Some information provided by the Mayo Clinic

Morning sickness is nausea that occurs during pregnancy. The name is a misnomer, however, since morning sickness can strike at any time of the day or night. Morning sickness affects a large proportion of pregnant women. It is most common during the first trimester, but for some women morning sickness lingers throughout pregnancy. Treatment isn’t usually needed — although various home remedies, such as snacking throughout the day and sipping ginger ale, often help relieve nausea.

 Rarely, morning sickness is so severe that it’s classified as hyperemesis gravidarum. This type of morning sickness may require hospitalization and treatment with intravenous (IV) fluids and medications.

What Causes NVP?

  • Heightened sensitivity during pregnancy to smells, noise, motion and temperature
  • Hormones that are abundant during pregnancy may cause nausea
  • Routine medications

What Is Happinging to Me?

It is not clearly understood why nausea and vomiting of pregnancy (commonly reffered to as morning sickness) occurs. Experts believe there may be a combination of factors that lead to nausea and vomiting of pregnancy (NVP). This much is known:

  • More than half of pregnant women experience NVP
  • Usually begins between the first and second missed period
  • Typically begins to ease by the end of the third month of pregnancy (but occasionally will last throughout pregnancy)
  • Can occur anytime of the day and last a few minutes or many hours
  • Does NOT mean there is something wrong with you or the baby

What Can You Do About NVP?

Morning sickness is variable in nature. Many things, such as; sights, smells noise motion, temperature changes etc. can affect your level of nausea. Finding out what triggers your symptoms and then making some changes as suggested below may help you feel better.

  • Avoid or decrease sights, sounds, smells that produce symptoms.
  • Get out of bed slowly – avoid sudden movements.
  • Adjust room temperature to a cooler setting.
  • Go outside for some fresh air.
  • Get adequate sleep and rest.
  • Ask your physician about taking your prenatal vitamins/iron at bedtime.
  • Avoid brushing teeth immediately after eating.
  • Use a straw.
  • Avoid anxiety producing situations that can lead to increased agitation and nausea.
  • Practice relaxation techniques.
  • Talk to your physician about unconventional measures (acupressure wristbands, acupuncture or hypnosis).
  • Get help – ask friends or family to help out until you feel better.

Are There Other Treatments?

Your physician might prescribe various treatment options:

  • Dietary changes
  • Medications
  • Intravenous (IV) fluidsto correct dehydration
  • IV nutrition, if necessary

What Medications Are Used to Manage NVP?

Several different medications are commonly prescribed to treat NVP. Your physician will discuss the resks and the benefits of these medications (called antiemetics). Some of the more common drugs are:

  • Promethazine (PHENERGAN)
  • Prochlorperazine (COMPAZINE)
  • Metoclopramide (REGLAN)
  • Ondansetron (ZOFRAN)

Depending on the drug, it may be given orally, rectally, by injection, in the vein (IV), or just under the skin in the tissues (SQ). Your doctor will decide if one of these, or the many other medications that are available, are safe and beneficial for both you and your baby.

Morning sickness is common, we are here to help! Contact us if you have any questions or to set up an appointment.