Morning Sickness – What is it?
Nausea and vomiting are common problems during pregnancy affecting 70-85% of pregnant women. Also referred to as morning sickness, it commonly begins before 9 weeks of gestation.
Mild cases of nausea and vomiting are treated with lifestyle and dietary changes. Common interventions are eating small meals frequently, avoiding spicy or fatty foods, eliminating iron supplements, and eating crackers in the morning. However, there is little evidence to support these recommendations. Acupressure and ginger may also give some relief, but again, there is little data to support their use.
There is some evidence to support the use of vitamin B6 plus doxylamine. This is a safe first line pharmacologic agent. Promethazine is an additional drug that can be used.
A severe form of morning sickness affecting approximately 0.5-2% of pregnancies is hyperemesis gravidarum. Woman with this condition often cannot tolerate liquids without vomiting and have severe nausea and dizziness. Hyperemesis gravidarum is the most common cause for admission to the hospital during the beginning of the pregnancy.
At Marina Shores OBGYN I offer complete prenatal services and will work with you if you are having problems with nausea and vomiting during pregnancy.