Some women suffer headaches, especially early in pregnancy. These may be caused by widening of blood vessels in the brain. Low blood sugar levels may also cause headaches.

Migraines may get worse in pregnancy – or a lot better. Ask your doctor whether it is safe to continue with your usual medication.

Tension headaches are generally felt round the back of the head and across the forehead. If you are getting a lot of tension headaches, try and work out the cause of your anxiety.

Headaches can also be caused by swelling in your sinuses. If you are getting regular headaches at work, it may be helpful to consider whether your posture or eyestrain is to blame.

What can I do about them?

• While it is best to avoid medication in the first 12 weeks of pregnancy, there is no evidence that taking paracetamol in the recommended dose causes any harmful effects.
• Massage your scalp firmly with your fingers, as if you were washing your hair, or get someone to do this for you.
• After 28 weeks of pregnancy, use your fingertips to massage1-2 drops of lavender oil in to your temples. Alternatively, try soaking a face cloth or handkerchief in ice cold water to which you have added 1-2 drop of lavender oil, and hold this against your forehead. (If you want to use lavender oil earlier in pregnancy than 28 weeks, consult a qualified aromatherapist for advice.)
• Avoid caffeine (found in coffee, tea and cola).
• Take a few minutes to sit quietly and practise your relaxation technique.
• Tell your midwife or doctor if you are getting frequent headaches.

Headache Alert

Contact your midwife, if your headache is not relieved by paracetamol or you have visual disturbances (spots in front of your eyes, blurred vision) or you have severe upper abdominal pain/indigestion. These may be signs of pre-eclampsia.

Revised by babyworld midwife, Hannah Hulme Hunter November 2000.