How to deal with sickness in pregnancy
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: 25 January 2023
Media review due: 25 January 2026
Page last reviewed: 13 April 2021
Next review due: 13 April 2024
Morning sickness | Pregnancy Birth and Baby
Morning sickness | Pregnancy Birth and Baby beginning of content6-minute read
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Morning sickness is a feeling of nausea or the experience of vomiting during pregnancy, most commonly during the first trimester. Despite its name, morning sickness can happen at any time of the day or night. While most pregnant women experience morning sickness at some point, for many women, it will pass by the second trimester.
Why do pregnant women get morning sickness?
Although the exact cause of morning sickness is unknown, it is associated with hormonal changes that occur during pregnancy.
An imbalance of dietary potassium and magnesium, low blood sugar and low levels of vitamin B6 (pyridoxine) are all known causes of nausea. Following a diet that includes whole foods with a wide range of vitamins and minerals will help you stay healthy and well during your pregnancy.
Why does it affect some women more than others?
Some women are more likely to feel nauseous during pregnancy than others. While morning sickness is hard to predict, women who have experienced morning sickness in a previous pregnancy are more likely to have it again.
How long does morning sickness last?
You are more likely to feel morning sickness between 6 and 14 weeks of pregnancy, during your first trimester. While it is commonly known as ‘morning’ sickness, it may last throughout the day or night.
It is unusual to experience morning sickness for the first time after week 10 of pregnancy, so if this happens to you, consult your doctor to rule out other health conditions and to give you peace of mind.
How can I relieve morning sickness?
To relieve morning sickness, consider:
- eating smaller meals more often (include morning and afternoon snacks between main meals)
- eating a plain cracker shortly after waking up
- drinking water before and after a meal, rather than with food
- aiming to drink 8 glasses of water a day
- avoiding spicy or fatty foods
- eating protein-rich foods (such as nuts or cheese)
- avoiding skipping meals
Soda (or carbonated) water and ginger/peppermint tea are also known to help relieve nausea and settle an upset stomach.
Some women become more sensitive to strong food smells while pregnant. If certain smells bother you, consider asking for help preparing your food. You can also increase ventilation in your kitchen while cooking by opening windows to get rid of cooking smells. Cold foods produce less odour than hot foods, so you may find these more appetising.
Nausea may feel worse when you are over-tired, and taking rest or nap breaks frequently throughout the day may help. Other suggestions include:
- deep breathing or relaxation exercises
- anti-nausea wristbands (available at most chemists)
- acupuncture treatments (but only when administered by a qualified practitioner trained in maternal care)
Be sure to check with your doctor before you take any supplement, prescription or over-the-counter medicine, especially while pregnant.
Is morning sickness harmful for my baby?
Even though morning sickness can be unpleasant and distressing, there is no research to suggest that it causes harm to your baby. Nausea may, however, influence your food choices. Both you and your baby need an ongoing source of a range of nutrients in the foods you eat. Speak with a health professional if you think that your morning sickness is getting in the way of healthy eating.
It is also important to prevent dehydration, so if you are vomiting and unable to keep fluids down, see your doctor immediately.
What do I do if my morning sickness is severe?
When morning sickness is severe, it is known as hyperemesis gravidarum. A pregnant woman who experiences severe vomiting for an extended period of time may need monitoring and treatment in hospital. An intravenous (IV) drip is inserted to replace essential salts and fluids and prevent dehydration. If you are vomiting whenever you eat or drink, consult a health care professional, since early treatment can protect you and your baby from health complications.
When should I see my doctor about morning sickness?
If nausea or vomiting is causing significant discomfort, or if you suspect that you have hyperemesis gravidarum, you should see your doctor.
Other signs you need to see a doctor include:
- very dark urine
- blood in vomit
- extreme fatigue
- dramatic weight loss
- dehydration due to inability to keep fluids down
CHECK YOUR SYMPTOMS — Use the Pregnancy problems Symptom Checker and find out if you need to seek medical help.
In some cases, a doctor may advise a home remedy. In other cases, they may refer you to another healthcare professional, such as a dietitian — to help you create a healthy and enjoyable meal plan — or to a specialist for further tests. Your doctor may prescribe you with medicine to ease your symptoms, such as an antiemetic (to prevent vomiting), or vitamin and mineral supplements.
If your symptoms persist after treatment, it is a good idea to return to your doctor for another consultation — there may be another approach you can try.
Speak to a maternal child health nurse
Call Pregnancy, Birth and Baby to speak to a maternal child health nurse on 1800 882 436 or video call. Available 7am to midnight (AET), 7 days a week.
Sources:
The Royal Hospital for Women (Nausea and vomiting of pregnancy), Royal Women's Hospital Victoria (Common concerns in early pregnancy - itching and skin), HealthyWA (Morning Sickness), The Royal Australian College of General Practitioners (Managing nausea and vomiting in pregnancy in a primary care setting), Department of Health (Clinical practice guidelines: Pregnancy care), Mater Mothers’ Hospital (Morning sickness and hyperemesis)Learn more here about the development and quality assurance of healthdirect content.
Last reviewed: September 2021
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Related pages
- Severe vomiting during pregnancy (hyperemesis gravidarum)
- Having a healthy pregnancy
- Healthy diet during pregnancy
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Colds during pregnancy: how to treat?
Any cold or respiratory disease in early pregnancy, during the primary formation of the fetus, can lead to unpredictable consequences and complications. The matter is complicated by the fact that most medications are absolutely contraindicated for use during gestation.
In this regard, the treatment and prevention of colds in pregnant women is an important issue, which should be approached especially responsibly! The main thesis is: be careful with medicines and apply mild preventive measures based on alternative medicine methods to avoid respiratory diseases and flu.
"One for two - immunity"
This is a very fragile system, it is not necessary to interfere in its work, but it is necessary to support and strengthen it. Pregnancy belongs to the category of special, albeit temporary, conditions during which a woman needs additional protection.
This issue will help simple recommendations that are available to everyone:
• During the period of frequent weather changes, it is necessary to dress warmer, paying special attention to footwear.
• During an epidemic, it is better for a pregnant woman to refrain from being in crowded places - transport, metro, shops and hospitals. If there is an urgent need, to prevent possible infection, a protective respiratory mask should be worn before leaving the house.
• Be especially careful about hygiene after visiting the street and public places. Upon returning home, the first thing to do is wash your hands thoroughly.
Interesting: More than 90% of all acute respiratory infections are caused by viruses, about 10% are bacteria and other pathogens. Accordingly, any soap can be used, not necessarily antibacterial.
• Before going outside, you can lubricate the nasal mucosa with oxolinic ointment. Upon returning home, flush the upper respiratory tract with soda solution.
• Rationalization of nutrition and intake of vitamins will strengthen the immune defense. It is especially useful to eat fruits and vegetables that are enriched with vitamins and have not undergone heat treatment.
Interesting: our grandmothers used to say: in order not to get sick, you need to drink chicken broth! Strange, but until recently, scientists did not attach much importance to this prophylactic. Pulmonologist Stefan Rennard decided to find out if this was true or not. The professor conducted a study and proved that the use of chicken broth affects the mobility of neutrophils, leukocytes that protect the body from infections and activate the immune system.
- Vitamins can be taken using ready-made pharmaceutical multivitamin complexes. Before choosing a drug, you should consult your doctor.
- Compliance with the regimen and duration of sleep - at least 9 hours a day. The possibility of psychotraumatic situations should be minimized.
- Maintaining cleanliness in the living quarters (ventilation, wet cleaning).
- Air humidification is an important aspect in the prevention of influenza and respiratory diseases. If air conditioners or heaters are used in the house of a pregnant woman, it would be best to purchase a mechanical humidifier.
Medications for prevention
- Grippferon - a drug in the form of drops for the nose, which provides prevention and treatment of influenza, is not contraindicated for pregnant and lactating women. The drug stimulates an increase in immunity, has a pronounced antiviral effect that can protect against colds, infections and influenza varieties.
- Ascorbic acid - can be used as a separate source of vitamin C in a synthetic version, with a reduced daily intake from food. Ascorbic acid not only prevents infection, but also fights viruses that have already entered the body of a woman.
- Viferon - nasal ointment, which is prescribed for the prevention of influenza and respiratory infections during an epidemic. The ointment has protective and immunomodulatory effects, and also allows you to deal with disorders that are already occurring in the body at the time of use. Viferon in the form of a nasal ointment has no contraindications for use in pregnant women at any time, including the first trimester.
- Aquamaris is a natural drug in the form of a nasal spray that allows you to moisturize the nasal mucosa, thereby reducing the risk of influenza viruses entering the nasal cavity.
I would like to say a few words about such a method of prevention as vaccination. Most often, the expectant mother may be at risk of infection due to the annual influenza epidemic. This disease is dangerous for a pregnant woman precisely because of its complications: pneumonia, bronchitis, otitis media. Influenza in a pregnant woman can also affect the health of the fetus. Most of all, it is dangerous in the early stages of pregnancy, when the tissues and organs of the human embryo are laid and formed. Viral intoxication or drug exposure can lead to pathology of the child's organs. In later pregnancy, there is a risk of infection of the fetus.
The most dangerous consequence of influenza in a pregnant woman is threatened miscarriage or premature birth!
It is quite natural that expectant mothers often wonder whether or not to vaccinate.
Studies have concluded that the use of inactivated ("killed") influenza vaccines does not have a teratogenic effect on the fetus and does not harm the health of a pregnant woman. After consulting with your doctor about such an inoculation, you can come to an optimal solution. If an influenza epidemic is inevitable, and the pregnant woman has no contraindications, then the vaccine should be given. If a pregnant woman has a negligible risk of infection, she does not come into contact with a large number of people, or is opposed to vaccination, then you can not do it. According to research, it is known that vaccination of mothers reduces the risk of influenza infection of a born child by 63%. Seasonal influenza prevention is carried out in September, October. Vaccinations for pregnant women are recommended from the second trimester of pregnancy.
In the period of a planned pregnancy, a flu shot is given 1 month before it: the formation of immunity occurs 2-4 weeks. Protection after vaccination lasts about a year.
If infection does occur, action should be taken immediately if at least one symptom of the disease is detected. The health of a pregnant woman and her unborn child depends entirely on her responsibility and respect for her own body.
Proven folk remedies will be used first. Since pregnant women cannot steam their legs, steam their hands, and this will facilitate nasal breathing. Bundle up, put on woolen socks and crawl under the covers: warmth, peace and sleep are good for colds. Do not forget to drink plenty of water - hot green tea with lemon and honey, lime blossom tea, cranberry juice, rosehip broth, dried fruit compote. Ginger in the form of tea also helps, not only with catarrhal symptoms, but with nausea in the morning.
Various hot milk drinks are also suitable. Honey can be added to milk, and it is best to boil it on onions. It must be emphasized right away that not all herbs for colds during pregnancy can be used. Here is a list of medicinal plants that are contraindicated: aloe, anise, barberry, elecampane (grass and root), sweet clover, oregano, St. John's wort, strawberries (leaves), viburnum (berries), raspberries (leaves), lemon balm, lovage, wormwood, licorice root), celandine, sage. Accordingly, preparations containing these plants should not be taken.
The use of medicines for colds during pregnancy must be treated with great care!
It is contraindicated to use the following drugs : Pertussin, Tussin plus, Joset, Glycodin, Ascoril, Travisil, Broncholitin, ACC, Grippeks, Codelac, Terpinkod. Do not use lozenges and lozenges for sore throat or cough are also undesirable due to the likelihood of allergic reactions.
Spray Pinosol, judging by the components indicated in the instructions, is not dangerous during pregnancy. However, the essential oils contained in the preparation - pine, peppermint, eucalyptus, thymol, guaiazulene (wormwood oil) - can lead to an allergic reaction with swelling of the nasal mucosa.
Viferon suppositories are allowed to be used only after 14 weeks from the start of conception. This drug contains recombinant human interferon alpha-2, ascorbic acid and alpha-tocopherol acetate and has antiviral, immunomodulatory and antiproliferative effects. It is used in the treatment of various infectious and inflammatory diseases in adults and children (including newborns). In the form of an ointment, Viferon is used to treat herpetic lesions of the skin and mucous membranes. The ointment is applied in a thin layer to the affected areas of the skin 3-4 times a day for 5-7 days.
The homeopathic preparation Stodal, which includes predominantly herbal ingredients, acts on various types of cough and has an expectorant and bronchodilator effect.
Viburkol - homeopathic suppositories - have analgesic, anti-inflammatory, sedative, antispasmodic action. They are prescribed in the complex therapy of acute respiratory viral infections and other uncomplicated infections (including in newborns), as well as in inflammatory processes of the upper respiratory tract and inflammatory diseases of the genitourinary system.
So, you can try to eliminate a slight ailment on your own, but there are conditions under which you need to call a doctor at home:
- Prolonged fever;
- Myalgia, fatigue, fatigue, general malaise;
- Difficulty breathing, nasopharyngeal lumps and dry or wet barking cough;
- A pregnant woman is troubled by severe pressing headache.
In conclusion, I would like to emphasize the importance of treating chronic diseases before pregnancy, a healthy lifestyle during childbearing and following all doctor's orders.
I wish expectant mothers and their loved ones to try to maintain a good mood: optimists live longer and happier, they are more productive. Remember your victories and pleasant moments more often and everything will be fine!
Cholecystitis during pregnancy: causes, symptoms, diagnosis, treatment
Cholecystitis is an inflammatory disease of the gallbladder with the possibility of formation of stones (calculi) in it. It can be either acute (with a pronounced pain attack) or chronic (with episodic exacerbations). Also, this ailment is not always accompanied by the appearance of stones, but if it is not cured in time, then their formation is possible as a complication.
Why cholecystitis occurs in pregnant women
Pregnancy is one of the risk factors for the development of the disease, since during this period a woman's hormonal levels change significantly, which can become one of the causes of cholecystitis.
Factors that provoke the appearance of this disease:
- Predisposition to the appearance of the disease
- Infection due to malfunction of the gastrointestinal tract
- Cholecystitis was in a chronic form and did not cause inconvenience, but aggravated during pregnancy
- Previously diagnosed cholelithiasis
- Stagnation of bile against the background of changes in the level of hormones
- Violation of the outflow of bile due to a change in the physical position of the gallbladder, its compression and displacement by other organs
According to statistics, pregnant women in the third trimester, as well as middle-aged patients, are most susceptible to the development of cholecystitis.
Signs of cholecystitis in pregnant women
Against the background of the general changed state of the body of a patient who is “in position”, it can be quite difficult to understand that any serious disease has appeared. To avoid complications and discomfort, you need to pay attention to the following symptoms:
- Nausea and vomiting and bitterness in the mouth
- Excessive salivation
- Belching or heartburn with a bitter taste
- Pain and discomfort on the right side under the ribs after eating spicy, fried or salty foods
- Excessively long period of toxicosis (in the normal state it lasts up to 12 weeks, and in the presence of cholecystitis - up to 30)
Exacerbation of chronic cholecystitis
The transition of a chronic disease to an acute stage during pregnancy is possible for such reasons as:
- Crushing of the gallbladder by other organs
- Production of some liver enzymes due to the influence of hormones, which also affects the functioning of the gallbladder
- Distortion of the digestive process
- Bacteria and infection
Treatment: cholecystitis during pregnancy
If cholecystitis has been diagnosed, treatment during pregnancy can be of two types:
- Medication
- Surgical
Drug therapy should be prescribed by a qualified doctor, since only he can choose those drugs that will help to cope with the disease, but at the same time will not harm the developing fetus.
In a situation where the patient's condition is critical and medical treatment fails to solve the problem, the doctor may prescribe an operation to remove part of the gallbladder. This treatment is used only as a last resort.
An important part of the treatment of cholecystitis is diet, within which it is necessary to exclude:
- Alcoholic beverages
- Use of tobacco products
- Fried, salty, spicy, smoked foods
- Fatty meat, fish
- Seasonings (spicy)
- Dairy products (fatty)
- Legumes
- Coffee
- Chocolate and cocoa products
- Mushrooms
- Carbonated drinks
Eat 5-6 small meals a day:
- Eat fruits, vegetables (not acidic)
- Kashi
- Dairy products (nonfat)
- Boiled or steamed dietary meat or fish dishes
- Protein omelets
- Small amount of vegetable oils
- Unsweetened pastries (bread, biscuits)
- Marmalade, dried fruit
It is impossible to experience serious physical exertion, but at the same time it is necessary to move: do gymnastics, etc. You should also undergo physiotherapy and rehabilitation in a sanatorium under the supervision of specialists.
How to treat cholecystitis
When diagnosed with cholecystitis, treatment in pregnant women largely coincides with that in other groups of sick people. Drug therapy should be prescribed by a doctor, since not all drugs for the treatment of this disease can be used. Some of them can adversely affect the fetus.
The following types of drugs are used in the standard treatment regimen:
- Antispasmodics
- Choleretic
- Gastrointestinal and gallbladder stabilizers
- Antibiotics
- Enzymes
- Prokinetics
- Substances containing lactobacilli and bifidobacteria
Advantages of the procedure in MEDSI
- A specialized Women's Health Center has been created in the MEDSI clinic network, which provides a full range of diagnostic and therapeutic procedures for pregnant patients, including the Expectant Mother pregnancy management program
- The Center employs highly qualified doctors of various profiles, so there is no need to travel to several places to undergo a comprehensive examination or treatment
- Specialists keep track of innovative developments and constantly improve their own skills in large Russian and foreign clinics
- Clinics have new modern expert-level equipment (ultrasound, MRI, etc.