Morning Sickness in Pregnancy

Morning Sickness in Pregnancy

Overview: Morning sickness refers to nausea and vomiting experienced during pregnancy, affecting up to 70% of pregnant individuals in the first trimester. Contrary to its name, it can occur at any time of the day. Symptoms usually begin around the sixth week of pregnancy and may peak around eight to 10 weeks. While it commonly improves by the 13th week, some individuals may experience symptoms into the second trimester or, rarely, throughout the entire pregnancy.

Symptoms and Causes:Symptoms of Morning Sickness:

  • Nausea.
  • Loss of appetite.
  • Vomiting.
  • Sensations akin to heartburn, seasickness, or having something stuck in the throat.

Causes of Morning Sickness:

  • Hormonal changes, including increased levels of human chorionic gonadotropin (HCG) and estrogen.
  • Fluctuations in blood sugar and blood pressure.
  • Changes in metabolism.
  • Aggravated by stress, fatigue, specific smells, and certain foods.

Severe Morning Sickness (Hyperemesis Gravidarum): In severe cases, called hyperemesis gravidarum, symptoms may include:

  • Vomiting more than three times a day.
  • Severe dehydration.
  • Significant weight loss.

Hyperemesis gravidarum may require hospitalization for intravenous (IV) fluids and anti-nausea medications.

Diagnosis and Tests: Morning sickness is typically diagnosed based on symptoms reported to the obstetrician. In cases of suspected hyperemesis gravidarum, urine or blood tests may be conducted.

Management and Treatment:Self-Care Strategies:

  • Eat crackers or toast before getting out of bed.
  • Consume several small meals a day instead of three large ones.
  • Avoid spicy and fatty foods; opt for bland options.
  • Stay hydrated with water and avoid caffeinated beverages.
  • Carry snacks when away from home.
  • Rest and ensure proper ventilation in living spaces.

Dietary Changes:

  • Eat nutritious, protein-rich snacks between meals.
  • Consider ginger-based remedies, such as tea or candies.
  • Take prenatal vitamins with a snack, preferably at bedtime if they contain iron.

Lifestyle Adjustments:

  • Avoid triggers like odors and flickering lights.
  • Get sufficient rest.
  • Keep rooms well-ventilated and take breaks for fresh air.
  • Rinse mouth after vomiting to protect teeth from acid.

Alternative Methods: Consult with a healthcare provider before trying alternative methods, which may include:

  • Acupressure wristbands.
  • Acupuncture.

Foods Good for Morning Sickness:

  • Bland foods like crackers, toast, and applesauce.
  • Fruit smoothies and yogurt.
  • Hydrating fruits and vegetables, including watermelon, celery, and bell peppers.