Dr. Sarkhan Amirguliyev
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A safe approach to headache in pregnancy

OCtober 25, 2025

Headache during pregnancy is very common and is most often linked to hormonal changes, disturbed sleep, stress, dehydration or changes in blood pressure. But the choice of medication in this period must be made with great care, because some medicines can be harmful to the fetus. For this reason the main aim in approaching headache in pregnancy is to use safe, non-drug methods as far as possible.

1. Calming the surroundings
Lying down in a quiet, dimly lit room and closing your eyes can reduce a headache. Because noise, bright light and smells make the pain worse, these factors should be kept away from.

2. Drinking enough fluid
Dehydration is one of the most common causes of headache in pregnancy. Drinking enough water during the day is very important, especially in hot weather or when there is vomiting.

3. A proper sleep routine
Both too little sleep and too much sleep can cause headache. Going to bed and getting up at the same time every day and creating comfortable conditions for sleep reduce the strain on the brain.

4. Nutrition and stable blood sugar
Going hungry for a long time and a fall in blood sugar can trigger a headache. Eating small but frequent meals is advisable. For pregnant women a balanced diet is important, especially taking in protein and complex carbohydrates.

5. Cold or hot compresses
Putting a cold compress on the forehead and temples, and a hot one on the neck and shoulders, can reduce the pain. This method is considered safe both in migraine and in tension-type headache.

6. Light physical activity
With the doctor's permission, walking, yoga suited to pregnancy or breathing exercises improve the circulation, reduce stress and prevent headache.

7. Correcting your posture
Especially in the later stages of pregnancy, tension in the lower back and neck can make headache worse. It is important to sit up straight, to place a small cushion behind the lower back and to keep the neck muscles relaxed.

8. Use of medication
If the pain is very severe and does not pass without medication, medication should be taken only on a doctor's advice. The painkiller considered safest in pregnancy is paracetamol (acetaminophen). Other medicines — ibuprofen, aspirin, naproxen or triptans — are usually not advised; especially in the first and third trimesters they can be risky for the fetus.

9. Monitoring blood pressure
If in pregnancy there is a sudden and severe headache, blurred vision, swelling of the hands and face, this may be a sign of pre-eclampsia. In such cases it is important to see a doctor immediately.

10. Prevention and daily balance
A settled daily routine, less stress, enough rest, fresh air and good nutrition help to prevent headaches.

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