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What helps nausea and vomiting during pregnancy
Vomiting and morning sickness - NHS
Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy.
It can affect you at any time of the day or night or you may feel sick all day long.
Morning sickness is unpleasant, and can significantly affect your day-to-day life. But it usually clears up by weeks 16 to 20 of your pregnancy and does not put your baby at any increased risk.
There is a chance of developing a severe form of pregnancy sickness called hyperemesis gravidarum. This can be serious, and there's a chance you may not get enough fluids in your body (dehydration) or not get enough nutrients from your diet (malnourishment). You may need specialist treatment, sometimes in hospital.
Sometimes urinary tract infections (UTIs) can also cause nausea and vomiting. A UTI usually affects the bladder, but can spread to the kidneys.
Non-urgent advice: Call your midwife, GP or 111 if:
you're vomiting and:
have very dark-coloured urine or have not had a pee in more than 8 hours
are unable to keep food or fluids down for 24 hours
feel severely weak, dizzy or faint when standing up
have tummy (abdominal) pain
have a high temperature
have lost weight
Treatments for morning sickness
Unfortunately, there's no hard and fast treatment that will work for everyone’s morning sickness. Every pregnancy will be different.
But there are some changes you can make to your diet and daily life to try to ease the symptoms.
If these do not work for you or you're having more severe symptoms, your doctor or midwife might recommend medicine.
Things you can try yourself
If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes:
get plenty of rest (tiredness can make nausea worse)
avoid foods or smells that make you feel sick
eat something like dry toast or a plain biscuit before you get out of bed
eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta)
eat cold foods rather than hot ones if the smell of hot meals makes you feel sick
drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting)
eat foods or drinks containing ginger – there's some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy)
try acupressure – there's some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm, may help relieve the symptoms
Find out more about vitamins and supplements in pregnancy
If your nausea and vomiting is severe and does not improve after trying the above lifestyle changes, your GP may recommend a short-term course of an anti-sickness medicine, called an antiemetic, that's safe to use in pregnancy.
Often this will be a type of antihistamine, which are usually used to treat allergies but also work as medicines to stop sickness (antiemetic).
Antiemetics will usually be given as tablets for you to swallow.
But if you cannot keep these down, your doctor may suggest an injection or a type of medicine that's inserted into your bottom (suppository).
See your GP if you'd like to talk about getting anti-sickness medication.
Risk factors for morning sickness
It's thought hormonal changes in the first 12 weeks of pregnancy are probably one of the causes of morning sickness.
But you may be more at risk of it if:
you're having twins or more
you had severe sickness and vomiting in a previous pregnancy
you tend to get motion sickness (for example, car sick)
you have a history of migraine headaches
morning sickness runs in the family
you used to feel sick when taking contraceptives containing oestrogen
it's your first pregnancy
you're obese (your BMI is 30 or more)
you're experiencing stress
Visit the pregnancy sickness support site for tips for you and your partner on dealing with morning sickness.
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Video: how can I cope with morning sickness?
In this video, a midwife gives advice on how to deal with morning sickness during your pregnancy.
Media last reviewed: 27 February 2017 Media review due: 27 March 2020
Community content from HealthUnlocked
Page last reviewed: 13 April 2021 Next review due: 13 April 2024
Ease Nausea with Natural Remedies
When you get pregnant, you may have morning sickness. This is feelings of nausea or vomiting. These symptoms often happen during your first trimester or first 12 weeks pregnancy. Then they go away. However, in some cases, these symptoms can last through your pregnancy. The exact cause for morning sickness isn't known.
While uncomfortable, morning sickness is rarely serious. In fact, morning sickness affects about 90 percent of all pregnant women. Most of the time, natural approaches can help you feel better.
Tap into the power of ginger
Ginger is safe and effective in relieving nausea caused by morning sickness. But it doesn’t seem to work for vomiting.
Ginger comes in many forms. Moms- to-be can take ginger supplements three or four times a day, with a total daily dose of about 1 gram. Foods that contain ginger may also help ease nausea. These include ginger ale, ginger lollipops, and ginger tea.
You can also try some self-care care techniques. These can help prevent and relieve morning sickness:
Eat several small meals a day. Try eating every 1 to 2 hours. This can keep your stomach from getting empty.
Choose foods high in complex carbohydrates. These include whole wheat bread, pasta, bananas, and green, leafy vegetables.
Don’t eat greasy and spicy foods.
Sip on liquids that are cold, clear, and carbonated in between meals.
Keep crackers near your bed. Munch on them before getting up in the morning.
Don’t shift positions too quickly.
Suck on a peppermint or sniff sliced lemon if an odor bothers you.
Try motion sickness or acupressure wristbands.
Seek medical treatment for serious symptoms
Sometimes, nausea and vomiting can be severe, or last into the second trimester. Talk with your healthcare provider about other treatments. In some cases, hyperemesis gravidarum can happen. Women with this serious condition need treatment with medicine and intravenous (IV) fluids.
How to manage morning sickness and relieve symptoms
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.
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 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.
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
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.
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.
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.
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.
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 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.
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.
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.
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 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 (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.
Severe (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.
We fight against toxicosis - articles from the specialists of the clinic "Mother and Child"
Alexandrova Anna Evgenievna
Clinic "Mother and Child" South-West
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 small meals, 5-6 times a day, or 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.
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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