Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. It can affect you at any time of the day or night or you may feel sick all day long. Morning sickness is unpleasant, and can significantly affect your day-to-day life. But it usually clears up by weeks 16 to 20 of your pregnancy and does not put your baby at any increased risk. There is a chance of developing a severe form of pregnancy sickness called hyperemesis gravidarum. This can be serious, and there's a chance you may not get enough fluids in your body (dehydration) or not get enough nutrients from your diet (malnourishment). You may need specialist treatment, sometimes in hospital. Sometimes urinary tract infections (UTIs) can also cause nausea and vomiting. A UTI usually affects the bladder, but can spread to the kidneys. you're vomiting and: Unfortunately, there's no hard and fast treatment that will work for everyone’s morning sickness. Every pregnancy will be different. But there are some changes you can make to your diet and daily life to try to ease the symptoms. If these do not work for you or you're having more severe symptoms, your doctor or midwife might recommend medicine. Things you can try yourselfIf your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes:
Find out more about vitamins and supplements in pregnancy Anti-sickness medicineIf your nausea and vomiting is severe and does not improve after trying the above lifestyle changes, your GP may recommend a short-term course of an anti-sickness medicine, called an antiemetic, that's safe to use in pregnancy. Often this will be a type of antihistamine, which are usually used to treat allergies but also work as medicines to stop sickness (antiemetic). Antiemetics will usually be given as tablets for you to swallow. But if you cannot keep these down, your doctor may suggest an injection or a type of medicine that's inserted into your bottom (suppository). See your GP if you'd like to talk about getting anti-sickness medication. It's thought hormonal changes in the first 12 weeks of pregnancy are probably one of the causes of morning sickness. But you may be more at risk of it if:
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In this video, a midwife gives advice on how to deal with morning sickness during your pregnancy.
Page last reviewed: 13 April 2021
Medically reviewed in August 2022 Updated on August 19, 2022 If you’re early in your pregnancy and vomiting so much that it’s making everyday tasks like going to work difficult, you may be wondering: What’s happening to me? Is this harming my baby? Is there any way to find relief? You could have a condition called hyperemesis gravidarum (HG). It literally means “too much throwing up when you’re pregnant.” It usually starts in the first trimester, with most people improving by 16 to 20 weeks, although some experience it throughout their entire pregnancy. What are signs that you have HG?
If your healthcare provider (HCP) suspects HG, they will likely order blood work and a urinalysis. Ketones in the urine are further evidence you've developed the condition. Potential complications Dehydration can be a serious problem when you’re pregnant. Not getting enough fluids can lead to issues like low amniotic fluid, problems producing breast milk, and preterm labor. Signs that you’re dehydrated and require immediate medical attention include:
What can I try at home to ease the condition? Some herbs and herbal food and drinks may help by soothing the stomach and providing much-needed fluids. Peppermint tea and ginger items—including ginger ale, ginger candies, and fresh ginger tea—are popular options. Take care to drink fluids at least 30 minutes before or after eating, since it can help to steady your stomach. Think: cold, clear, and carbonated, such as seltzer or lemonade. Using a straw could help, too. For quick calories and hydration? Try the ER favorite—popsicles! The cold and slow nature of eating a popsicle can be comforting when you’re nauseated. You’ll also want to avoid lying down right after finishing up. If you can’t keep much food down, make sure you're getting sufficient nutrition during the first trimester. Prenatal vitamins are important for that, but can also cause nausea. If they make you sick, try taking them with a small snack or just before you go to bed. Also, be sure to get plenty of rest. If you have someone who can help, let them make your meals for you, particularly if the prep and smell of food make you feel worse. Though studies have suggested they don’t work, some women find wearing acupressure bands on their wrists to be effective. These can be found at drug stores and may help alleviate both morning and motion sickness in some cases. Are there medications for HG? There are also a range of over-the-counter options available, though you should speak with an HCP before trying them. Vitamin B6 (pyridoxine) has been found to improve moderate nausea. Try 10mg to 25mg orally every eight hours; the maximum dose is 200mg/day. B6 combined with doxylamine, which can be purchased as Unisom Sleep Tabs, has also been shown to reduce morning sickness in the first trimester. Diphenhydramine (Benadryl) is another potential option and can be taken in 25mg to 50mg doses every eight hours. Marijuana has been legalized in many areas across the country, but using it to ease HG symptoms isn’t a good idea. While more research is needed, studies suggest it can harm your baby’s health. Will my baby be in danger? Article sources
Cleveland Clinic. Hyperemesis Gravidarum (Severe Nausea & Vomiting During Pregnancy). Page last updated December 2, 2020. Arslan S, Bektas F, Soyuncu S. Diagnosis of Hyperemesis Gravidarum in Patients with Pregnancy-Induced Vomiting Using a Point-of-Care Ketone Blood Test. Eurasian Journal of Emergency Medicine. 2017; 16: 119-22. American Pregnancy Association. Dehydration During Pregnancy. Page accessed August 8, 2022. Mayo Clinic. Dehydration. Page las updated October 14, 2021. Mayo Clinic. Morning Sickness. Page last updated May 15, 2021. Herrell HE. Nausea and vomiting of pregnancy. American Family Physician. 2014;89(12):965-970. The American College of Obstetricians and Gynecologists. Morning Sickness: Nausea and Vomiting of Pregnancy. Last reviewed December 2021. MedlinePlus. Hyperemesis gravidarum. Review date January 1, 2021. Centers for Disease Control and Prevention. Marijuana and Public Health: Pregnancy. Last reviewed October 19, 2020. |