Best way to deal with morning sickness

Vomiting and morning sickness - NHS

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.

Non-urgent advice: Call your midwife, GP or 111 if:

you're vomiting and:

have very dark-coloured urine or have not had a pee in more than 8 hours
are unable to keep food or fluids down for 24 hours
feel severely weak, dizzy or faint when standing up
have tummy (abdominal) pain
have a high temperature
vomit blood
have lost weight

Treatments for morning sickness

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 yourself

If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes:

get plenty of rest (tiredness can make nausea worse)
avoid foods or smells that make you feel sick
eat something like dry toast or a plain biscuit before you get out of bed
eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta)
eat cold foods rather than hot ones if the smell of hot meals makes you feel sick
drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting)
eat foods or drinks containing ginger – there's some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy)
try acupressure – there's some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm, may help relieve the symptoms

Find out more about vitamins and supplements in pregnancy

Anti-sickness medicine

If 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.

Risk factors for morning sickness

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:

you're having twins or more
you had severe sickness and vomiting in a previous pregnancy
you tend to get motion sickness (for example, car sick)
you have a history of migraine headaches
morning sickness runs in the family
you used to feel sick when taking contraceptives containing oestrogen
it's your first pregnancy
you're obese (your BMI is 30 or more)
you're experiencing stress

Visit the pregnancy sickness support site for tips for you and your partner on dealing with morning sickness.

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Video: how can I cope with morning sickness?

In this video, a midwife gives advice on how to deal with morning sickness during your pregnancy.

Media last reviewed: 27 February 2017
Media review due: 27 March 2020

Community content from HealthUnlocked

Page last reviewed: 13 April 2021
Next review due: 13 April 2024

12 Tips To Help Calm Morning Sickness – Cleveland Clinic

If you’ve had morning sickness during pregnancy, you probably know that the name is cruelly misleading. Feelings of nausea or vomiting can strike anytime — day or night. There’s good news, though. There are several things you can do to help tame your turbulent tummy.

Morning sickness is common. In fact, one study shows that up to 80% of pregnant people experience at least some symptoms of morning sickness — but that doesn’t mean you have to simply accept it.

Certified nurse-midwife Jessica Costa, MSN, APRN, CNM, explains what causes morning sickness and how you can ease it.

What causes morning sickness?

It’s not clear exactly which hormones trigger symptoms — which can range from mild nausea to frequent vomiting — but doctors suspect that surging human chorionic gonadotropin (hCG) and progesterone levels are the culprits.

Two pieces of good news: Though unpleasant for you, these symptoms won’t harm your baby. And pregnancy nausea is often short-lived, with symptoms typically ending early in the second trimester or sooner.

“Usually, we see an increase in morning sickness symptoms between eight and 10 weeks gestation, with many people reporting relief by week 16,” Costa says.

But not everyone who’s pregnant has morning sickness, and those who do have it don’t always have the same severity of symptoms. You may even find that your experience varies from one pregnancy to the next.

Remedies for morning sickness

If morning sickness has your stomach in knots, try one (or all!) of these tips to help ease your discomfort and start feeling like yourself again.

1. Eat often

“It may seem counterintuitive, but an empty stomach can actually make nausea worse,” Costa says. Every few hours, eat small meals or snacks that are easy to get down, like a handful of nuts or a few crackers.

Speaking of crackers — bland, starchy foods can help soak up gastric acid and settle the stomach, so keep some on hand.

2. Avoid food triggers

Pay attention to which foods seem to set off your nausea. Spicy, greasy, fatty and otherwise heavy foods are common culprits, while bland foods (like those found in the BRAT diet) are easier to stomach, literally.

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3. Prioritize protein

Studies show that protein-rich offer longer-lasting relief from nausea than foods that are high in carbohydrates or fats, so keep a supply of high-protein snacks at the ready to stave off the nausea. Costa’s favorite picks are yogurt, cottage cheese, milk, nuts and seeds.

4. Go sour for sweet relief

Fight a sour stomach with sour candies. “Sour flavors seem to help curb nausea,” Costa says. Try sucking on a piece of lemon-flavored hard candy.

You can also go straight to the source and suck on a slice of citrus fruit (think lemon, lime or orange). They’re all high in citric acid, which can help with digestion and may ease that nausea.

5. Drink for two

This one can be a bit of a “Catch-22”: Being dehydrated can contribute to nausea, but so can being uncomfortably full after drinking a lot of water. In short, you want to do your best to stay hydrated, but you don’t want to drink so much water that you make things worse.

And you don’t have to always go the plain water route, either. Give yours a squeeze of lemon or another fruit infusion, or try sipping ginger ale, clear soda or a fruity tea.

6. Stay vertical

You may feel inclined to lie down when you’re not feeling well, but the opposite is actually best for pregnancy nausea.

Avoid lying down after eating, which can cause the gastric juices in your stomach to rise. “This hinders digestion and contributes to that queasy feeling,” Costa explains.

7. Wait awhile to brush

Brushing your teeth right after eating can trigger your gag reflex, which is the last thing you want when you’re prone to nausea. “For best results, try to hold off on brushing for 30 minutes or so after you eat,” Costa suggests.

8. Avoid strong odors

“Odors that might seem innocuous when you’re not pregnant may suddenly turn your stomach,” Costa says.

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Studies show that everything from food to perfume to body odor can lead to nausea when you’re pregnant, thanks to the surging hormones. Try to steer clear of strong or offensive smells in the meantime.

9. Embrace pleasant aromas

Lightly scented essential oil scents can help ease nausea symptoms quickly. “For the fastest results, dab a few drops on a cotton ball and sniff,” Costa advises. Try:

Chamomile.
Ginger.
Lemon.
Orange.
Peppermint.

Of course, every pregnant body is different, so if any of these scents seem to make your nausea worse, skip them and move on to the next.

10. Try a motion-sickness band

“These wristbands curb morning sickness, motion sickness and seasickness by putting pressure on the P6 pressure point on your wrists,” Costa explains. In acupressure terms, this spot is also known as the nei guan point.

If you don’t have a motion-sickness band handy, you can put light pressure on the nei guan spot on your own. Place three fingers on your wrist, just below your hand; the nei guan point is just below them, directly beneath your index finger.

11. Take your pills at night

Prenatal vitamins are an important part of a healthy pregnancy, but some people find that taking them in the morning contributes to an upset stomach. If you suspect this is the case for you, switch to taking them in the evening with a small, healthy snack.

12. Take care of yourself

Healthy lifestyle choices can go a long way toward keeping you and baby healthy — and help ward off nausea in the process. Aim to get a good night’s sleep, regular exercise and plenty of fresh air, all of which can help keep queasiness at bay.

When to see your doctor for morning sickness

Sure, pregnancy comes with its share of discomfort — but don’t ignore unusual symptoms. Talk to your doctor if you’re experiencing any of these troubling symptoms:

Abdominal pain.
Difficulty urinating.
Fever.
Inability to keep food/drinks down for 24 hours.
Vomiting blood.
Weight loss.

“It’s important to keep in mind that the hormones responsible for making you feel sick also play an important role in helping your baby develop and grow,” Costa says. “But if you’ve tried everything and your symptoms are still severely impacting your daily life, talk with your healthcare provider.”

We fight against toxicosis - articles from the specialists of the clinic "Mother and Child"

Alexandrova Anna Evgenievna

Embryologist

Clinic "Mother and Child" South-West

rest more

Very often in the first trimester, the expectant mother feels weak, drowsy, she wants to lie down to rest, and sometimes she simply does not even have the strength to move. This, of course, is not toxicosis, but if such sensations arise, then they must be indulged so as not to inadvertently provoke another attack of nausea. Get plenty of rest and do not make any sudden movements, because even if you just fail to get up from a chair, you can provoke an attack of nausea.

Sleep with the windows open: the air in the bedroom should be fresh and cool. Go to bed on time, do not sit at midnight in front of the TV or at the computer, eliminate all irritating factors: an uncomfortable mattress, blanket, pillow, hard bedding - lack of sleep can respond with morning sickness.

eat right

Eat small meals, 5-6 times a day, or even more often. When you wake up, don't get out of bed right away. One of the most effective methods against toxicosis is breakfast in bed. In the evening, put crackers, yogurt, or any product that you can tolerate well next to your bed. Eat it before you get up, and then lie down for a while. Most likely, morning sickness will either not appear at all, or will be very weak.

Usually, in case of toxicosis, it is not recommended to eat fatty, smoked, salty, pickled, drink soda (the usual set of food hazards). But it is likely that some not very healthy product will now be well tolerated, and something from healthy food, on the contrary, will cause nausea. "Pregnant whims" - a cake with herring or pineapples at night - these are the requests of the body that it needs one or another component in food. For example, the desire to chew chalk is a sign of calcium deficiency. So eat what you like and what you want, within reason, of course. And if you don’t feel like something, even if this product is extremely useful and necessary, don’t eat it. If you feel sick from some dish, it means that the body signals you: I don’t need this now!

drink more often

Toxicosis may not be limited to nausea, some may also vomit. This means fluid is lost. Therefore, between meals, drink more often: a sip or two of mineral water or tea with lemon will help to cope with nausea and replenish lost fluids. But drink in small sips. Also, you should not drink food and you should give up soups for a while - a large amount of food drunk and eaten, on the contrary, only provokes nausea and vomiting.

breathe fresh air

Outdoor walks are good for everyone, but especially for toxicosis. Firstly, when walking, the blood of the expectant mother and baby is saturated with oxygen, which is very important for health, and secondly, walking calms the nervous system. Together, this helps to reduce the unpleasant symptoms of toxicosis. You need to walk at least two hours a day - but not just along the street, but in the place where the air is really fresh: in the forest, park, square, and best of all outside the city. Before you go out, think over the route: go away from gas-polluted highways, street cafes, food stalls and other "fragrant" places.

eliminate fragrances

Taste and smell preferences change during the first trimester. Now even your favorite perfumes can cause nausea, headaches and allergic reactions. Therefore, put away all fragrant cosmetics that irritate you: perfumes, deodorants, creams, and so on. You will have to stop using your favorite perfume for both your husband and loved ones. Explain to others that this is not a whim, but a temporary measure, very soon everything will return to normal.

And do not worry that now you will be left without your usual beauty products. Both the cosmetic store and the pharmacy are full of different creams, tonics, shampoos without fragrance or with a minimal smell.

work with yourself

Psychologists believe that the cause of toxicosis is not only in hormonal changes, but also in the psychological state of a woman. The more a woman experiences, the more anxieties and fears she has, the more pronounced toxicosis can be. Ideally, it is better to limit yourself during pregnancy from any stress. Of course, it’s not always possible to eliminate nervous work or crowding in public transport, but watch less TV, don’t read negative news and various pregnant “horror stories” on the Internet, and don’t react to minor or even major everyday troubles everyone can do. Therefore, if you are worried about toxicosis, create your own comfortable world during pregnancy. If you can’t cope on your own, contact a specialist (psychologist). Toxicosis is really well treated with psychotherapy. The main thing is that the expectant mother should want to get rid of her own anxiety.

No matter how unpleasant toxicosis is, it does not last forever. It is necessary to suffer until the beginning or (less often) the middle of the II trimester. And very soon all the unpleasant symptoms of toxicosis will remain in the past!

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Acupressure for nausea and vomiting

Time to read: Approximately 2 min.

This information explains how to use acupressure (AK-yoo-PREH-sher) to help with nausea and prevent vomiting. Nausea is the sensation of vomit. Vomiting is the eruption of vomit.

Acupressure is a type of massage. It is based on the traditional Chinese medicine practice of acupuncture (AK-yoo-PUNK-cher). With acupressure, pressure is applied to certain points of the body. Such points are called acupuncture points (AK-yoo-points).

Pressing these points allows the muscles to relax and improves blood circulation. It also helps relieve many of the side effects of chemotherapy, such as nausea and vomiting.

You can do acupressure at home by applying pressure to various acupuncture points with your fingers. To learn how to do acupressure, watch this video or follow the steps below.

This video will show you how to perform acupressure to help relieve nausea and vomiting.

Details on video

The P-6 massage point is also known as nay-gwann. It is located on the back of the hand next to the wrist. Massaging this point helps relieve nausea and prevent vomiting.

Massage of this point is not recommended in the following cases:

The skin at or near the point is flaky or blistered.
An open wound at or near a point.
Rash at or near this point.
Redness, swelling, fever, or pus at or near the point.

How to find a massage point P-6

To find the P-6 massage point:

Position your hand so that your fingers are pointing up and your palm is facing you.
Place the first 3 fingers of your other hand on your wrist (see picture 1). Your fingers should be just below the crook of your wrist.
Place your thumb just below your index finger. Remove 3 fingers from your wrist, but leave your thumb in place (see Figure 2). Press on this place with your thumb. Under the thumb, you should feel 2 large tendons (tissue that connects muscles to bones). This spot between the two tendons is the P-6 massage point.
- Once you have found the massage point, you can relax your hand and keep it in a comfortable position.

Figure 1. How to place 3 fingers on the wrist to locate the thumb

Figure 2. How to press the thumb to the point under the index finger

Press this point with your thumb. While pressing, make circular movements with your thumb. You can move it clockwise (right) or counterclockwise (left). Do this for 2-3 minutes.
- Some people may find it difficult to use their thumb. Instead, you can use your index finger.
- Press hard enough, but not so hard that it hurts. You may feel some discomfort or tenderness, but it should not be pain. If you feel pain, then you are pressing too hard.
Repeat steps 1 to 4 on the other wrist.

You can massage this point several times a day until symptoms improve.

Acupressure is an additional treatment. Complementary therapies are treatments that can be used alongside primary cancer therapy. They can help relieve symptoms.

For more information about complementary treatments, call MSK's Integrative Medicine Service at 646-449-1010 or visit www.mskcc.org/integrativemedicine.

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