Brief Answer:
Headache in 2nd or 3rd trimester needs evaluation

Detailed Answer:
Hello and Welcome

I appreciate your concern

Mild headache can be safely treated with acetaminophen or paracetamol in pregnancy. Severe Headache in pregnancy especially in the 2nd and 3rd trimester needs to be taken seriously. It could be a sign of preeclampsia, which is marked by high blood pressure and vision changes. Liver and kidney functions would also need to be checked via blood work (liver and renal function tests). Urine needs to be checked for presence of proteinuria. If there is associated edema, shortness of breath or mental status changes then she should be transferred to an ER facility. Unilateral headache can occur in either migraine or sinusitis. The usual migraine medications are not safe in pregnancy and paracetamol 1g is the only safe alternative. For sinusitis , antibiotics can be prescribed along with nasal decongestants. Vision also needs to be checked as eye strain related to reading or watching a laptop screen can also need to headache. The tremors or shaking can be related to fever, low blood sugar or low blood pressure or electrolyte imbalance.


Wishing you best of health

Thanks

Let me know if you have any query

Please consult your doctor before deciding on any further course of action.

For future follow up / correspondence you may ask me directly at the link given below

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=68107

Dr. M.S. Khalil

---