HEALTHIER YOU: What a headache! Dealing with migraines as a pregnant woman

BY DR. MARGUERITE BRATHWAITE OB-GYN

Pregnancy brings remarkable changes to the body — and for many women, that includes headaches and migraines. Hormonal fluctuations, particularly shifts in estrogen levels, are a primary driver, and women who already lived with migraines before conceiving may find that their symptoms intensify during early pregnancy. 

Research consistently points to the first trimester as the most challenging period, when hormonal changes are most pronounced. The good news: many women report noticeable improvement in the second and third trimesters. In fact, multiple medical studies suggest that migraine symptoms ease by the end of the third trimester in 67–89% of pregnant women. 

Beyond hormones, other common triggers during pregnancy include stress, skipped meals due to nausea, and vomiting from morning sickness — all of which can set off or worsen headache episodes.

Signs of a Migraine or Headache Attack 

Pregnant women may experience any of the following: 

• Throbbing, pounding, or pulsating pain, often on one side of the head 

• Pain around the eyes or behind the cheeks 

• Sensitivity to light, noise, or smells 

• Visual disturbances such as flashing lights 

• Dizziness or trouble focusing 

• Nausea or vomiting 

• Fatigue

Practical Ways to Find Relief 

While medication options are limited during pregnancy, several lifestyle adjustments can help reduce the frequency and severity of headaches: 

• Eat regular meals — skipping meals can trigger episodes 

• Stay hydrated throughout the day 

• Prioritize sleep and maintain a consistent schedule 

• Stay gently active with pregnancy-safe movement 

Women’s Innovative Care is committed to supporting healthy pregnancies and identifying potential complications as early as possible. Through compassionate care and advanced screening services, the team works closely with mothers-to-be to promote the best possible outcomes. If you have questions or concerns about your pregnancy, you may schedule an appointment by calling (702) 413-7740 or visiting 851 South Rampart Blvd., Suite 160, Las Vegas, NV.