A pregnant woman in her third trimester reports a severe headache for two days. What is the plan of action?

• A. Be examined in the physician's office immediately
• B. Take OTC analgesics and rest
• C. Monitor at home
• D. Schedule follow-up in one week

Answer: (A)

A severe, persistent headache in the third trimester is a red flag that requires urgent evaluation. In late pregnancy, new or worsening headaches can signal preeclampsia, a condition that can affect both mother and baby and can progress quickly if not assessed and managed promptly. Seeing a clinician now allows a full check of blood pressure, urine protein, and other safety indicators, along with fetal monitoring, to determine if there’s any risk to mother or fetus and what treatment is needed.

Waiting or trying to manage at home would not address the potential danger, and delaying evaluation could allow a serious condition to worsen. While some analgesics might be considered for mild pain, they do not substitute for a professional assessment when severe headache arises in the third trimester, and self-management could mask warning signs. Scheduling follow-up in a week or relying on over-the-counter relief misses the urgent need to rule out conditions like preeclampsia and ensure both mother and baby are safe.