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HYPEREMESIS

 

Nausea and vomiting in pregnancy is extremely common. Approximately 70-85% of pregnant women experience some form of this condition. However, in only a small portion of women is the condition so serious to warrant hospital admission or other aggressive measures (hyperemesis gravidarum). The symptoms usually resolve spontaneously by the end of the first trimester, although a few women have nausea throughout their pregnancies. There are many conservation and over-the-counter approaches to help you get through these symptoms.
 
The following is a list of some suggestions. Please feel free to contact our office if you have any questions or if the nausea is not improving. If there is any concern of dehydration or weight loss, you should be seen by your obstetrician. Keep in mind that all nausea and vomiting is not always pregnancy-related. Other medical conditions can also present with nausea and vomiting.
  • Starting a multivitamin or prenatal vitamin as early as possible, even prior to conception if possible, can help ease the symptoms.
  • Eat small frequent meals. High carbohydrate meals tend to be better tolerated. Also increase your protein intake.
  • Eat a cracker before getting out of bed in the morning to fill the stomach.
  • Avoid fatty foods, spicy foods, iron supplementation, and strong odors.
  • Pyridoxine (Vitamin B6) 10mg up to 3 times a day.
  • Doxylamine (Unisom) 12.5mg twice a day
  • Ginger (Ginger Ale, or Ginger tablets 250mg four times a day)
  • Sea Bands (wrist bands normally worn for seasickness)
  • Dimenhydrinate (Dramamine) 50mg every four hours as needed
 

There are also some prescription options that can be discussed with your obstetrician, including pills, suppositories, and injections. Occasionally, patients need intravenous hydration or even intravenous nutrition if the symptoms are severe.


Often expectant mothers are hesitant to treat nausea and vomiting due to concerns with taking medication in pregnancy. A drug-free option for treating nausea and vomiting in pregnancy is called Prima Bella. This device looks and is worn like a watch and when activated emits gentle pulses which are transmitted through the median nerve on the underside of the wrist and travel to the emetic center in the brain. These gentle pulses regulate the nausea signaling process between the brain and stomach (via the vagus nerve), restoring normal stomach rhythm, and providing relief of nausea and vomiting. For more information on the product please visit www.PrimaBellaRx.com .

If you are suffering from nausea and vomiting during pregnancy please contact your provider to further discuss your options.




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