Toxicosis (and doctors call this condition gestosis) is a syndrome that is defined as a violation of a woman's adaptation to pregnancy. According to the time of occurrence, early preeclampsia is distinguished, which will be discussed in this article, and late preeclampsia, which appears in the last 2-3 months of pregnancy and is manifested by edema, increased blood pressure and the appearance of protein in the urine.

When early morning sickness begins in pregnancy

Early morning sickness usually occurs in the first half of pregnancy. As a rule, after the end of the formation of the placenta, that is, at 12-13 weeks of pregnancy, the phenomena of toxicosis stop. During a normal pregnancy, adaptive changes in the function of almost all organs and systems occur in a woman's body, which are regulated by the nervous system with the participation of endocrine glands. Toxicosis also occurs due to the impossibility of the adaptive mechanisms of the body of the expectant mother to adequately meet the needs of the developing fetus. nine0019

Manifestation of early toxicosis

The most common manifestation of toxicosis is vomiting. Other forms of early toxicosis are very rare:

• pregnancy dermatosis is a group of skin diseases that occur during pregnancy and disappear after it. When it occurs in early pregnancy, dermatosis is caused by immune disorders in the body of a pregnant woman, and is also most often found in patients with diseases of the digestive and endocrine systems. The most common form of dermatoses of pregnancy is pruritus gravidarum, which can be on a small area of ​​the skin or spread throughout the body, including the feet and palms. nine0004
• tetany (chorea) of pregnant women. This condition occurs when the function of the parathyroid glands decreases, as a result of which calcium metabolism in the body is disturbed. Clinically, the disease is manifested by muscle cramps, more often cramps occur in the fingers, sometimes in the muscles of the face.
• salivation - increased secretion of saliva, in connection with which there is a large loss of fluid (up to 1 liter per day). Salivation can be an independent manifestation of toxicosis or accompany vomiting of pregnant women. In the development of salivation, not only changes in the central nervous system are important, but also local disturbances in the salivary glands and their ducts under the influence of hormonal changes. nine0004
• Pregnancy bronchial asthma is an extremely rare form of preeclampsia.
• osteomalacia of pregnancy - softening of the bones due to a violation of the metabolism of calcium and phosphorus, while the bones of the pelvis and spine are more often affected
• neuropathy and psychopathy of pregnant women.

Learn more about the services:

• Tests for pregnant women
• Ultrasound of the 1st trimester of pregnancy

Causes of toxicosis in the early stages

There are many theories trying to explain the causes and mechanisms of development of early toxicosis: the most recognized are the so-called neuro-reflex and immunological.

According to the neuro-reflex concept , vomiting occurs as a result of a violation of the relationship between the cerebral cortex and subcortical structures. During pregnancy, the subcortical centers of the brain begin to work more intensively than usual, which are responsible for most protective reflexes, including breathing and cardiac activity. In the same areas of the subcortical structures are the vomiting and salivary centers, the nuclei of the olfactory system of the brain. Excitation processes also capture them. Therefore, nausea and vomiting may be preceded by such phenomena as deepening of breathing, increased heart rate, an increase in the amount of saliva, pallor due to vasospasm, and a change in smell. nine0019

Immunological disorders play a certain role in the development of preeclampsia . The timing of the onset of vomiting usually coincides with the formation of blood circulation in the placenta, increased reproduction of white blood cells - lymphocytes, which are involved in immune reactions. The fetus is foreign to the mother's body, and her immune system reacts to it in this way. After the full maturation of the placenta, which accumulates all these immune cells, toxicosis usually disappears.

Human chorionic gonadotropin (hCG) plays a certain role in the development of vomiting during pregnancy. This hormone is produced by the placenta during pregnancy. Its high concentration can provoke vomiting.

The severity of toxicosis during pregnancy

The main symptom of early toxicosis of pregnant women is vomiting. Depending on the frequency of its occurrence, as well as the degree of metabolic disorders in the body of the expectant mother, doctors distinguish three degrees of severity of vomiting during pregnancy. nine0019

How to manage morning sickness and relieve symptoms

Treatment for mild morning sickness is usually done at home. But, nevertheless, a pregnant woman should be under the supervision of doctors, take all the tests recommended by the doctor, and follow the appointments. This will allow the doctor to monitor the condition of the future mother's body and prevent possible complications in time. A woman needs to organize a normal sleep and rest regimen, walks in the fresh air, a calm atmosphere in the family are shown. nine0019

Proper nutrition

You need to eat in small portions, fractionally, every 2-3 hours. Food should be easily digestible, high-calorie and fortified whenever possible. In connection with a decrease in appetite, they recommend varied and pleasant food for the expectant mother, that is, products are selected taking into account the desires of the pregnant woman, with the exception of spicy dishes and smoked meats. It is important to remember that very hot or very cold food often induces vomiting, so the dishes should be warm. Reception of alkaline mineral waters in small volumes 5-6 times a day is shown. nine0019

If nausea and vomiting occur in the morning, immediately after waking up, it is recommended to have breakfast while lying in bed without getting up. For breakfast, you can eat dry crackers, crackers, drink tea or water with lemon, light yogurt is allowed. It is better to put all this next to the bed in advance or ask someone to bring breakfast.

Every woman chooses for herself a remedy that helps to fight nausea. Someone helps a slice of orange, lemon or apple, some expectant mothers carry crackers or mint sweets with them to alleviate the symptoms of toxicosis. Pumpkin juice has a good antiemetic effect. Many pregnant women benefit from ginger tea. It is prepared very simply:

ginger root finely chopped or grated on a coarse grater is poured with boiling water and infused for 15-20 minutes. Tea can be drunk warm or chilled, adding lemon, mint or honey to it.

Fats and proteins of animal origin are recommended to be consumed in the morning, when pancreatic enzymes are more active. Dairy products are best eaten after dinner or before bed.

Do not use food with preservatives, broiler meat, fast food, fast food. nine0019

To maintain metabolic processes in the body, it is advisable to drink 2-2.5 liters of fluid per day. With increased vomiting, it is not recommended to consume solid and liquid food at the same time. Liquids should not be drunk 30 minutes before and within 1.5 hours after eating, as this provokes vomiting by stretching the walls of the stomach and affecting the receptors.

Decoctions and infusions

Oat broth

As an enveloping agent, that is, a substance that forms a mucous film and prevents irritation of receptors on the walls of the stomach and intestines, oat broth is recommended. It is prepared as follows: 2-3 tbsp. spoons of oat grains are washed, pour 500-700 ml of water, boil over low heat under a lid for 30 minutes. The broth is drained, the grains are crushed and poured with new water and boiled until fully cooked. The resulting mass is crushed with a blender. You need to use the decoction on an empty stomach and in the evening before going to bed, but not earlier than 2 hours after dinner, and also throughout the day in small portions. nine0103 It has a particularly good effect in combination with rosehip infusion.

Rosehip infusion

This infusion is a good source of vitamins and microelements - it contains vitamins C, K, P and PP, potassium, manganese, iron, and contributes to the normalization of the gallbladder function. To prepare it, you need 1 tbsp. pour a spoonful of crushed rose hips with 250 ml of boiling water and insist in a thermos for about 2 hours.
The following infusions and decoctions contribute to reducing nausea and improving the condition of the expectant mother. nine0019

Phytonast

Take equally: valerian root, common anise fruits, fireweed leaves, linden flowers, marigold flowers, common blueberry shoots, blood red hawthorn fruits. 1 st. Pour 500 ml of boiling water over a spoonful of the mixture ground in a coffee grinder and insist in a thermos for 2 hours, then strain. Take the infusion as needed, up to 6 times a day in a heated form, 1/3 cup.

Benediktov's collection

To prepare this collection you will need: common yarrow (10 g), peppermint herb (20 g), shepherd's purse herb (20 g), valerian officinalis rhizomes (10 g), calendula officinalis inflorescences (20 g) and inflorescences of chamomile officinalis (20 g). Pour 10 g of the mixture with 400 ml of water, soak in a water bath for 30 minutes, strain. Take 50 ml 6 times a day for 25 days, three courses with 15-day breaks. nine0019

Viburnum with honey

Grind 2 tbsp. tablespoons of fresh viburnum berries, pour 250 ml of boiling water over them, heat for 10 minutes in a water bath, strain, add a little honey. Take 1/3 cup of warm infusion before meals 3-4 times a day.

Cranberries with mint, honey and lemon

Squeeze the juice from 250 g of cranberries, cool it, boil the pulp in 1 liter of water, add 1 tbsp. a spoonful of mint leaves and leave for 15 minutes under the lid. Strain, dissolve in a hot broth 2-3 tbsp. tablespoons of honey, let cool to room temperature, add chilled cranberry juice and a slice of lemon. Drink 0.5 cup after meals or when nausea occurs. nine0019

Rose hips with apples

Crushed rose hips (about 1 tbsp) pour 250 ml of boiling water, add 0.5 tbsp. tablespoons of dried apples, heat in a water bath for 15-20 minutes. This drink can be consumed throughout the day instead of tea.

Rosehip with garden berries

To make a drink you will need: 1 tbsp. a spoonful of rose hips, 1 tbsp. spoon of raspberries, 1 tbsp. spoon of blackcurrant leaves, 1 tbsp. a spoonful of lingonberry leaves. 2 tbsp. spoons of the mixture pour 500 ml of boiling water, boil for 5 minutes, leave for 1 hour, strain. Take 100 ml of decoction 3 times a day. nine0019

Therapeutic exercise

Among non-drug treatments, exercise therapy has a good effect. The complex of exercises includes walking, deep breathing with stretching of the muscles of the trunk and limbs. It is necessary to exclude inclinations, they can increase nausea. The complex includes dynamic exercises for training the muscles of the arms, legs, relaxation exercises. Remedial gymnastics also includes training in breathing techniques. As a result, the body is saturated with oxygen, the excitability of the vomiting center decreases - toxicosis is relieved. nine0019

Physiotherapeutic procedures

Physiotherapeutic procedures for the treatment of early toxicosis include electrosleep, acupuncture, laser therapy . Electrosleep is a method that uses low frequency currents to induce sleep. The duration of the procedure is from 60 to 90 minutes, the course of treatment is 6-8 sessions.

Laser therapy

In the complex therapy of early toxicosis, blood is irradiated with a helium-neon laser through a light guide passed through a needle placed in the cubital vein. The procedure lasts 15-20 minutes. The therapeutic effect is achieved due to the influence of the laser on blood cells, changes in its properties, accumulation of biologically active substances in the blood. As a result, the metabolism in cells changes, the resistance of tissues and the body to adverse conditions increases, and the vitality increases. nine0019

Acupuncture, acupuncture

Treatment methods based on stimulation of biologically active points and zones on the body and face. With early toxicosis, such an effect changes the tone of the nervous system of a pregnant woman. A session of acupuncture is carried out 1-2 times a week and lasts 15-30 minutes.

Acupressure method is effective for morning sickness and vomiting of pregnant women. To do this, you need to press your finger on a point that is located on the inside of the wrist, in the middle, 3 transverse fingers above the palm. nine0019

Aromatherapy

The use of plant aromas has a positive effect on the expectant mother and baby. By inhaling pleasant aromas, you can achieve a good psychological effect, create a good mood, and reduce the effects of toxicosis. During pregnancy, aroma lamps, aroma medallions, pads - sachets are mainly used. To relieve nausea and vomiting, oils of noble laurel, lemon, lavender, cardamom present, dill, lemon balm, peppermint, anise, eucalyptus, ginger are suitable. To flavor the air, you can use the following mixture 0 3 drops of lavender oil, 1 drop of peppermint oil, 1 drop of eucalyptus oil. nine0019

Principles of treatment of early toxicosis

Even with a mild course of early toxicosis of pregnant women, the attending physician will definitely prescribe a number of tests - a general blood test, a general urinalysis, a biochemical blood test, a hemostasiogram. This is necessary to control the condition of a pregnant woman and to timely prescribe medications to correct the changes that occur in the body.

If non-drug remedies are ineffective, the doctor prescribes medications that help fight toxicosis. First of all, these are herbal sedatives, homeopathic medicines for nausea, vitamin B6 preparations, antiemetics. nine0019

If, despite all the therapy, vomiting increases, the doctor detects changes in blood and urine tests, and body weight continues to progressively decrease, hospitalization is indicated.

An intravenous infusion of medicines is carried out in the hospital, which restores the fluid, microelements and proteins lost by the body. A pregnant woman receives at least 2-2.5 liters of fluid intravenously per day.

To improve blood flow through the placenta and improve oxygen supply to the fetus, oxygen therapy can be prescribed - inhalation of an oxygen-air mixture for 20-30 minutes twice a day. nine0019

Most often, the effects of toxicosis gradually decrease by 12-13 weeks of pregnancy.

Mild

Mild vomiting on an empty stomach or after meals occurs 3 to 5 times a day. Despite vomiting, part of the food is still retained and significant weight loss is not observed in such pregnant women. The general condition does not suffer significantly, there are no changes in blood and urine tests. Such vomiting is easily treatable with various non-drug means, and often resolves on its own after the normalization of the diet and rest. nine0019

Moderate vomiting

Moderate vomiting (or moderate vomiting) is expressed in the increase in vomiting up to 10 times a day, regardless of food intake. Characterized by persistent nausea. There comes dehydration of the body, a decrease in body weight by 3-5 kg ​​(6% of the initial weight). The general condition of pregnant women worsens. Expectant mothers complain of weakness, apathy, tearfulness, sometimes depression. The skin is pale, dry, the tongue is covered with a white coating, yellowness of the skin may be noted.

Excessive vomiting

The severe form (excessive pregnancy vomiting) is rare. The frequency of vomiting up to 20 times a day or more. Excessive vomiting is characterized by severe dehydration and intoxication. This condition can occur as a continuation of moderate vomiting of pregnant women or initially acquire a severe character. With excessive vomiting, body weight decreases rapidly, on average by 2-3 kg per week, the skin becomes dry and flabby, subcutaneous fat quickly disappears, the tongue and lips are dry, there is a smell of acetone from the mouth, body temperature can rise up to 38 degrees. Vomiting of moderate and severe degrees is treated in a hospital. nine0019

Why do you feel sick during pregnancy in the early stages, at what time can pregnancy be determined. What helps with nausea

Every second woman feels sick during pregnancy. An unpleasant symptom appears even before a woman finds out that she is in a position. We tell you why the malaise begins, how many months it lasts and how you can cope with unpleasant symptoms.

What is toxicosis?

Morning (and sometimes afternoon and evening) ailments, along with sore breasts and the absence of menstruation, are considered the main signs by which a woman understands that she is pregnant. But from what day of pregnancy does she start to feel sick? The period at which toxicosis begins varies. nine0019

Nearly a third of women experience nausea approximately 4 weeks after the end of their last period. In the remaining 70%, toxicosis occurs at week 8. At the same time, in addition to nausea, half of the women also experience vomiting. In the vast majority of pregnant women, all unpleasant symptoms disappear by the 14th week.

However, in the third trimester, nausea may return. Most often, nausea during pregnancy occurs after eating for a long time.

This is due to the fact that the growing uterus and the child in it begin to squeeze the stomach, which causes a feeling of overeating and nausea. But it also happens that this is a sign of preeclampsia, which must be treated.

Most often, morning sickness and vomiting occur. Unpleasant odors, being in a stuffy room, motion sickness in transport, as a reaction to a certain type of food, and other factors can also provoke an attack. However, discomfort can occur unexpectedly or in cases where everything was normal before. nine0019

Among the risk factors that lead to the development of toxicosis are migraines, overweight, endocrine disorders, bronchial asthma, depression, eating disorders, underweight, multiple pregnancy. However, these factors do not mean that a pregnant woman will definitely have toxicosis.

Nausea is not only an unpleasant symptom that overshadows the joy of future motherhood. It can lead to serious consequences. Among them are weight loss, insomnia, fluid and electrolyte imbalance, multiple organ failure, and spontaneous abortion. nine0019

Important! Be sure to tell the gynecologist in charge of the pregnancy if any meal causes vomiting, you have begun to significantly reduce body weight

Causes of toxicosis

Almost every woman is faced with the question of what causes nausea during pregnancy? Several factors play a role in the etiology of toxicosis. What exactly provokes its development in a particular woman is impossible. Among the main reasons are the following: nine0019

However, it is important to distinguish the symptoms of toxicosis from other diseases. Nausea and vomiting can also be a sign of other illnesses, such as kidney failure or peptic ulcers. Therefore, with severe toxicosis, it is imperative to undergo examinations to exclude other pathologies. nine0019

Usually, a general and biochemical blood test, a blood test for infections, ultrasound of the abdominal cavity and urinary system, as well as fibrogastroduodenoscopy and consultations with specialized specialists are prescribed. Treatment and examinations are carried out with care so that it does not harm the child.

Be sure to consult a gastroenterologist, endocrinologist and nephrologist if the symptoms of toxicosis persist after the 14th week of pregnancy, so that this does not lead to dangers for the child. Our doctors will answer all your questions by phone at any time of the day. nine0019

What to do in order not to feel sick

You can prevent the development of nausea and toxicosis even during preparation for it. It is necessary to undergo examinations and treat all pathologies found. Particular attention should be paid to diseases that are a risk factor in the development of discomfort.

Another important point is adjusting the diet. In general, it is recommended to give up fried, fatty and spicy foods, as well as start eating often and in small portions. Food should be at room temperature. In addition, it is recommended to drink more. nine0019

Plain water and tea can be replaced with mineral water and herbal infusions of mint, lemon balm, chamomile, cranberry and ginger. However, you should not get carried away with herbs, as they may have an impact on the course of pregnancy.

If these methods do not help, the gynecologist may recommend taking antiemetics, vitamin preparations, isotonic solutions, and sedatives. Consultation with a psychologist is also recommended to exclude psychogenic factors. nine0019

In severe cases and with signs of exhaustion, the pregnant woman is placed in a hospital where more intensive therapy is carried out. If the woman's condition does not improve, termination of the pregnancy may be recommended as a last resort.

If toxicosis does not cause trouble, it is not treated in any way. They only offer to slightly adjust the diet and try folk methods of dealing with toxicosis. These include a few sips of mineral water, saltine crackers, or a lemon wedge right after waking up. nine0019

Case study:

The patient went to the gynecologist with complaints of severe nausea, persistent vomiting and weight loss. The gynecologist did not write off everything for pregnancy and conducted a full examination. FGDS with a biopsy revealed the presence of Helicobacter pylori and signs of gastritis in a woman. After treatment of the underlying disease, the symptoms of toxicosis also decreased.

FAQ

At what time can pregnancy be determined? nine0019

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A blood test for chorionic gonadotropin can show pregnancy as early as 6–8 days after conception. However, it is more reliable to carry it out 3-5 days after the delay or on the 12th day after conception.

How many days after conception does it start to vomit?

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Nausea can develop from 4 to 7 weeks after the last menstruation, that is, even before the delay appears. Symptoms of toxicosis usually disappear by 12-14 weeks. Also, unpleasant symptoms may return in the third trimester. nine0019

What to do if the chest stops hurting during pregnancy?

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If the chest stops hurting at any stage of pregnancy, this may indicate hormonal disorders in the expectant mother. It can lead to problems with gestation, so any changes in well-being must be reported to the gynecologist.

After how many weeks can you find out about pregnancy?

+ nine0019

The first signs of pregnancy appear at least 4 weeks after the end of the last menstruation, even before the delay. They will fail in the form of nausea, mood changes, tearfulness. In addition, in the early stages of pregnancy, the breast hurts and enlarges.

How to distinguish toxicosis from ordinary nausea?

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By external signs, it is almost impossible to distinguish them from each other. But there is a slight difference. Toxicosis usually manifests itself in the morning, and nausea - at any time of the day, including in the evening. If nausea is not complicated by vomiting, but does not go away within a few days, it is recommended to do a home pregnancy test or donate blood for hCG. nine0019

Expert opinion

Nausea in the later stages may indicate the development of preeclampsia. This complication affects all organs and leads to the development of severe multiple organ failure. In addition to nausea and vomiting, a pregnant woman is worried about swelling, severe headaches, rapid weight gain, high blood pressure and visual impairment.

Preeclampsia has the most serious consequences for both the mother and the unborn baby. Therefore, if late toxicosis is suspected, a woman is placed under the constant supervision of a doctor in the department of pregnancy pathology. nine0019

We publish only verified information

Article author

Menshikova Maria Viktorovna obstetrician-gynecologist nine0019

Experience 38 years

Consultations 1816

Articles 46

Specialist with extensive practical experience.

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