What Is Morning Sickness?
Pregnancy Nausea Morning Sickness means that it only happens in the morning. In fact, this is a myth in pregnancy. It is true the feeling can go all the day. It can happen because of odors, foods, and scents. If you are questioning of when does morning sickness start, here we have you some nice information to know.
Latest study revealed that we have 50% and 80% of pregnant women must deal with morning sickness. It comes with the symptoms, from mild to severe. It is still unknown for the cause of morning sickness.
Nausea and Vomiting For Pregnancy (NVP)
NVP is also known as Morning Sickness. In fact, nausea and vomiting is a common condition in the early pregnancy. It is about 80% of women experience it during their pregnancy. Besides, there is 50% of pregnant women have nausea and vomiting. It is only 25% of pregnant women have nausea only and 25% of pregnant women have neither vomiting nor nausea.
It does not mean that morning sickness happens in the morning only. Well, nausea and vomiting are possible to happen at any time throughout the day. This condition can go away after the end of the first trimester. However, if morning sickness occurs in other conditions, there should be a different diagnosis to evaluate the culprit.
The more severe condition of NVP is known as “hyperemesis gravidarium”. This condition can occur in between 1 in 30 to 300 pregnancies. This is a serious medical condition needs an immediate treatment.
We can say that NVP is one of the first sign of your pregnancy. It begins in the sixth week of pregnancy and it will end in the 12th week. Some may experience morning sickness during their entire pregnancy; others may not experience it at all. You should not worry because it does not harm your baby. However, if the sickness becomes severe that you cannot hold down your food for your baby, it can give a big impact on the growth of the fetus. If you feel that the morning sickness is unbearable, you should notify your physician.
What Are The Symptoms Of Morning Sickness?
Morning sickness can come at any time and any day. It can happen in some pregnant women in the middle of the night.
It includes nausea and vomiting or nausea without vomiting. Below are the symptoms and the signs of morning sickness:
- Enhanced sense of smell
- Sensitivity to smell
When Does Morning Sickness Start When You Are Pregnant?
When does morning sickness start and end when you are in pregnancy? Well, it is important to note that everyone is different. Some people did not have any morning sickness and that is a big luck. However, others may get this morning sick in the entire time.
According to babyMed.com, morning sickness, nausea, and vomiting can be one of the symptoms and signs in the first pregnancy. It starts from 4 weeks to 6 weeks into the pregnancy. It may also happen around the time when you miss your period. The symptoms may disappear in the 16th week of the pregnancy. However, everyone is different. Some pregnant women have to suffer from nausea during the pregnancy time.
Other than that, morning sickness can happen at the following period:
- Between 4 weeks and 8 weeks after the conception or fertilization
- When you miss your period
However, if you read Momtricks.com, usually it can start in the 6th week of your pregnancy. It will then end around the 12th.
It is not something surprising if morning sickness still come in the entire of the first trimester. At that time, pregnant mom has many changes inside her body. With these changes, there is an adjustment period.
What Causes Nausea And Morning Sickness During Pregnancy
Nausea or morning sickness can happen in a short time. When you get this morning sickness, your baby is still fine and there is nothing serious to affect your baby. However, if the symptoms are severe beyond the first trimester, you should have a physician to monitor your pregnancy. It is important to note that nausea and morning sickness can lead to severe dehydration. Besides, it also brings you to a problem of improper calorie intake. In some cases, mom with morning sickness during her pregnancy can have a problem with the weight loss and the slowed growth of the baby.
There are some reasons why morning sickness comes as below:
This hormone works to relax the uterus muscles. It is important to prevent the early childbirth. However, progesterone also relaxes the stomach as well as the intestinal muscles. Therefore, this hormone can increase the stomach acid.
- Human Chorionic Gonadotropin (HCG)
Soon after the conception, the embryo develops the hormone called HCG. Many experts believed that there is a connection between morning sickness and the increased HCG.
- Sense of Smell
During pregnancy, mom increases the sense of smell. This then overstimulates the normal nausea triggers.
- Evolutionary Survival Adaptation
Experts also assumed that morning sickness could be the adaptation to protect the pregnant mom as well as the babies from any possibility of food poisoning. If the pregnant mom does not eat a potentially contaminated food, she and her child have the potential chances to survive. Therefore, morning sickness can protect both mom and her child from any contaminated food such as eggs, meat, and poultry. It means that mom can take a low contamination option such as bread, crackers, rice, and others.
How To Prevent Nausea And Vomiting
If you have a plenty time for yourself to get out of the bed for an hour before you need to get up and then start everything slowly, it is possible for you to experience less morning sickness. Another way to prevent nausea is by drinking fluids before or after your meal, for about half an hour. You should not take fluids with your meals. If any smells of food cooking bother you, you should open your window while someone is cooking for you.
When you want to prevent nausea and morning sickness, the key is about to keep everything slow, but steady. It means that you should eat meals slowly to reduce nausea when you are pregnant. Crackers and waters can be the best option in the morning when nausea seems very strong. If you have morning sickness in the next day, you can eat light meals when the nausea is strong. In addition, if you eat before going to bed, it can prevent the sickness when you wake up. It is because if your stomach is empty, it tends to feel nauseous.
Treatments For Nausea And Vomiting In Pregnancy
Below, we suggest you some treatments to take to deal with nausea and vomiting in pregnancy:
- Have a prenatal vitamin (3 months before conception).
Taking your prenatal vitamins especially on an empty stomach can make nausea worse. In fact, prenatal vitamins contain a high level of iron that is hard on the digestive system. It is better to talk to your doctors to switch a prenatal vitamin with the lower iron if you are entering the first trimester to reduce nausea.
- Take vitamin B6 or a combination of vitamin B6 and doxylamine.
Women who took 25mg of vitamin B6 three times per day for three days can reduce nausea and vomiting during their pregnancy. However, you should consult with your doctor before adding B6 and other vitamins to complete your daily routine.
- Take ginger to decrease the NVP symptoms.
Ginger is always an old, classic and potential cure to deal with the stomach. Some ginger tea, ginger snaps, and ginger chews can be the best treatment. Ginger ale is another option that you should limit the pop intake during your pregnancy.
- Eat smaller meals frequently as overeating can be the main cause of vomiting in most condition, pregnant or not.
It is important to remember that empty stomach makes nausea getting worse. You should help yourself to eat even though in a smaller portion. It is better to avoid a full stomach that is hard to keep down. What you can do is consuming high protein foods with complex carbohydrates. The last important thing is to eat slowly.
- Drink small amounts of fluids to keep hydrated.
Drink fluids and liquids in a small amount throughout the day are important. It also works to keep you hydrated and reduces the vomiting. Water is the best choice. Alternatively, go with sports beverages with glucose, potassium, and salt to replace the electrolytes lost when you are vomiting. Sucking on the ice cubes from the water of fruit juice is also a good way to do. Another option to have is lollipops.
- Avoid smells and foods that make you sick.
What you should keep is to avoid any foods and smells that you cannot handle. It is better not to force yourself to eat anything to make sure that you have a well-balanced diet. Some people cannot keep down any fruit during their pregnancy, no problem. It is not a big deal if you cannot take fruits. You can go with the prenatal vitamins to make up for the deficiency until you can keep your food down. So, go on with the food that you can handle.
- Eat crackers to settle the stomach.
For example, you can try soda crackers as the simple and bland that can settle your stomach. It can clamp down on nausea. It is also a good thing to do to keep some on your nightstand. The best way is to eat a few in the morning. After that, you can rest for 15 minutes before ready to do your activities.
- Smell lemon, watermelon, or ginger to remove nausea.
Perhaps you think that this is a weird thing to do. Well, the reasons are still unknown. However, when you smell ginger, watermelon, or lemon, it can help you with morning sickness. Another way to do is to add lemon to your water to reduce the setup stomach level.
- Have Peppermint.
Peppermint is also a classic cure that can settle your stomach. You can try mints, peppermint tea, even gum at any time. However, we do not recommend you to chew too much gum. If you take too much gum with artificial sweeteners, such as aspartame, it can be harmful to your pregnancy. It is fine to take a piece or two in a day. We think you should not take five packs a day.
- Do not take fatty foods.
Fatty foods are longer to digest. In addition, it can worsen nausea. It is better for you to avoid acidic, spicy and fried foods which only can irate the digestive system.
- Find your best time
There are some periods that you feel you are better. If you feel that today is your best time with less nausea problem, it is important to try having your main meal. Perhaps, you do not feel sick around 2 p.m. or others. At that time, give something better for your baby while in the other time you can stick with small snacks.
- Nausea and vomiting of pregnancy must get effective treatment to prevent the development of hyperemesis gravidarum
- Have admission to the hospital and the intravenous hydration in dehydrated pregnant women who cannot deal with oral liquids.
Medicine for Nausea and Vomiting In Pregnancy
Recently, FDA approved the effective and safe medicine for nausea and vomiting during pregnancy. It is known as Diclegis that contains 10mg of doxylamine and 10mg of pyridoxine in the delayed release formulation. You should take Diclegis at 2 tablets at night. If the symptom still exists, take 1 tablet in the morning on the day-3. If it does not work, add 1 tablet in the afternoon.
The fact is 85 percent of pregnant women get morning sickness during the first trimester with nausea in the beginning, at the sixth week of the pregnancy. You cannot get the nutrients from food when your stomach cannot tolerate it. Therefore, you should take a prenatal vitamin every day to make sure that your body can take all vitamins and minerals.
In case that you need a strategy on how to manage nausea and vomiting so that you can have a healthy and comfortable pregnancy, we recommend you the dietary modifications below:
- Have Small and Frequent Meals
Dry toasts, crackers, and cereals should be available and these snacks are good to be next to you. When you get up in the morning, you should get up slowly and then take a snack such as wheat biscuits near your bed and do not moving around with your empty stomach. It is important to make sure that your stomach is not empty in the rest of the day by having six small meals as well as easy-to-digest foods. It can be rice, applesauce, tea, and bananas. You should help yourself to eat for every two hours so that your stomach is not empty.
- Drink Fluids
During the first few months of your pregnancy, your body has to get more water. Therefore, it is important to keep yourself hydrated. There are soups, fruit juices, beverages and others with carbonated beverages to settle your stomach with meals. It is also better to avoid drinking beverages with meals because the fluid can fill up your stomach and there is no room for food. As a result, it can increase nausea. For this reason, you should only consume 6 to 8-ounce servings of fluids every day.
- Your Environment
If any smells that do not appeal to you, you should avoid it. This is the best way to prevent nausea. It is good to have someone cook for you if you cannot deal with the cooking process, especially the certain ingredient that makes you become nauseated. Another way to do is to create a restful environment to reduce stress so that vomiting and nausea can be reduced. There are many ways you should do, such as practicing yoga, having meditation, breathing exercise, and listening to relaxing music. These techniques can be the simplest way to have better sleep at night to decrease nausea.
- Have Your Supplement
Pyridoxine or vitamin B6 can help women with persistent and severe nausea and vomiting. For women without these symptoms, Vitamin B6 is still important. If you want to meet the vitamin B6 during your pregnancy, you can include it in some foods such as fish, liver, chicken, soybeans, eggs, cabbage, carrots and others. It is also important to have a prenatal vitamin with vitamin B6 if you cannot fulfill the needs through the food sources.
How To Avoid Morning Sickness Becomes Worse
You can reduce the morning sickness, yet there are some things will make it worse. For example, when you skip meals, it can enhance the morning sickness. The case is the same if you lie down after meals. Another thing that can make the morning sickness worse is you eat spicy foods or you cook spicy food.
If the morning sickness prevents you to keep any food down, it is important to contact your doctor. If the morning sickness is followed by a fever and the morning sickness is still happening in the second trimester, it does not a big matter.
Nausea And Vomiting – What You Must Do
If you have nausea and vomiting during your pregnancy, there are some things you must do as below:
- Eat small meals per two hours
- Drink fluids 1/2 hour before and after a meal, not with the meals
- Drink small amount of fluids to keep dehydrated
- Eat soda crackers 15 minutes before you are getting up in the morning
- Avoid smells and foods that can increase nausea and vomiting
- Open the windows or turn on fans if there are smells bother you
- Ask someone to cook for you
- Have enough rest and nap during the day
- Do not go to warm places, as feeling hot can increase the nausea
- Smell ginger, lemon, drink lemonade or eat watermelon to reduce nausea
- Consume salty potato chips to settle stomachs to eat a meal
Morning Sickness – What You Must Not Do
- Do not cook
- Avoid consuming spicy food
- Do not skip meals
- Do not lie down after having your meals
Morning Sickness During Pregnancy For Twin
During pregnancy, morning sickness can be different for everyone. However, some reports show that there are the same symptoms. Women who are pregnant with twins or more can have a harder time to deal with the morning sickness during their pregnancy. More babies in the uterus, more estrogen to produce. This condition brings the body to digest slower and increase nausea. Later, when the multiple fetuses have pushed the stomach in the abdominal cavity, the pressure can bring acid reflux. Therefore, a mom who has given birth to the multiple fetuses may get severe nausea even though they are not pregnant.
When Does Morning Sickness Require Hospitalization?
You should contact your doctor immediately if the NVP is unbearable and it always happens too often, which keeps you in the trouble. Your doctor can help you to know whether it is a normal morning sickness or a hyperemesis gravidarum. Hyperemesis gravidarum may happen with the sign of severe vomiting and nausea followed by weight loss as well as electrolyte imbalance. Your doctor will help you to get IV fluids and other important treatments if you have hyperemesis gravidarum.
Here are the signs that you should call your doctor:
- Severe vomiting and nausea
- Pregnant women only pass a small amount of urine
- The urine shows a dark color
- Pregnant women cannot keep the liquids down
- Feel dizzy, especially when stand up
- Faint when standing up
- Heart race
- Vomit followed by fever and pain
- Vomit blood
- Serious dehydration risk and weight loss
- Hypokalemia (low blood potassium)
- Alkalosis (a drop in the normal acidity of the blood which can be dangerous)
- Nausea until the second trimester
Hyperemesis gravidarum can develop in 1-2 percent of pregnancies. Even though it is a very rare condition, it can be dangerous if you do not get an immediate help. Commonly, 90% of hyperemesis gravidarum symptoms can go away in the fifth month of the pregnancy.
For women with hyperemesis gravidarum, the chance that it can harm the baby is still small. However, she will experience weight loss during her pregnancy. Therefore, it can increase the risk of giving birth to her baby with the low birth weight.
About Hyperemesis Gravidarum (HG)
The nausea is so severe in the first trimester so that women become malnourished and dehydrated. This condition is known as hyperemesis gravidarum. HG happens to women who have constant nausea and vomit several times every day for the first three and four months during their pregnancy.
Women with hyperemesis gravidarum can lose more than five percent of the pre-pregnancy weight. It is because HG keeps these women from drinking enough food and fluids. They may have other problems, such as nutritional problems and electrolytes problems in their bodies. With persistent nausea and vomiting, it can be difficult to do their daily tasks.
Women with HG should be hospitalized to help them get enough fluids and nutrients through a tube in their veins. Commonly, women with HG can feel better after the 20th week of pregnancy. However, in some cases, the symptoms still exist throughout the three trimesters.
The symptoms of Hyperemesis gravidarum are severe nausea, vomiting, electrolyte disturbance, weight loss, and weight loss. In some mild cases, women with HG must get dietary measures, antacids, and rest as the treatments. In severe cases, these women must stay in the hospital to receive fluid and nutrition through the intravenous line. It is important not to take any medications or drugs if you do not talk to your doctor first.
The obstetrician will work to treat the symptoms of HG and they will make sure that these women get the safe and effective treatment. Some treatments can be by giving prescription medications to stop nausea. The goal of the prescription medication is to keep down the food and to supply the nutrition to the fetus. If there are any pregnant women around you with the HG condition, it is important to help them to the hospital to get treatment and hydration.
The Facts of Morning Sickness
The Symptoms of Morning Sickness Can Be Because Of Changing Hormones
Most experts believe that the symptoms of morning sickness happen because of the changing hormones during the pregnancy. Most women are suffering the symptoms in the fourth week after the conception when the egg implants in their uterus and the pregnancy hormones increase.
The Morning Sickness Can Start Before The 4th Week Of Your Pregnancy
Based on some reports, women with morning sickness may experience the symptoms before the fourth week. It is the basic answer to when does morning sickness start. If you experience the morning sickness before the fourth week of your pregnancy, it is because of Human Chorionic Gonadotropin (HCG), even though the estrogen level is still the main cause. On the day of the conception, your body releases the HCG in the urine and blood throughout the pregnancy. Therefore, HCG is the earliest pregnancy hormone that can bring to morning sickness.
Morning Sickness Can Be The First Sign Of Pregnancy
Most women do not realize that they are pregnant until they are entering the sixth week of the pregnancy. It means that the first sign of pregnancy, morning sickness, bring stomach flu and other illness early. After the doctor verifies their pregnancy, the morning sickness is then connected back to the pregnancy.
Morning Sickness Does Not Always Happen In The Morning
Morning sickness is the most common symptoms of pregnancy. However, women with a normal pregnancy may experience no morning sickness. Morning sickness can be mild to severe. Some women have morning sickness get worst during the early morning hours. Others may complain of having nausea and vomiting especially in the early of evening and overnight. It means that morning sickness does not always happen in the morning. Do not get the name wrong.
Morning Sickness Happens Due To The Estrogen Levels
Many experts thought that morning sickness happen due to the estrogen. Estrogen is rising during the fourth or the fifth week of gestation. In this condition, your digestion system works slowly and the sense of smell is increasing. With this combination, the morning sickness symptoms appear such as nausea and vomiting. Every woman and every pregnancy, of course, has a different story. One may notice the morning sickness as early as the second week of gestation. Meanwhile, others may feel no effects until they are entering the eighth week of gestation. You cannot stop morning sickness to not occur, but you can treat it, though.
Nausea and Vomiting In Pregnant Women Can Be Different
During the pregnancy, morning sickness can be followed by vomiting, or nausea, and even both. According to many reports, women can feel sick to their stomach, but they cannot vomit in the end. However, some of them vomit in the first few weeks of the pregnancy and they continue vomiting throughout the pregnancy.
Severe Morning Sickness In Pregnancy Should Go To Hospital
Even though the case of severe morning sickness during the pregnancy are very few, some women cannot keep down water and solid food in the few weeks of their pregnancy. This can bring a serious condition, known as hyperemesis gravidarum. In this case, they need an obstetrician to apply a safe and effective treatment to deal with the symptoms. The obstetrician will give prescription medications to stop nausea. Women with severe morning sickness have to stay in the hospital to get hydration and treatment.
In the end, morning sickness is not a serious condition in pregnant women. What they have to do is to make sure that they can keep down water and solid food for their baby. Even though there is no medicine to stop the morning sickness, we can still control it through some ways to reduce or prevent it. When you wonder when does morning sickness start and end, at the same time you cannot handle it, do not worry. It is good to contact your doctor to help you with some medicines and treatments. The most important is not to let morning sickness prevents you and your baby from all food. If you have any trouble with it, make sure that you notify your doctor, so it does not become severe.