help sinus headaches the most.
Keep a food diary. Write down what you eat and when. Notice when your headaches come. If you see a connection, avoid those triggers.
Ask your health care provider before taking any medicine for pain. That includes acetaminophen. Example: Tylenol. Sometimes, a doctor may need to prescribe a strong pain reliever.
Do not take ibuprofen. Example: Advil. Do not take naproxen sodium. Example: Aleve. Do not take aspirin.
Triage Questions
Question 1
Are you more than 20 weeks pregnant? Is the headache severe? Does it come with any of these symptoms?
Severe swelling in the hands, face, ankles, or feet
Blurry vision or spots before the eyes
Feeling dizzy
Feeling sick to your stomach, throwing up, and severe pain