Morning Sickness: The Low Down on Nausea and Vomiting in Pregnancy
Sep 18, 2024
Nausea and vomiting of pregnancy (NVP) is common, with up to 80% of pregnant individuals experiencing some level of nausea, peaking around nine weeks and often improving by weeks 16–18. For about 3-6%, symptoms are severe enough to be considered hyperemesis gravidarum, potentially persisting throughout pregnancy. NVP can impact mental health, daily activities, and relationships, which is why proactive management is crucial!
Follow the these links for some recommended products to help you through:
- Sea-Band Anti-Nausea Acupressure Wristband
- Gravol Ginger - Nausea and Upset Stomach Relief
- B6 by Natural Factors - 90 tablets, 50 mg
Causes of Nausea and Vomiting in Pregnancy
The causes of NVP are not fully understood. Hormonal shifts, such as elevated bHCG and estrogen, are major contributors, alongside factors like slowed gastric emptying. Genetics may also play a role, as family history often correlates with NVP severity.
Why Should You Report NVP Symptoms?
Even mild symptoms warrant attention. NVP is a diagnosis of exclusion, meaning other causes should be ruled out, such as thyroid issues, infections, or medication effects. Substance use, including cannabis, can sometimes worsen symptoms rather than alleviate them. If severe, NVP may lead to complications like dehydration and weight loss, emphasizing the need for timely treatment.
Diagnosis and Treatment
Typically, NVP is diagnosed in the first trimester through symptom assessment and excluding other causes. Early treatment can prevent severe complications. Treatment options are divided into two main categories:
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Non-Pharmacological Approaches: These include dietary adjustments (eating small, frequent meals and avoiding triggers), adequate rest, and ginger supplements. Acupressure at the P6 point on the wrist can relieve symptoms, with Sea-Bands being a popular choice. Mindfulness practices may also help reduce symptoms and improve mental well-being.
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Pharmacological Treatments: Vitamin B6 and doxylamine are common initial medications, shown to safely reduce nausea. For more severe cases, medications like dimenhydrinate (Gravol), metoclopramide (Maxeran), and, as a last resort, ondansetron (Zofran) are considered, though ondansetron use carries some caution due to a slight risk of fetal anomalies.
Seeking Help for NVP
If symptoms worsen or signs of dehydration, significant weight loss, or mental distress appear, seek medical help. Timely intervention is vital for managing symptoms effectively.
Tips for Future Pregnancies
Taking folic acid and B-complex vitamins pre-pregnancy and addressing any acid reflux issues may reduce NVP risk. Early treatment with doxylamine-pyridoxine at pregnancy onset can also help.
Key Takeaways:
- Stop iron-containing prenatal vitamins during the first trimester if they worsen symptoms.
- Eat pregnancy-safe foods that appeal to you to avoid dietary deficiencies in early pregnancy.
- Ginger and acupressure can provide non-medication relief.
- Try CBT if interested, as it may improve both NVP symptoms and anxiety.
For anyone managing NVP, remember that support and effective treatments are available to help you through this period.
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