Pregnancy has the potential to either intensify or alleviate the occurrence of migraines. Some women who experience migraines before pregnancy may find them to worsen during the first trimester and then improve during the second trimester.

Is it Dangerous to Have Migraines During Pregnancy?

Migraines are not considered dangerous for your baby, but you should talk to your doctor if you are experiencing migraines or prolonged headaches. High blood pressure and other disorders associated with pregnancy can cause similar symptoms which need treatment.

Talk to your doctor before taking any migraine medications during pregnancy. Some of them have been associated with fetal abnormalities and should be avoided.

Migraine Triggers

Sometimes it is possible to pinpoint things that trigger migraines and help avoid them, thereby reducing the number of attacks. Try keeping a headache diary documenting what you have eaten in the preceding 24 hours.

Everyone is different, but frequent triggers include the following:

• Stress
• Heat or Cold (weather changes)
• Hormones
• Fatigue
• Flashing lights
• Loud noises
• Smoke
• Changes in blood sugar
• Chocolate and Carob
• Cheese, especially aged cheeses
• Coffee
• Refined Sugar
• Monosodium Glutamate (MSG)
• Nitrates (found in processed meat like hot dogs and bacon)
• Sulfites (preservative in dried fruit and salads)
• Artificial sweeteners
• Smoked fish
• Things that are fermented or pickled (like soy sauce or sauerkraut)
• Fruits such as bananas, papaya, avocado and citrus
• Certain beans
• Nuts

Preventing Migraines

• Be sure you are getting adequate magnesium in your diet.
• Practice relaxation techniques regularly.
• Be sure you are getting adequate rest.
• Get regular exercise.
• Be sure you are drinking enough water.
• Use pregnancy pain relief techniques to keep the tension in your body down.
• Use biofeedback techniques.
• Practice meditation.
• Practice prenatal yoga.

Treatment for Migraines During Pregnancy

Unfortunately the best medications for migraines are generally contraindicated during pregnancy. Below are some tips to help ease the intensity:

• Apply ice packs to your head and base of your neck. Sometimes a cold washrag will work.
• Sleep- rest in a dark, quiet room.
• See a massage therapist or acupuncturist.
• Take a cold shower.
• Massage your temples and the base of your head.
• Try using acupressure on yourself.

When You Should Call Your Doctor

• This is your first migraine.
• You have had a migraine for more than a day or returns frequently.
• You are having blurred vision.
• Your headache is accompanied by fever.
• You are having spotting or bleeding.

Headache and Head Pain are a frequent complaint during pregnancy.  Hormonal changes, stress, fatigue, and your changing body can cause a great deal of discomfort and headaches in pregnant women.  During pregnancy be careful about your headache medicine.  Aspirin and Ibuprofen (Motrin) are generally considered NOT SAFE during pregnancy.  Acetaminophen is considered safe.

Causes of Headaches During Pregnancy

• Hormones- hormonal changes during pregnancy can trigger headaches and migraines.
• Lower blood pressure in first trimester-  During the first trimester you blood pressure may be diminished, causing headaches due to decreased blood flow.
• Preeclampsia- a complication of pregnancy that occurs after the 20th week, but more frequently in the last month.  It can cause swelling, visual disturbances, high blood pressure, severe headaches, and protein in the urine.  If it is late in your pregnancy and you are experiencing more than one of these symptoms contact your doctor.
• Stress- physical and emotional upheaval and stress can cause tension headaches.
• Sinusitis- sinus pain, colds, and allergies can cause headaches during pregnancy.  Frequently, allergy sufferers report that their allergies intensify during pregnancy.
• Fatigue- experienced often during pregnancy can cause a headache to develop.
• Anemia- iron is important during pregnancy.  Symptoms of anemia (low iron) include feeling tired, having headaches, dizziness, difficulty concentrating, and indigestion.
• Migraine- different than a headache, a migraine is more severe.  It causes debilitating, throbbing headaches and can cause nausea, vision changes such as blurring and flashing lights, sensitivity to light and noise and intense pain.
• Caffeine withdrawal- If you have eliminated or cut down your caffeine intake since discovering you are pregnant, this can result in withdrawal headaches for several days.
• Blood Sugar changes- pregnancy can cause changes to your blood sugar and metabolism.  Be sure to eat right and snack every few hours and consume adequate amounts of protein.

Preventing Headaches During Pregnancy

• Be sure to drink plenty of water.  Dehydration can frequently cause headaches.
• Exercise regularly.
• Practice stress relieving techniques.
• If you are planning to decrease caffeine intake, do so slowly to prevent withdrawal reactions.
• Sinus headaches can be aided by application of warm compresses on the front and sides of the face and around the nose, eyes and temples.
• Tension headaches can be aided with cold compresses on the back of the neck and forehead.
• Get plenty of rest to prevent fatigue.
• Eat frequent small meals to keep your blood sugar levels stable.

When to Call Your Doctor

• Your headaches are severe or accompanied by visual disturbances or swelling.
• Your headaches is accompanied by fever.
• You are having spotting or bleeding.

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