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Nausea and Vomiting of Pregnancy - - American Family Physician

This is the week of Mom's last menstrual period. Calculated later by her doctor, the first day of bleeding is considered to be the official date of pregnancy. Gravol (Dimenhydrinate) is safe to take during pregnancy, as per Motherisk, by the Hospital for Sick Enter your due date or child's birthday. I can't sleep since I've been thinking all day about it, I am flying alone, and DH ( dear husband) said mybe I should try, so LO (little one) wont get.

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Nausea and Vomiting in Pregnancy - - American Family Physician

Reprints are not available from the author. Nausea and vomiting in pregnancy: Nausea and vomiting during pregnancy: A prospective study of its frequency, intensity, and patterns of change.

Am J Obstet Gynecol. Maternal susceptibility to nausea and vomiting of pregnancy: Linking olfaction with nausea and vomiting of pregnancy, recurrent abortion, hyperemesis gravidarum, and migraine headache. Relationship between vitamin use, smoking, and nausea and vomiting of pregnancy. Acta Obstet Gynecol Scand. Nausea and vomiting in pregnancy [published correction appears in N Engl J Med.

N Engl J Med. Hyperemesis gravidarum and Helicobacter pylori infection: Nausea and vomiting of pregnancy. Gastroenterol Clin North Am. The sex ratio of pregnancies complicated by hospitalisation for hyperemesis gravidarum.

Lee NM, Saha S. Nausea and vomiting of pregnancy: J Perinat Neonatal Nurs.

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A prospective study of nausea and vomiting during pregnancy [published correction appears in Br J Gen Pract. Br J Gen Pract. Emotional Support Although nausea and vomiting of pregnancy and hyperemesis gravidarum are not strongly associated with psychologic illness, some women may become depressed or exhibit other affective changes. It is important that these women receive appropriate support from family members and medical and nursing staff. Consultation is indicated if a pregnant woman is depressed, domestic violence is suspected, or evidence of substance abuse or psychiatric illness exists.

Accupressure Several studies 1718 have suggested acupressure as a treatment for nausea. The most common location for acupressure is the pericardium 6 or Neiguan point, which is located three fingerbreadths above the wrist on the volar surface. Various commercial products for relieving motion sickness e. One review 19 of data from seven trials involving Neiguan point acupressure indicated that these products are helpful for controlling morning sickness in early pregnancy; however, a recent study 20 demonstrated no benefit for acupressure in pregnant women.

Further data are necessary to determine whether acupressure is a viable treatment for nausea and vomiting of pregnancy. However, acupressure is a nonpharmacologic intervention without known adverse side effects. Some physicians may wish to offer it to their patients.

Ginger A popular alternative treatment for morning sickness, ginger has been used in teas, preserves, ginger ale, and capsule form.

Nausea and Vomiting of Pregnancy

One European study 21 demonstrated that ginger powder 1 g per day was more effective than placebo in reducing the symptoms of hyperemesis gravidarum. There have been no published reports of fetal anomalies associated with the use of ginger. However, one investigator 22 warned that ginger root contains thromboxane synthetase inhibitor, which may interfere with testosterone receptor binding in the fetus.

Other investigators 23 noted that although safety data are lacking, people in many cultures use ginger as a spice; the amounts used are similar to those commonly prescribed for the treatment of nausea and vomiting of pregnancy. One small study demonstrated that vitamin B6 in a dosage of 25 mg taken orally every eight hours 75 mg per day was more effective than placebo for controlling nausea and vomiting in pregnant women.

Resume iron-containing prenatal vitamins after 12 weeks when iron is most needed by mother and baby. Pregnant women with past or current anemia should not discontinue prenatal vitamins, but may take them in divided doses. Consume ice chips, popsicles, and very cold beverages to help reduce metallic taste. Eat simple dry carbohydrates ie, crackers, biscuits, etc prior to getting out of bed in the morning.

Implementing uniform dietary changes can be quite challenging; consequently randomized controlled trials to investigate the effectiveness of dietary changes are lacking. Surveys conducted with women with NVP, especially HG patients, do report moderate relief with these dietary changes. Acupressure Acupressure is a complementary medicine technique closely related to acupuncture, consisting of certain pressure points in the body, where pressure is applied by finger, hand, elbow, or stimulated by electric devices.

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Pericardium 6 P6 also known as point Neiguan, is an acupoint located about three fingers or 4. Applying direct pressure or wearing wrist bands ie, Sea Bands may also alleviate symptoms.