Morning Sickness in Pregnancy

University of Rochester| Tue Sep 05 11:39:40 EDT 2017
 Morning Sickness in Pregnancy
The news of Duchess Kate Middleton’s third pregnancy—and accompanying morning sickness—again sheds light on this unfortunate side of pregnancy. Morning sickness can be a royal pain for many expectant moms. But when it escalates to the point of extreme nausea, dehydration and weight-loss, it can be downright miserable.  UR Medicine obstetrician Dr. Loralei Thornburg, who sees a lot of patients with hyperemesis gravidarum—severe morning sickness—answers some commonly asked questions about the condition. Thornburg: It’s not uncommon for pregnant women to experience some nausea and vomiting in the first few weeks. Sometimes it’s the first sign of a pregnancy. But when it doesn’t subside, no matter what you do, and you’re unable to keep any food down, losing weight and feeling debilitated, that’s extreme. Obstetricians look for both weight loss and signs of dehydration before diagnosing hyperemesis, separating this condition from more common mild nausea and vomiting during pregnancy. Some 50,000 women with extreme morning sickness require hospitalization each year and they lose just over 200 hours of time at work during a pregnancy. And that doesn’t count the emotional toll of feeling horrible during what is supposed to be one of the happiest times of their lives. Thornburg:  We can ease the symptoms with anti-nausea medications like Zofran, Phenergan and Reglan, as well as Vitamin B6 and over-the-counter Unisom. Tums or other antacids can also be helpful for reflux. Ginger has soothing properties that can quell the nausea too, and is available as a variety of candy, drinks and foods. This is why hospitals serve ginger ale to patients who’ve had surgery. (URMC scientists have studied the use of ginger to ease nausea from chemotherapy that offers some clues to the healing power of this amazing root.) If those medications don’t work and a woman becomes dehydrated or malnourished, intravenous fluids and a feeding tube could be required, but these carry risks and should be avoided whenever possible. If a woman has underlying medical conditions such as diabetes, then the treatments can be more complicated.


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