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Headaches during pregnancy

7-minute read

If you have a severe headache during pregnancy that is not usual for you, seek medical help immediately.

Key facts

  • It’s common to get headaches in the first few months of pregnancy because of changes in your hormones.
  • Headaches during pregnancy may be triggered by poor sleep, stress, dehydration, low blood sugar or eye strain.
  • If you usually suffer from migraines, they may get better, worse or stay the same when you’re pregnant.
  • If your headache doesn’t settle with simple measures, such as rest and rehydration, you can take paracetamol.
  • A headache after 20 weeks can be a sign of pre-eclampsia, a serious pregnancy condition that needs medical attention.

Does pregnancy cause headaches?

Many women get mild headaches when they are pregnant. Headaches are more common in the first few months of pregnancy.

can be caused by changes in your hormones. They usually get better as your pregnancy progresses.

Headaches can happen for many different reasons — it’s not always because of pregnancy hormones.

Does pregnancy cause migraines?

If you have , you might notice a change when you’re pregnant. Migraines are bad headaches on one side of your head. Other symptoms of migraines are feeling sick, vomiting and being sensitive to light or sound.

Up to 7 in 10 people who normally get migraines have an improvement during pregnancy. Usually, this happens in the second and third trimesters. This may be because your level starts to stabilise.

Up to 3 in 10 women don’t notice any change in their migraines. And a small number of women may get worse migraines during pregnancy.

You might notice changes in your migraine symptoms during pregnancy. You might also notice changes in your migraines from one pregnancy to the next.

You should talk about migraine treatment with your doctor when you’re planning a pregnancy.

What other things cause headaches during pregnancy?

Besides hormonal changes, there are many other things that can cause headaches, such as:

Severe and serious headaches can be due to blood vessel disease, which can cause a brain or .

Pre-eclampsia

Pre-eclampsia is a complication of pregnancy. It’s when you have high blood pressure and swelling of your face, hands and feet. It can happen after 20 weeks of pregnancy.

It’s very important to tell your doctor or midwife if:

These can both be a sign of pre-eclampsia.

When should I see my doctor?

If you have a bad headache during pregnancy, call your doctor or midwife. It could be something serious.

Call your doctor or midwife straightaway if you have:

These can all be signs of pre-eclampsia.

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How can I treat headaches when I’m pregnant?

There are treatments for headaches during pregnancy.

Self-care at home

If you have a headache, you can try:

Medicines for headaches

If you need to take medicine for pain relief, is safe during pregnancy. You should try and take it for the shortest time possible.

Your doctor may prescribe for short term use if paracetamol doesn’t work.

It’s best not to take anti-inflammatory medicines such as and during pregnancy.

Always check with your doctor, pharmacist or midwife before you take medicines during pregnancy.

How can I treat migraines when I’m pregnant?

If paracetamol doesn’t help and you need something stronger, ask your doctor whether you can take codeine.

If these medicines don’t work, you may be able to sometimes take . This medicine is available from a pharmacist, and you will need a prescription.

Speak with your doctor or pharmacist during pregnancy. They can help you understand the risks and the benefits of using each medicine.

(Botox) should not be used to prevent migraines when you’re pregnant.

Remember to talk about migraine management during pregnancy with your doctor.

How can I prevent headaches during pregnancy?

If you find you are getting mild headaches often, it’s a good idea to try to:

How can I prevent migraines during pregnancy?

If you suffer from migraines, try to:

If you don’t know what triggers your migraines, you may want to keep a headache diary. Learn more about at Migraine & Headache Australia.

Resources and support

For more information about medicines you can take during pregnancy, talk to your doctor or .

Speak with your doctor or midwife if you have any concerns about pre-eclampsia.

To learn more about headaches and migraines, visit .

Speak to a maternal child health nurse

Call ºÚÁϳԹÏ, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.

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