What is morning sickness? About three-quarters of pregnant women experience nausea (and sometimes vomiting) in the first trimester of pregnancy. This condition is worse for some women in the morning and gets better with the day. But it can occur at any time of the day. It usually starts around the sixth week but can begin as early as the fourth week.

Also, it usually gets worse over the next month. About half of women with this sickness recover completely by about week 14. In other cases, this problem lasts for another month or a little longer in most women, although it may recur later and continue until the end of the pregnancy.

The cause of morning sickness

The cause of morning sickness

Specialists haven’t determined the exact cause of vomiting during pregnancy. But it is probably due to many physical changes in the body of a pregnant woman.

Some possibilities are:

A rapid increase in hCG in early pregnancy

It is yet a mystery that how this hormone causes morning sickness. But the timing of its increase is in line with the vomiting situation. Morning sickness reaches its peak when the level of this hormone in the body reaches its highest level. Some specialists believe that estrogen may also play a role.

Increased sense of smell and sensitivity to odor

This condition is relatively common and maybe a side effect of a rapid increase in estrogen levels in the body.

Gastrointestinal sensitivity

The gastrointestinal tract of some women is more sensitive to changes in early pregnancy. One study found a link between Helicobacter pylori (the bacterium that causes stomach ulcers) and severe nausea during pregnancy, although the cause is unclear.

Some other specialists believe that this sickness is due to a lack of B vitamins. Vitamin B supplementation reduces nausea in many pregnant women, but this does not mean that they suffer a lack of B vitamins. At least one study has shown no significant difference in vitamin B6 levels between women with the sickness and other pregnant women. The effect of vitamin B6 on reducing nausea is not known.

There is also evidence that taking a multivitamin during fertilization of eggs and sperm and early pregnancy helps prevent severe morning sickness, although the cause is not clear.

Some researchers have suggested that some women are psychologically more prone to  vomiting during pregnancy, which is an abnormal stress response. However, there is no evidence to support this theory. (Of course, constant nausea and vomiting can be a cause for more stress!)

A girl who is nauseous

Are some women more likely to feel nauseous?

The following conditions are more likely to cause nausea and vomiting during pregnancy:

Twin or multiple pregnancies can worse the sickness. That may be due to higher levels of hCG or other hormones in the body. Nausea and vomiting may also be more severe. Of course, this is not certain, and some women with twins or multiples do not have nausea at all.

Existence of nausea and vomiting in previous pregnancies

History of nausea and vomiting as a complication of taking birth control pills. That may be due to the body’s response to an increase in estrogen levels.

History of motion sickness.

Genetic susceptibility to pregnancy nausea. If your mother or sister has severe the sickness, you are more likely to get it.

A pregnant woman with nausea

Does nausea affect the fetus?

Mild nausea and occasional vomiting, usually present in morning sickness, are not a threat to fetal health as long as the mother tolerates food and drinks large amounts of fluids. The fetus is so young during most of the first trimester that it does not need many calories. If the mother can not have a balanced diet, it is good to take a multivitamin. If iron makes nausea worse, it is best to take multivitamins that are low in iron or have no iron.

There is usually no problem with the mother not gaining weight in the first trimester, as long as it is not due to not eating and drinking enough fluids. The mother’s appetite returns after this time, and she will gain weight.

Increased risk of miscarriage?

Not necessarily. There is that some studies have shown that women who have abortions are less likely to experience nausea. (Insufficient development of the fetus or placenta causes low pregnancy hormones, resulting in less nausea in these women.) But many women have a completely normal pregnancy and no longer have nausea after the first trimester.

morning sickness

Ways to reduce morning sickness nausea

Not all of the methods listed below consist of solid evidence, but they are the most common recommendations usually made by gynecologists and midwives to their patients.

Avoid foods and odors that cause nausea. If almost everything causes nausea, it is okay to eat only a few limited foods that do not cause problems, even if they do not provide all the body needs. Another way is to eat tasteless foods or not to heat the food so that it smells less.

Always try to have some simple sweets like cookies on your bed. When you wake up, eat one or two and lie down for 20 to 30 minutes before getting up. Having these sweets may cause you to wake up in the middle of the night feeling nauseous.

Reduce your meals to small and frequent so that your stomach is never empty. Some women believe that carbohydrates are the best food for nausea, but a small study has shown that high-protein foods may work better.

Avoid fatty foods because they take longer to digest, especially in pregnancies where gastric emptying takes longer. Avoid spicy, acidic, and fried foods that can irritate the stomach and gastrointestinal tract.

Try to drink fluids between meals. Also, try not to consume large amounts of water at once as this will fill your stomach and reduce your appetite for food. A good way is to sip a drink throughout the day. If you vomit a lot, use a sports drink that contains glucose, salt, and potassium to make up for lost electrolytes.

Try to get enough rest and take a nap during the day if you can. Watching TV or going to a friend or relative’s house is an ideal way to deal with stress and distract you from nausea.

Try to take the vitamins prescribed for you with food or just before bed. If the iron in multivitamin tablets makes you nauseous, ask your doctor to change your medication.

Ask your doctor about vitamin B6. The cause of improved nausea due to vitamin B6 remained a mystery, but studies show that taking this vitamin is effective in some women. The usual dose of vitamin B6 for the treatment of morning sickness is between 10 and 25 mg, three times a day, but it is better to consult your doctor before taking it.

If none of the above works, ask your doctor to prescribe anti-nausea medication. Note that taking any prescription during pregnancy must be done with a doctor’s opinion, so avoid taking the drug willingly.

A pregnant woman with nausea

Excessive vomiting during pregnancy

If a pregnant woman cannot hold anything (even fluids) in her stomach for 24 hours, she may have Hyperemesis Gravidarum, which is not easy to treat. The sooner this complication is diagnosed and treated, the more likely it is to improve.

In these cases, the patient will take intravenous fluids (serum) to make up for lost water. Then the specialists will perform some tests to control blood electrolytes. They want to ensure the absence of other underlying diseases that cause nausea and vomiting. Depending on the case, they may keep the patient in the hospital for several days.

Many women feel better by taking intravenous fluids and replenishing lost fluids. Also, you can control nausea and vomit with anti-nausea medications. In rare cases, nausea and vomiting persist, and the patient has to use the serum from time to time in the hospital or at home. If left untreated, this condition can lead to chronic dehydration, weight loss, malnutrition, and other complications for both mother and baby.


What can you do about morning sickness?

While it is a perfectly normal part of a healthy pregnancy, you should not necessarily suffer from it for three months. There are some tricks and treatments that you can use to relieve the effects of this disease. Some of these treatments include:

Eat small, frequent meals (it in the stomach is full or very empty).

Eat lots of protein and carbs (and avoid fatty and heavy foods).

Drink ginger tea or chew ginger candy.

Drink peppermint tea or peppermint extract.

Consult an acupuncturist in this area.

Drink small volumes of fluids frequently throughout the day.

Eat hazelnuts in the morning before getting out of bed.

Avoid strong odors as much as possible.

Eat foods that you do not need to cook, such as sandwiches, salads, or smoothies.

Drink lemonade or smell some lemon.

Avoid being in hot places.

Exercises such as walking, yoga, or swimming can be helpful.

Relax and do relaxing activities.

Avoid stress as much as possible.

Contact your doctor if you find that home remedies do not help you to tolerate morning sickness as much as possible. They may prescribe a vitamin B6 supplement or anti-nausea medication that is safe to take during pregnancy.

Is it dangerous?

Although it can be very unpleasant and disrupt your daily life, the good news is that morning sickness is rarely harmful to you or your baby.

A 2016 study by the National Institutes of Health found that women with morning sickness were less likely to have a miscarriage. Morning sickness may indicate a healthy placenta that produces large amounts of contraceptive hormones.

A small percentage of women have a severe morning sickness called hyperemesis gravidarum. This condition includes severe and uncontrollable nausea and vomiting, leading to weight loss, electrolyte imbalance, malnutrition, and dehydration. If left untreated, it can be harmful to you and your baby.

If you cannot eat or drink, have a fever, lose more than 2 pounds a week, or have dark urine, it is essential to call your doctor. They can monitor you and your baby and help you control vomiting so you can get the fluids and nutrients your body needs.

When does it end?

If you have morning sickness, you are probably counting down the days to feeling better. For many mothers, morning sickness improves after about 12 to 14 weeks.

Almost all mothers report that their morning sickness symptoms disappear completely after 16 to 20 weeks, although up to 10% of mothers have morning sickness symptoms even before delivery.

Occasionally, as the baby gets older and the stomach and intestines become tight, nausea may return in the third trimester.

Is it bad if you do not have morning sickness?

If you are one of the 20 to 30 percent lucky women who do not experience morning sickness during pregnancy, you may be upset.

However, you may be concerned about your lack of nausea, and you may be worried about it. But many women are completely comfortable with pregnancy and do not feel nauseous in the morning at all. Some women are more sensitive to hormonal changes or have more sensitive stomachs.

The severity of nausea can also vary.  On some occasions, you may feel very nauseous, and on other days nausea may disappear.

If these changes are of concern to you, contact your obstetrician. They will examine you and your infant and make sure you and your baby are healthy.


Frequently Asked Questions About Morning Sickness During Pregnancy

What is morning sickness?

Morning sickness is the same state of nausea and vomiting that many women experience during pregnancy. Its symptoms can be mild or acute. Although it is called morning sickness, its symptoms may appear at any time of the day.

Incidentally, most women who get it feel not good all day long.


Do all pregnant women experience morning sickness?

No. But it usually happens. As many as four pregnant women experience morning sickness early in pregnancy. Less vomit; And very few pregnant women experience severe nausea and vomiting and lose weight.


When does morning sickness occur?

It depends on the woman and the type of pregnancy. Symptoms usually begin in the first two months of pregnancy and often peak around the second and third months. Most women get better at 4 or 5 months or in mid-pregnancy; But for some women, this time is much longer.


What causes morning sickness?

Doctors are not sure why pregnancy sometimes causes morning sickness and vomit or why it is more severe in some women than in others.


Do I need to see a doctor?

Be sure to see your doctor if you experience one or more of the following:

You vomit every day or repeatedly throughout the day. Worse, it could consist of blood.

You lose weight

You feel pain or tightness in the abdomen

You feel like your body is losing a lot of water. This condition is called dehydration, and its symptoms include a lack of urination, very yellow urine, or dizziness when standing.

If something does not clog your stomach, you may need to get fluids by serum injection. Besides, you may need to take medication to prevent nausea and vomiting.


Is there anything to fix my morning sickness condition?

Yes. If your symptoms are not very severe, you can try the following:

Eat something as soon as you feel hungry, or even before.

Eat light snacks often and reduce the number of main meals – The best snacks consist of high protein and carbohydrates but low in fat. Some good examples are sugar-free biscuits or dry bread, regular bread, and low-fat yogurt. Also, avoid spicy foods.

Consume carbonated or sour drinks. High-quality examples include lemon juice and ginger lemonade.

Sucking gingerbread

Smell fresh lemon, mint, or orange

Brushing right after each meal

Do not lie down immediately after eating

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