Prevention of nausea in pregnancy

10 Tips To Help Survive Nausea During Pregnancy

By
Micah Dorfner

April 13, 2015

Positive pink line on pregnancy test? Check. Small flutter on early ultrasound? Check. Nausea and vomiting? Double-check.

Often the constant feeling of nausea, which is accompanied by vomiting, soon overshadows the excitement of early pregnancy. Approximately 50-90 percent of women experience nausea and vomiting in their pregnancy, and 5 percent of women have the same symptoms throughout the entire pregnancy, per The American Congress of Obstetricians and Gynecologists.

"The term 'morning sickness' is misleading; nausea can occur any time of the day," says Emily Linklater, D.O., Mayo Clinic Health System OB/GYN physician. "For most women, the nausea ends sometime in the late stages of the first trimester. Nausea may also be worse — or better — in one pregnancy versus another."

Unfortunately, science hasn’t proven the exact cause of nausea and vomiting in pregnancy. The elevated pregnancy hormone, BHCG, and elevated estrogen have both been hypothesized as contributing to symptoms.

What can an expectant mother do? Here are some tips for surviving nausea and vomiting:

Eat several small meals a day, and don’t skip breakfast. Many women need to have a few saltine crackers before getting out of bed in the morning.
Avoid triggers. If the smell of chicken makes you nauseous, avoid the smell when possible.
Don’t lie down after eating.
Plan small snacks throughout your day to avoid long periods of time without eating.
Avoid spicy and fatty foods.
Consider using anti-nausea wrist bands. These bands are placed on your wrist to trigger pressure points that may alleviate nausea.
Think about consuming ginger — either ginger ale, ginger candies or ginger tea.
Increase your intake of vitamin B6, which has been shown to help decrease nausea.
Change the time of day you take your prenatal vitamins. Take your prenatal vitamins in the morning, afternoon or night. Consider gummy vitamins if the traditional large pills trigger nausea.
Try to get plenty of rest.

If over-the-counter options do not improve nausea and vomiting, then it’s wise to speak with your health care provider about anti-nausea prescription medications. Many prescription medications are safe in pregnancy and can relieve severe symptoms.

Can nausea and vomiting cause a miscarriage or hurt your baby? The answer is no. However, it’s important to monitor yourself for signs of dehydration. If you’re losing weight, have decreased urination, or are unable to eat or drink for more than a day, you should see your health care provider.

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Nausea During Pregnancy | American Pregnancy Association

Nausea during pregnancy is typically one of the most experienced and complained about symptoms that women report. Up to 70 percent of expectant mothers experience nausea at some point during early pregnancy. Not only is it known to be one of the early signs of pregnancy, but it is a symptom that is common throughout the first trimester, and sometimes even longer.

While nausea is definitely an uncomfortable feeling, the good news is that it is not harmful to you or your baby, and it is often perceived as an indication of a healthy pregnancy. Nausea is a key part of the common concern referred to as morning sickness.

The cause of nausea during pregnancy is not completely understood. However, it does appear to be linked to the production of the human chorionic gonadotropin (HCG) hormone. Commonly referred to as the pregnancy hormone, this is the hormone that the body begins to produce once the fertilized egg attaches to the uterine lining. Again, how it contributes to nausea is unknown, but because of they both peak around the same time, they’re assumed to have a clear connection.

There are other theories as to what causes nausea during pregnancy as well. Some other contributing factors might be:

Estrogen is another hormone that rises during early pregnancy and could contribute to queasiness.
A sensitive stomach could be made worse while trying to adapt to the changes of pregnancy.
Stress or fatigue is suggested to cause a physical reaction within the body, leading to nausea and vomiting.

When to expect nausea during pregnancy

Nausea typically starts within four to eight weeks of gestation and is expected to subside between 13 and 14 weeks. However, it can start earlier and can last longer. Also, not every woman will experience nausea the entire duration of the first trimester. It could last only a couple of weeks or come and go throughout the first few months.

Many refer to nausea during pregnancy as morning sickness, leading women to believe they will only experience nausea in the mornings. In fact, research shows that “morning sickness” actually occurs more often throughout the entire day, rather than just in the early hours.

Nausea help during pregnancy

Treatment for and prevention of nausea during pregnancy is truly synonymous in regards to everyday self-care and home remedies. The following suggestions are beneficial to try as soon as you find out you are pregnant or if you are already pregnant and just looking for some relief. Look at the steps below, and explore our guide to managing morning sickness.

To help prevent and treat nausea during pregnancy, try:

Home or natural remedies

Avoiding foods and smells that trigger your nausea.
Keeping soda crackers by your bed and eating a couple before getting up. Allow some time for digestion, and rise slowly once you are ready.
Eating smaller meals more frequently throughout the day instead of three big meals.
Drinking less water/fluids with your meals, and instead, drink them between meals.
Eating drier, plain foods such as white rice, dry toast, or a plain baked potato instead of richer, creamier foods.
Sucking on hard candy.
Keeping rooms well ventilated or having a fan close by for easier breathing. If neither of these is possible, take time to go outside to get some fresh air.
Getting plenty of rest; Listen to your body when you are feeling fatigued, and try lying down.
Sniffing ginger or lemons, or drinking ginger ale or lemonade, which can help ease the feeling of nausea.
Talking with your healthcare provider about the prenatal vitamins you are taking; having too much iron may cause nausea, and switching to a different vitamin could help.
Asking your healthcare provider about taking a vitamin B-6 supplement, which has proven to help reduce nausea and vomiting.

Prescription Care for Nausea

Many women find that natural or home remedies do not help. It could be that some relief is experienced, but it may not be as much relief as you would like. The good news is that you can talk to your doctor to get a prescription that is specifically designed to treat nausea.

Concerns with nausea during pregnancy

If you are experiencing severe nausea and vomiting, and the above treatments do not appear to be helping, contact your doctor for further suggestions. While nausea during pregnancy can be normal, it can also point to a problem that needs to be addressed.
Examples of potential conditions seen with severe nausea are:

Hyperemesis Gravidarum, which is a medical condition that causes you to lose essential nutrients needed during pregnancy.
Molar Pregnancy, which occurs when an abnormal growth of tissue develops within the uterus.

Want to Know More?

Compiled using information from the following sources:

1. Beckmann, C., Ling, F. W., Barzanksy, B. M., Herbert, W., Laube, D. W., & Smith, R. P., Obstetrics and Gynecology (6th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

2. Mayo Clinic, Guide To A Healthy Pregnancy. New York, NY: HarperCollins Publishers Inc.

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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Early toxicosis of pregnant women - causes and treatment

Manifestation of early toxicosis
Causes of toxicosis in the early stages
Severity of toxicosis during pregnancy
How to manage morning sickness and relieve symptoms
Principles of treatment of early toxicosis

Most women, having barely learned about the onset of pregnancy, are waiting for poor health, nausea and even vomiting. Indeed, early toxicosis often becomes a constant companion of many expectant mothers in the early stages of pregnancy. Is there any way to alleviate these unpleasant symptoms?

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.

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.
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.
bronchial asthma of pregnant women 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 pregnancy.

Causes of toxicosis in the early stages

There are many theories trying to explain the causes and mechanisms 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.

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 in pregnant women. 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.

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.

Proper nutrition

You need to eat 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.

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.

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.
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.

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.

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.

Rose hips with apples

Crushed rose hips (approx. 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.

Therapeutic exercise

Among non-drug remedies, therapeutic exercise 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.

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.

Acupuncture, acupuncture

These are methods of treatment based on irritation 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.

With morning sickness and vomiting of pregnant women, the method of acupressure is effective. 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.

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.

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.

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

The hospital provides intravenous infusion of medicines that restore fluid, trace elements 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.

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

Mild

Mild vomiting on an empty stomach or after eating 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.

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).