Why do I get headaches during pregnancy?
Last updated September 3, 2026.
Early-pregnancy headaches are usually hormonal and tension-type - rest, hydration, provider-approved acetaminophen. A severe headache after 20 weeks with vision changes or swelling is a same-day preeclampsia warning.
What to do
- Hydrate, eat regularly, rest - the everyday drivers respond to basics.
- Confirm any painkiller first - acetaminophen is the usual safe choice; avoid ibuprofen later in pregnancy.
- Cool compress and dark room - medication-free relief.
- Severe headache after 20 weeks: call same day - especially with vision changes or swelling, per NHS guidance.
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