Morning sickness worse week 10

When does morning sickness start and end?

In general, morning sickness starts around week 5 and peaks by week 9 or 10, when levels of the pregnancy hormone human chorionic gonadotropin (hCG) are highest. For most women, morning sickness fades between 14 and 20 weeks.

When does morning sickness start?

Morning sickness – also called nausea and vomiting of pregnancy – affects different expecting moms at different times (and some not at all). But it usually starts around week 5 or 6 of pregnancy. For some women, that telltale queasy feeling is one of the first giveaways that they're pregnant.

Unfortunately, morning sickness is very common. In fact, around 70 percent of pregnant women experience morning sickness in early pregnancy. In addition to nausea and vomiting, other symptoms of morning sickness include retching (dry heaving) and excessive salivation.

"Morning sickness" is a misleading term because the condition often starts in the morning and lasts all day. Some women feel better as the day wears on, but others find their symptoms get worse in the evening.

This unpleasant part of pregnancy is thought to be linked to the pregnancy hormone human chorionic gonadotropin (hCG) and estrogen. Both hormones rise rapidly in early pregnancy, and women with higher hCG levels (like moms of multiples) often have more severe morning sickness.

For some expecting moms dealing with morning sickness, it's reassuring to keep in mind that in this case, feeling crappy means that your body is doing what it's supposed to – producing hormones that support your baby's development. But plenty of women with healthy pregnancies never have morning sickness, so if you don't experience it, don't be alarmed.

Morning sickness usually isn't harmful to your health or to your growing baby, but it makes it hard to get through the day. A "mild" case can mean feeling nauseated for a short time every day and vomiting once or twice. Many women describe it as feeling "blech" all the time. Many also have specific and significant food aversions. In more serious cases, nausea lasts for several hours and vomiting happens frequently.

And in the worst cases, some women experience hyperemesis gravidarum (HG), a severe form of morning sickness that can result in weight loss, dehydration, and other complications. Women with HG throw up so often that they can't keep down enough food and fluid, and may need to be treated in the hospital with IV fluids, vitamins, and medication. (If you aren't able to keep liquids down for more than 12 hours, or solid foods down for 24 hours, call your healthcare provider.)

Because morning sickness is common in pregnancy, some providers may minimize it. And some expecting moms are reluctant to seek help, in part because they're worried about taking medications that could affect their baby. But there are safe ways to get relief from morning sickness, including changes to your diet and lifestyle, natural remedies, and medication prescribed by your provider. And many experts say that getting early help for morning sickness is important to prevent it from getting more severe. So be sure to talk to your provider if you're suffering.

When does morning sickness peak?

It varies from woman to woman, but symptoms tend to be the worst at around 9 or 10 weeks, when levels of hCG are at their highest. At 11 weeks, hCG levels start to fall, and by 15 weeks they've dropped about 50 percent from their peak.

Scientists believe that morning sickness may be the body's way of protecting your baby in early pregnancy from toxins and potentially dangerous foods. This theory makes sense because the first trimester – when most women have the strongest morning sickness – is the crucial period of development when all of your baby's organs and physical structures form.

How long does morning sickness last?

Most women get relief from morning sickness by the second trimester, between 14 and 20 weeks. But some women with morning sickness continue to have symptoms beyond that, and a few women will experience it throughout their entire pregnancy.

If your morning sickness lasts beyond 20 weeks of pregnancy, occurs for the first time after 9 weeks of pregnancy, or lessens and then returns, play it safe and let your healthcare provider know. Persistent nausea and vomiting can sometimes indicate another medical problem – or just make you miserable – so it's important to be seen and possibly treated.

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Morning sickness | March of Dimes

Morning sickness is when you have nausea and vomiting during pregnancy. Even though it’s called morning sickness, it can happen any time of day.

Morning sickness usually starts at about 6 weeks of pregnancy and goes away in the second trimester.

Lots of pregnant women have morning sickness. It usually doesn’t cause harm to you or your baby.

Hyperemesis gravidarum is severe nausea and vomiting that needs treatment (sometimes in a hospital) to help you get better.

If your morning sickness is severe or if it goes into your fourth month of pregnancy, tell your health care provider right away.

What is morning sickness?

Morning sickness (also called nausea and vomiting of pregnancy, or NVP) is nausea (feeling sick to your stomach) and vomiting that happens in the first few months of pregnancy. Even though it's called morning sickness, it can last all day and happen any time of day.

At least 7 in 10 pregnant women have morning sickness in the first trimester (first 3 months) of pregnancy. It usually starts at about 6 weeks of pregnancy and is at its worst at about 9 weeks. Most women feel better in their second trimester, but some have morning sickness throughout pregnancy. If you have morning sickness, tell your health care provider.

Mild morning sickness doesn’t harm you or your baby. But if nausea and vomiting becomes severe (called hyperemesis gravidarum), it can cause serious problems during pregnancy. You may need to stay in the hospital for treatment.

What is hyperemesis gravidarum?

About 3 in 100 women may have hyperemesis gravidarum. This is extreme, excessive nausea and vomiting during pregnancy. It can cause you to lose weight and become dehydrated (not have enough water in your body). It can start early in pregnancy and last the entire pregnancy. If you have hyperemesis gravidarum, you need treatment to help keep you and your baby safe.

You may be at risk for hyperemesis gravidarum if you:

Are pregnant for the first time.
Are pregnant with a girl.
Are pregnant with multiples (twins, triplets or more). Being pregnant with more than one baby may increase your risk for severe morning sickness because you may have a large placenta and increased pregnancy hormones. The placenta grows in your uterus (womb) and supplies your babies with food and oxygen through the umbilical cord.
Had mild or severe morning sickness in a previous pregnancy, or your mother or sister had severe morning sickness during pregnancy. Take your family health history to help you find out about health conditions that run in your family. This is a record of any health conditions and treatments that you or your family members have had.
Have motion sickness or migraines. A migraine is a severe headache that may make you sensitive to bright lights and sound.
Are overweight.
Have trophoblastic disease, a condition that leads to abnormal cell growth in the uterus (womb).

Signs and symptoms of hyperemesis gravidarum include:

Vomiting more than 3 to 4 times a day
Vomiting that makes you dizzy or lightheaded
Vomiting that makes you dehydrated. Signs and symptoms of dehydration include feeling thirsty, dry mouth, a fast heart beat or making little to no urine.
Losing more than 10 pounds in pregnancy

If you have hyperemesis gravidarum, your provider may treat you with medicine to help relieve your nausea and vomiting. You may need treatment in a hospital with intravenous (also called IV) fluids. IV fluids go through a needle into your vein. They help you stay hydrated and can give you nutrients that you usually get from food. If you continue to lose weight, you may need a feeding tube to make sure you’re getting enough nutrients for you and your baby.

What causes morning sickness?

We don’t know for sure what causes morning sickness. It may be caused by low blood sugar or increased pregnancy hormones. Morning sickness may be worse if you’re stressed or overly tired, if you eat certain foods or if you’re traveling (if you often have motion sickness).

Can you prevent or relieve morning sickness?

Yes. Here’s what you can do to help you feel better and even prevent morning sickness:

Take a prenatal vitamin before you get pregnant. Talk to your health care provider about which one to take. Sometimes vitamins can upset your stomach, so take it with a snack.
Keep snacks by your bed. Eat a few crackers before you get up in the morning to help settle your stomach.
Eat 5 or 6 small meals each day instead of 3 larger meals.
Eat foods that are low in fat and easy to digest, like cereal, rice and bananas. Don’t eat spicy or fatty foods.
Eat healthy snacks between meals. This can help keep your stomach from being empty and helps prevent nausea. Try snacks that are high in protein, like milk or yogurt.
Drink plenty of fluids, especially water.
Avoid smells that upset your stomach.

You may have heard about these ways to prevent or relieve morning sickness. Talk to your provider before trying any of these:

Acupressure and acustimulation (also called electrical nerve stimulation) wristbands. These involve putting pressure on or stimulating certain points of the body (called pressure points) to help prevent nausea.
Acupuncture. This is a kind of treatment in which thin needles are put into your skin. If you’re thinking about acupuncture to help with morning sickness, tell your provider and find an acupuncturist who is trained to work with pregnant women.
Ginger. Ginger is an herb (plant) used in cooking and medicine. Ginger ale, tea or candies may help relieve morning sickness.

Even if it’s legal where you live for either personal or medical use, it’s not safe to use marijuana to treat morning sickness. No amount of marijuana has been proven safe to use during pregnancy. If you’re thinking of using marijuana to help with morning sickness, talk to your provider about other treatments that are safer for your baby.

Is there medical treatment for morning sickness?

Yes. If you can’t relieve morning sickness on your own or if you have severe nausea and vomiting of pregnancy, your provider may treat you with these medicines:

Vitamin B6 and doxylamine. Your provider may treat you with these medicines separately or together. You can get vitamin B6 and doxylamine over-the-counter (OTC), which means you don’t need a prescription for them from your provider. Doxylamine is found in some OTC sleep aids (medicines that help you sleep). Or your provider may prescribe you a medicine that combines them.
Antiemetic drugs. These are drugs that help prevent vomiting. If Vitamin B6 and doxylamine don’t work, your provider may prescribe an antiemetic drug for you. Not all are safe to use during pregnancy, so talk to your provider to make sure the medicine is a good choice for you.

Talk to your provider before you take any medicine during pregnancy, even medicine to help treat morning sickness.

When should you call your health care provider about morning sickness?

For most women, morning sickness is mild and goes away over time. But call your provider if:

Your morning sickness continues into your 4th month of pregnancy.
You lose more than 2 pounds.
Your vomit is brown in color or has blood in it. If so, call your provider right away.
You vomit more than 3 times a day and can’t keep food or fluids down.
Your heart beats faster than usual.
You’re tired or confused.
You’re making much less urine than usual or no urine at all.

Last reviewed: September, 2020

10th week of pregnancy: sensations, signs, fetal development

Pregnancy

Article

2.6/5 226 reviews

By the 10th week of pregnancy, the sensations caused by hormonal changes in a woman's body usually subside. Morning sickness, dizziness and weakness may still bother you, but gradually give way to the "honeymoon" of pregnancy, which comes in the second trimester. The embryo continues to actively grow, develop, and at the 10th obstetric week of pregnancy acquires the status of a fetus.

8 min. for reading By Oksana Negrich Feb. 17, 2022

10 week fetal development

At 10 weeks pregnant, the baby is about the size of a strawberry or a little cream. Now his height is 30–40 mm, and his weight is about 5 grams. The body of the child is covered with thin fluffy hairs - lanugo.

All the vital organs of the baby are already formed, but they continue to grow and improve. The head, still large in relation to the body, is rounded, the neck appears, the brain and nerve endings are actively developing.

By the 10th week of pregnancy, all the facial bones appear, so the facial features become clearer. Eyes and eyelids have already formed, eyebrows are starting to grow, ears have acquired lobes. The rudiments of milk teeth appear, which erupt in the first year after the birth of a child.

The bones of the skeleton, previously more like cartilage, harden. Therefore, the crumbs during this period need more calcium. The limbs become stronger, the membranes between the fingers disappear, the nails begin to grow. Muscles develop intensively, the baby learns to bend and unbend his arms at the elbows and wrists. Along with this, the umbilical cord becomes longer, which allows the child to move inside the amniotic sac, starting from its walls. Already at the 10th obstetric week of pregnancy, the fetus is actively moving, but the expectant mother does not yet feel it.

Muscle tissue appears not only on the limbs, but also in the oral cavity, which allows the baby to swallow. The tiny tongue is covered with taste buds.

The child's intestines, kidneys, liver and pancreas are already working. The heart is still beating very fast - up to 160-170 beats per minute.

10th week of pregnancy: well-being and changes in the mother's body

At the 10th week of pregnancy, the belly is still little noticeable, but the figure is gradually rounded: the breasts noticeably increase, and the hips move forward when walking. The uterus during this period reaches the size of a large orange and can put pressure on neighboring organs, provoking frequent urge to urinate. Sometimes this can be accompanied by incontinence, which manifests itself during strong exertion, laughter, sneezing or coughing.

Despite a slight increase in the waist, during the 10th week of pregnancy, the sensations in the abdomen are not very pleasant. The round ligaments that support the growing uterus are stretched, causing pain in the lower abdomen. Discomfort is aggravated by turning while lying down or during heavy physical exertion.

Important!

Normally, round ligament tenderness resolves on its own. But if the discomfort is too strong, accompanied by fever or strange discharge, be sure to consult a doctor.

High levels of the hormones relaxin and progesterone are kept in the blood, which are necessary for bearing a child, but at the same time they often cause drowsiness and increased fatigue. Also, hormonal changes in the body stimulate hair growth, even in places where there were not so many of them before. But do not be afraid, after childbirth it will pass.

The growing uterus and placenta require more blood, so during this period the heart works 40-50% more intensively. Also, due to an increase in blood volume and an increase in hormone levels at the 10th week of pregnancy, the discharge becomes more abundant. Beli (the so-called normal physiological discharge) is normally transparent, milky white or slightly yellowish, mucous and practically odorless.

Important!

If the discharge has a peculiar smell or color change, if it is accompanied by itching or discomfort in the vaginal area, be sure to consult your doctor.

Toxicosis at this stage is still a concern, but not so acute. By week 12, nausea usually subsides completely. As for sex at the 10th week of pregnancy, you should be careful, but you don’t need to give up intimate life at all. After all, sex is a pleasant way of emotional unloading and strengthening the closeness of future parents. And in order not to harm the baby, use barrier contraception and give up for a while from excessive activity or risky experiments.

What to look out for at 10 weeks pregnant

The first trimester is the most important and stressful period of pregnancy. During the first 8-10 weeks, the fetus is the most fragile. Any external factors - stress, illness, improperly selected medications, insomnia, nutritional problems - can affect the formation of vital organs and systems and cause irreversible consequences.

By the 10th week of pregnancy, the dangers are slightly less. The crisis period has actually passed, since the main organs have formed and strengthened the placenta, which protects the baby from substances harmful to him. But this does not mean that you can completely relax and neglect the doctor's recommendations.

At the 10th obstetric week of pregnancy, you still need to carefully monitor your well-being so as not to miss alarming symptoms that may indicate health-threatening conditions.

Pain in the lower abdomen. Many mothers during this period experience discomfort caused by sprains of the round ligaments - and this is normal. But if during pregnancy at week 10 the stomach hurts constantly, if the pain is severe, sharp, accompanied by fever or chills, you should immediately consult a doctor for help.
Severe headaches. The first weeks of pregnancy are often accompanied by periodic headaches, weakness and dizziness. This reduces the quality of life, but does not pose a danger to mother and child. But if the head hurts continuously, the attacks are very strong, up to nausea, loss of orientation and darkness in the eyes, it is worth scheduling a visit to the doctor as soon as possible. Such symptoms may indicate high blood pressure, which requires proper treatment and supervision by a specialist.
Painful nausea. Toxicosis at the 10th week of pregnancy is absolutely normal. But if nausea and vomiting increase and do not stop during the day, perhaps these are signs of hyperemesis - a severe form of toxicosis. Only a specialist can help get rid of such a syndrome.
Itching and burning when urinating. Urging to the toilet is common during pregnancy. But be careful: if urination is accompanied by itching, burning or pain, you need to consult a doctor and make sure that these are not signs of a urinary tract infection.
Bloody discharge. Blood on underwear is one of the most alarming symptoms during pregnancy. Therefore, if the discharge has become pink, dark red, brown, and even more so a bright scarlet hue, consult a doctor immediately.

How to take care of yourself during pregnancy

1. Pregnancy 10 weeks: a balanced diet

Your baby needs enough nutrients, vitamins and minerals to grow and develop properly. Therefore, throughout pregnancy, it is important to eat healthy and varied food: lean meat, fish, dairy products, vegetables, fruits, whole grain bread.

In addition, in the 10th week of pregnancy, pay special attention to cottage cheese, dairy products, milk and other foods rich in calcium. It is during this period that the bones are actively strengthened in the fetus and the rudiments of teeth are formed, so any food with a high content of calcium is very important.

Important!

If you can't eat certain foods, ask your doctor for prenatal vitamins. But in no case do not self-medicate - an excess of some substances can be no less harmful than a deficiency.

It is also advisable to avoid unhealthy foods and drinks during pregnancy. First of all, these are:

Alcohol, carbonated soft drinks.
Fatty, fried and smoked foods.
Sugar and sweets in large quantities.
Fish and seafood high in mercury (certain types of tuna, marlin, king mackerel, tilefish, and others).
Foods that are too salty or spicy.
Raw meat and raw fish dishes.
Soft cheeses with mold.
Cured and dried meat and fish that have not been cooked.

It is also important to limit coffee consumption to 2 cups a day, then this will not harm the baby's health. And don't forget to drink plenty of pure water.

2. Healthy sleep and rest

Until the end of the first trimester, the expectant mother continues to experience drowsiness and fatigue. Therefore, it is important to establish a regimen for good rest and a sufficient amount of sleep. This will help restore strength and positively affect the development of the baby.

3. Comfortable underwear

Breasts are growing, and to avoid discomfort and stretch marks, you need to replace your usual underwear with more comfortable models of natural fabric bras with wide straps and comfortable cups without internal seams.

Due to the increased load, women often develop varicose veins during childbearing. To avoid serious disorders in the later stages, take care of your vessels already at 10 weeks of gestation. Walk more, do not cross your legs while sitting, and consult a phlebologist about wearing compression underwear to prevent varicose veins.

What to discuss with the doctor at the 10th week of pregnancy

1.

Tests and ultrasound

If you have not been to the doctor since the beginning of pregnancy, then it's time to contact the antenatal clinic. Moreover, the deadlines for the first scheduled screening are approaching. The doctor will be able to check all aspects of pregnancy at 10 weeks and give a referral for the examinations necessary during this period:

general blood and urine analysis;
analysis to determine the blood group and Rh factor;
blood test for infections and various diseases;
determination of blood glucose level;
smear for flora and cytology.

If there are complaints or indications at the 10th obstetric week of pregnancy, the doctor may prescribe additional examinations, for example, a blood test to determine the level of the hormone hCG (human chorionic gonadotropin). It helps to understand whether the pregnancy is proceeding normally, and to eliminate the threat of its termination.

Ultrasound is rarely done at 10 weeks of gestation. Usually this procedure is carried out during the first screening - at 12 weeks. But if there is an indication, the doctor can perform an ultrasound diagnosis to take a good look at the fetus and make sure everything is in order.

2. Physical activity

Pregnancy at 10 weeks is a great time when the tummy does not interfere with movement, so you can (and even need to!) go in for sports and keep your body in good shape. If before conceiving a child you regularly did fitness, yoga, ran or went to the pool, you should not give up training. But be sure to warn your trainer about pregnancy and consult with your gynecologist about the selected exercises.

If earlier you did not move much and the body is not accustomed to physical activity, you should not experiment at the 10th obstetric week of pregnancy. Start small - walk more, walk in the fresh air, do a light workout or special yoga for pregnant women. If you have contraindications or you are not sure which exercises are right for you, be sure to discuss this with your doctor.

Material approved by doctor Oksana Negrich.

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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 weakness, drowsiness, 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 in fractions, 5-6 times a day, or even more often, and always in small portions. 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.

exclude 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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