Vomits during pregnancy

Morning Sickness: Nausea and Vomiting of Pregnancy

• Nausea and vomiting of pregnancy is a common condition. It can occur any time during the day, even though it’s often called “morning sickness.” Nausea and vomiting of pregnancy usually doesn’t harm the fetus, but it can affect your life, including your ability to work or go about your normal everyday activities. There are safe treatment options that can make you feel better and keep your symptoms from getting worse.

• Nausea and vomiting of pregnancy usually starts before 9 weeks of pregnancy. For most women, it goes away by 14 weeks of pregnancy. For some women, it lasts for several weeks or months. For a few women, it lasts throughout the pregnancy.

• Some women feel nauseated for a short time each day and might vomit once or twice. In more severe cases, nausea lasts several hours each day and vomiting occurs more frequently.

• You should talk with your obstetrician-gynecologist (ob-gyn) or other obstetric care provider if nausea and vomiting of pregnancy affects your life and causes you concern.

• Hyperemesis gravidarum is the term for the most severe form of nausea and vomiting of pregnancy. Hyperemesis gravidarum occurs in up to 3 percent of pregnancies.

• This condition may be diagnosed when a woman has lost 5 percent of her prepregnancy weight and has other problems related to dehydration, or loss of body fluids (see below). Women with hyperemesis gravidarum need treatment, sometimes in a hospital, to stop the vomiting and restore body fluids.

• Nausea and vomiting can cause you to lose fluids. If fluids are not replaced, it can lead to dehydration. You should call your ob-gyn or other obstetric care provider if you have the following signs and symptoms of dehydration:

  • You have a small amount of urine that is dark in color.

  • You are unable to urinate.

  • You cannot keep down liquids.

  • You are dizzy or faint when standing up.

  • You have a racing or pounding heartbeat.

• Any of the following can increase the risk of severe nausea and vomiting of pregnancy:

  • Being pregnant with more than one fetus (multiple pregnancy)

  • A previous pregnancy with either mild or severe nausea and vomiting

  • Your mother or sister had severe nausea and vomiting of pregnancy

  • A history of motion sickness or migraines

  • Being pregnant with a female fetus

• Yes, some medical conditions can cause nausea and vomiting during pregnancy. These conditions include:

  Your ob-gyn or other obstetric care provider might suspect that you have one of these conditions if you have signs or symptoms that usually do not occur with nausea and vomiting of pregnancy. Some of these signs and symptoms include:

  • Nausea and vomiting that occurs for the first time after 9 weeks of pregnancy

  • Abdominal pain or tenderness

  • Fever

  • Headache

  • Enlarged thyroid gland (swelling in the front of the neck)

• This condition usually does not harm your health or your fetus’s health. It also does not mean that your fetus is sick.

• Nausea and vomiting can become more of a problem if you cannot keep down food or fluids and begin to lose weight. When this happens, it sometimes can affect the fetus’s weight at birth.

• Weight loss can lead to problems with your thyroid, liver, and fluid balance. Because hyperemesis gravidarum is difficult to treat and can cause health problems, experts recommend early treatment so that it does not become severe.

• Changes to your diet and lifestyle might help you feel better. These change can include:

• Yes, take a prenatal vitamin. Studies show that taking a vitamin supplement before and during pregnancy reduces the risk of having severe nausea and vomiting of pregnancy.

• • Eat dry toast or crackers in the morning before you get out of bed to avoid moving around on an empty stomach.

  • Eat five or six “mini meals” a day to ensure that your stomach is never empty.

  • Eat frequent bites of foods like nuts, fruits, or crackers.

• Try bland foods. The BRATT diet (bananas, rice, applesauce, toast, and tea) is low in fat and easy to digest. If these foods don’t appeal to you, try others. The goal is to find foods that you can eat and that stay down.

• Yes, try adding protein to each meal. Good nonmeat sources of protein include:

  • Dairy foods, such as milk, ice cream, and yogurt

  • Nuts and seeds, including butters like almond butter and peanut butter

  • Protein powders and shakes

• Ginger can help settle your stomach. You can try:

• Yes, your body needs more water during pregnancy. Drink throughout the day, not just when you are thirsty. Aim for 8 to 12 cups of water a day during pregnancy.

  Not drinking fluids can lead to dehydration, which can make nausea worse. If a bad taste in your mouth makes it hard to drink water, chew gum or eat hard candy.

• Foods or odors that might never have bothered you before might now trigger nausea. Do your best to stay away from them. Use a fan when cooking. Have someone else empty the trash.

• Frequent vomiting can cause some of your tooth enamel to wear away, due to the acid in your stomach. Rinse your mouth with a teaspoon of baking soda dissolved in a cup of water to help neutralize the acid and protect your teeth.

• If diet and lifestyle changes don’t help, or if you have severe nausea and vomiting of pregnancy, you might need medical treatment. Your ob-gyn or other obstetric care provider will first want to know whether your symptoms are due to nausea and vomiting of pregnancy or another medical cause. If other causes are ruled out, you may be able to take certain medications:

  • Vitamin B6 is a safe, over-the-counter treatment that may be tried first for nausea and vomiting of pregnancy.

  • Doxylamine, a medication found in over-the-counter sleep aids, can be added if vitamin B6 alone does not relieve symptoms.

  • A prescription drug that combines vitamin B6 and doxylamine is available. Both drugs, taken alone or together, have been found to be safe to take during pregnancy and have no harmful effects on the fetus.

• “Antiemetic” drugs, which prevent vomiting, may be prescribed for women who aren’t helped by other medications.

• Many antiemetic drugs have been shown to be safe to use during pregnancy. But others have conflicting or limited safety information. For example, a drug called ondansetron is highly effective in preventing nausea and vomiting, but studies are not clear about its safety for the fetus. Ondansetron also has been linked to heart-rhythm problems in people taking the drug, especially in those who have certain underlying conditions.

• The decision to use ondansetron and other drugs during pregnancy is based on whether the benefits of these drugs outweigh their potential risks. You and your ob-gyn or other obstetric care provider can discuss all of these factors to determine the best treatment for you.

• If your nausea and vomiting are severe or if you have hyperemesis gravidarum, you might need to stay in the hospital until your symptoms are under control.

• • Lab tests may be done to check how your liver is working.

  • If you are dehydrated, you may receive fluids and vitamins through an intravenous (IV) line.

  • If your vomiting cannot be controlled, you might need additional medication.

  • If you continue to lose weight, a feeding tube may be recommended to ensure that you and your fetus are getting enough nutrients.

• Dehydration: A condition that happens when the body does not have as much water as it needs.

  Fetus: The stage of human development beyond 8 completed weeks after fertilization.

  Hyperemesis Gravidarum: Severe nausea and vomiting during pregnancy that can lead to loss of weight and body fluids.

  Intravenous (IV) Line: A tube inserted into a vein and used to deliver medication or fluids.

  Multiple Pregnancy: A pregnancy where there are 2 or more fetuses.

  Nausea and Vomiting of Pregnancy: A condition that occurs in early pregnancy, usually starting before 9 weeks of pregnancy.

  Nutrients: Nourishing substances found in food, such as vitamins and minerals.

  Obstetric Care Provider: A health care professional who cares for a woman during pregnancy, labor, and delivery. These professionals include obstetrician–gynecologists (ob-gyns), certified nurse–midwives (CNMs), maternal–fetal medicine specialists (MFMs), and family practice doctors with experience in maternal care.

  Obstetrician–Gynecologist (Ob-Gyn): A doctor with special training and education in women’s health.

  Thyroid Gland: A butterfly-shaped gland located at the base of the neck in front of the windpipe. This gland makes, stores, and releases thyroid hormone, which controls the body’s metabolism and regulates how parts of the body work.

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FAQ126

Published: May 2020

Last reviewed: December 2021

Topics:

Pregnancy Pregnancy Discomforts and Other Concerns

Copyright 2023 by the American College of Obstetricians and Gynecologists. All rights reserved. Read copyright and permissions information.

This information is designed as an educational aid for the public. It offers current information and opinions related to women's health. It is not intended as a statement of the standard of care. It does not explain all of the proper treatments or methods of care. It is not a substitute for the advice of a physician. Read ACOG’s complete disclaimer.

Severe vomiting in pregnancy - NHS

Sickness in pregnancy (sometimes called morning sickness) is common. Around 8 out of every 10 pregnant women feel sick (nausea), are sick (vomiting) or both during pregnancy. This does not just happen in the morning.

For most women, this improves or stops completely by around weeks 12 to 20, although for some women it can last longer.

Some pregnant women experience very bad nausea and vomiting. They might be sick many times a day and be unable to keep food or drink down, which can impact on their daily life.

This excessive nausea and vomiting is known as hyperemesis gravidarum (HG), and often needs hospital treatment.

Exactly how many pregnant women get HG is not known as some cases may go unreported, but it's thought to be around 1 to 3 in every 100.

If you are being sick frequently and cannot keep food down, tell your midwife or doctor, or contact the hospital as soon as possible. There is a risk you may become dehydrated, and your midwife or doctor can make sure you get the right treatment.

Symptoms of hyperemesis gravidarum

HG is much worse than the normal nausea and vomiting of pregnancy.

Signs and symptoms of HG include:

• prolonged and severe nausea and vomiting
• dehydration – symptoms include feeling thirsty, tired, dizzy or lightheaded, not peeing very much, and having dark yellow and strong-smelling pee
• weight loss

Unlike regular pregnancy sickness, HG may not get better by 16 to 20 weeks. It may not clear up completely until the baby is born, although some symptoms may improve at around 20 weeks.

See your GP or midwife if you have severe nausea and vomiting. Getting help early can help you avoid dehydration and weight loss.

There are other conditions that can cause nausea and vomiting, and your doctor will need to rule these out first.

See videos and written interviews of women talking about their experiences of hyperemesis gravidarum on the healthtalk website.

What causes hyperemesis gravidarum?

It's not known exactly what causes HG, or why some women get it and others do not. There is evidence that it is linked to the changing hormones in your body that occur during pregnancy.

There is some evidence that it runs in families, so if you have a mother or sister who has had HG in a pregnancy, you may be more likely to get it yourself.

If you have had HG in a previous pregnancy, you are more likely to get it in your next pregnancy than women who have never had it before, so it's worth planning in advance.

Treating hyperemesis gravidarum

There are medicines that can be used in pregnancy, including the first 12 weeks, to help improve the symptoms of HG. These include anti-sickness (anti-emetic) drugs, steroids, or a combination of these.

You may need to try different types of medicine until you find what works best for you.

You can visit the Bumps website to find out which medicines are safe to use in pregnancy.

If your nausea and vomiting cannot be controlled, you may need to be admitted to hospital. This is so doctors can assess your condition and give you the right treatment to protect the health of you and your baby.

Treatment can include intravenous fluids, which are given directly into a vein through a drip. If you have severe vomiting, the anti-sickness drugs may also need to be given into a vein or a muscle.

The charity Pregnancy Sickness Support has information and tips on coping with nausea and vomiting, including HG.

Will hyperemesis gravidarum harm my baby?

HG can make you feel very unwell, but it's unlikely to harm your baby if treated effectively.

However, if it causes you to lose weight during pregnancy, there is an increased risk that your baby may be born smaller than expected (have a low birthweight).

How you might feel

The nausea and vomiting of HG can impact your life at a time when you were expecting to be enjoying pregnancy and looking forward to the birth of your baby.

It can affect you both emotionally and physically. The symptoms can be hard to cope with. Without treatment HG may also lead to further health complications, such as depression or tears in your oesophagus.

Severe sickness can be exhausting and stop you doing everyday tasks, such as going to work or even getting out of bed.

In addition to feeling very unwell and tired, you might also feel:

• anxious about going out or being too far from home in case you need to vomit
• isolated because you do not know anyone who understands what it's like to have HG
• confused as to why this is happening to you
• unsure about how to cope with the rest of the pregnancy if you continue to feel very ill

If you feel any of these, do not keep it to yourself. Talk to your midwife or doctor, and explain the impact HG is having on your life and how it is making you feel. You could also talk to a partner, family members and friends if you want to.

If you want to talk to someone who has been through HG, you can contact Pregnancy Sickness Support's help section. They have a support network across the UK and can put you in touch with someone who has had HG.

Bear in mind that HG is much worse than regular pregnancy sickness. It is not the result of anything you have or have not done, and you do need treatment and support.

Another pregnancy

If you have had HG before, it's likely you will get it again in another pregnancy.

If you decide on another pregnancy, it can help to plan ahead, such as arranging child care so you can get plenty of rest.

You could try doing things that helped last time.

Talk to your doctor about starting medicine early.

Blood clots and hyperemesis gravidarum

Because HG can cause dehydration, there's also an increased risk of having a blood clot (deep vein thrombosis), although this is rare.  

If you are dehydrated and immobile, there is treatment that you can be given to prevent blood clots.

Read more about how to prevent deep vein thrombosis.

Early toxemia of pregnancy - causes and treatment

1. When does early toxemia begin during pregnancy
2. Manifestation of early toxicosis
3. Causes of early toxicosis
4. Severity of toxicosis during pregnancy
5. How to manage morning sickness and relieve symptoms
6. Principles of treatment of early toxicosis

Most women, having barely learned about the onset of pregnancy, expect to feel unwell, bouts of 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.
• Pregnancy bronchial asthma is an extremely rare form of preeclampsia.
• osteomalacia of pregnancy - softening of the bones due to a violation of the metabolism of calcium and phosphorus, while the bones of the pelvis and spine are more often affected
• neuropathy and psychopathy of pregnant women.

Learn more about the services:

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

Causes of toxicosis in the early stages

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

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

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

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

The severity of toxicosis during pregnancy

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

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

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

Rosehip with garden berries

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

Therapeutic exercise

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

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

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

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

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

An intravenous infusion of medicines is carried out in the hospital, which restores the fluid, microelements and proteins lost by the body. A pregnant woman receives at least 2-2. 5 liters of fluid intravenously per day.

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

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

Mild

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

Moderate vomiting

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

Excessive vomiting

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

Nausea and vomiting in pregnant women - what to do with toxicosis so as not to feel sick? | Blog

Nausea is a common symptom in pregnant women during the first trimester of pregnancy. Its manifestations range from mild to quite pronounced and can cause significant obstacles to normal nutrition.

Acute nausea and vomiting during pregnancy occurs in 50% of women. Realizing that every second pregnant woman is faced with this condition, a dietitian, gastroenterologist Oleg Vitalievich Shvets helped us figure out the causes, possible consequences and shared tips on how to alleviate her condition during toxicosis and what to do so as not to feel sick.

In the article you will learn:

• What is toxicosis?
• Effects of toxicosis on the fetus?
• Causes of toxicosis
• Is it possible to take vitamin complexes
• How to eat during toxicosis
• What to do in case of complications
• How to curb nausea?

As we wrote above, every second pregnant woman faces acute nausea and vomiting in the first trimester of pregnancy. In the English-language literature, the term "morning sickness" is used for this condition, although in fact nausea and vomiting can occur at any time of the day, and not just in the morning.

Significant hormonal changes during the first months of pregnancy are believed to be the cause of the malaise. In most pregnant women, the symptoms of nausea and vomiting are significantly weakened or disappear before 12-14 weeks.

However, in 1-3% of pregnancies, nausea and vomiting are severe and become debilitating - this condition is called toxicosis or preeclampsia of pregnancy . In English-speaking countries, the term hyperemesis (Hyperemesis Gravidarum) is used.

Toxicosis can be potentially life threatening and often requires specialized treatment: IV fluids for dehydration or antiemetics.

The main symptoms of toxicosis include:

• severe persistent nausea and vomiting,
• suboptimal nutrition,
• dehydration and rapid weight loss.

This condition can significantly impair routine and quality of life, especially if women work or have other children in need of care.

Women with toxemia worry that the condition will harm their unborn baby. In fact, with moderate toxicosis, the fetus receives all the nutrients necessary for healthy growth and development.

But there is a hypothetical risk that weight loss during pregnancy could result in a low birth weight baby.

Studies show a connection between nausea and vomiting of pregnant women and a number of factors:

➡️ High levels of the sex hormones estrogen and progesterone, as well as the hormone of pregnancy - chorionic gonadotropin.

➡️ Nausea and vomiting during previous pregnancies or family history (if your family has had this). Being aware of the risk helps prepare mentally for the next pregnancy.

➡️ Obesity - body mass index (BMI) of 30 or more at the beginning of pregnancy. If you are planning to have a baby, losing weight before pregnancy is beneficial and reduces the chance of morning sickness.

➡️ Vitamin B6 Deficiency
Research indicates a link between vitamin B6 levels and nausea during pregnancy. Vitamin B6 contributes to the optimal use and storage of energy by the body. If you eat a healthy, balanced diet before conception and during pregnancy, you will usually get the amount of B6 you need. At the same time, with insufficient intake of food or absorption of nutrients, its deficiency may occur.
Try to eat enough foods containing vitamin B6: brown rice, whole grain bread, fish and poultry, fortified breakfast cereals, nuts, green leafy vegetables.

You can take vitamin complexes for yourself or not - this question is worth discussing with your doctor.

If you have no contraindications, the appointment and use of special vitamin-mineral complexes for pregnant women is possible. They, in particular, contain the optimal amount of vitamin B6, and also help to supply the body with the necessary vitamins, minerals and trace elements in case of nausea and vomiting of pregnant women.

It is important for a pregnant woman that the necessary amount of energy, micro, macro, nutrients and water enter the body along with food. During toxicosis, when a woman is constantly worried about nausea and vomiting, this is sometimes quite difficult to do.

Helpful Dietary Advice for Nausea and Vomiting of Pregnancy:

1. If you are having trouble eating regularly during pregnancy due to nausea and vomiting, then there is no need to worry about the calorie content of your individual meals.
2. Determine the time of day when you are easiest and can eat, and then increase your food intake at that time. Try to eat foods that are high in energy and protein to get the maximum amount of nutrients from a smaller serving.
3. Enrich foods to make them more nutritious. For example:

• add yogurt, cream or condensed milk to fruit;
• eat vegetables with melted butter;
• put cream and cheese in mashed potatoes, pasta dishes, soups and stews;
• Eat dairy and sour-milk products with normal fat content.

• cereal with milk,
• tuna or chicken sandwiches,
• cream cheese on toast,
• soups,
• crackers,
• bread sticks and other dry starchy foods.

Dehydration, malnutrition and prolonged vomiting can lead to associated symptoms such as constipation, sleep problems, acid reflux or heartburn, etc.

Some of these will help you minimize your meals.

➡️ Constipation

• Drink more fluids.
• Increase your fiber intake from fruits, vegetables and whole grains.
• Include three to four kiwi fruits in your meal plan.
• Try dried fruits or prunes for breakfast.

➡️ Chapped lips and mouth ulcers

• Drink plenty.
• Take a multivitamin recommended for pregnant women.

➡️ Acid reflux or heartburn

• Eat slowly while sitting upright.
• Eat small meals and often.
• Avoid fatty and spicy foods.
• Do not eat 2 hours before bedtime.

➡️ Trouble sleeping

• Drink a warm milky drink before going to bed.
• You should also eat some unsweetened crackers.

➡️ Vitamin and mineral deficiency

• Eat a balanced diet.
• Eat little and often, every 1-2 hours.
• Take a multivitamin recommended for pregnant women at the time of day when you are least likely to vomit.

• Drink more frequently throughout the day. Suitable cold and carbonated drinks, smoothies and fruit juices.
• Try lollipops, ice cream and frozen fruit juice ice cubes. They are also a great way to stay hydrated.
• It is easier for the stomach to digest soft foods. Avoid overly spicy foods, sugary desserts, fatty or fried foods. If you can't digest meat and fish, eat more plant-based protein sources like beans, chickpeas, and lentils.
• Dry foods such as crackers, toast or regular biscuits are often better tolerated.
• A small study found that fresh ginger root or ginger oral capsules at 250 mg 4 times a day can help with severe nausea (four days). But, if you are taking anticoagulants, use ginger with caution. You can also try gingerbread cookies or other products with ginger.
• Peppermint and chamomile teas are effective for some women.

❇️ Important! If you have persistent nausea, let alone vomiting, this is a reason to seek emergency medical care.

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