What Causes Nausea During Pregnancy?
As painful and debilitating as they are, nausea are free normal and common in early pregnancy.
Barbara Forster, Midwife: Nausea and vomiting are among the “sympathetic” signs of pregnancy, as they reflect proper hormonal impregnation
They are mainly linked to the HCG hormone that mimics the effect of thyroid hormone (TSH) and increases stomach acidity, but other causes can be suggested as well:
† genetic “Women of mothers who have experienced heavy vomiting are more at risk of pregnancy-related vomiting, as are women who have already had these symptoms in a previous pregnancy, the midwife indicates,
† The rise in progesterone levels related to pregnancy, which slows down digestion and, in particular, the work of the stomach,
– Excessive operation of the thyroidsometimes with the discovery of an associated hyperthyroidism. We are then confronted with a situation of:hyperthyroidism transient pregnancy or, more rarely, the discovery of hyperthyroidism to be followed up after pregnancy.
– The multiple pregnancies,
– And a whole psychic component : “the tensionthem eating disordersrelationship problems with the husband – going as far as situations of domestic violence -, or even women who suffer from geographical distance from their family”, specifies the midwife,
– Finally, morning sickness is often associated with a disgust of smellspregnant women with an increased sensitivity to smells called hyperosmia.
Morning sickness can be made worse by: undergo certain treatments, especially iron supplements, the need for which is increased during pregnancy. It may therefore be wise to re-evaluatethe treatment.
While this nausea is normal and physiological, its impact on women’s daily lives and the experience of pregnancy should not be underestimated. “When These Symptoms Are” very intense, even accompanied vomiting and they become disabling for the mother-to-be, justifying medical and emotional support,” the obstetrician insists.
In very rare cases: this nausea – which is then usually accompanied by vomiting – is linked to an abnormal development of the pregnancy in the case of molar pregnancies. “The egg then has genetic abnormalities. The pregnancy is not progressing normally and requires special medical monitoring,” the obstetrician says.
Finally, there is a much more serious and fortunately much rarer form called hyperemesis gravidarum or hyperemesis gravidarum, which concerns about 1% of pregnant women. The causes of this pathology are still poorly understood, but it may be related to an abnormally high level of the hormone beta-HCG.
When does morning sickness appear?
Classically, morning sickness is revealed towards the 6th SA (weeks of amenorrhea) and generally peak around 9 WA. However, they are not systematic and their absence should not be a concern for women who do not suffer from them!
When do they usually disappear?
May mothers-to-be be reassured: “In the vast majority of cases symptoms disappear around 12 weeks of amenorrhea” Barbara Forster assures. So their persistence is very rare after 20 SA.
However, some mothers become nauseous again at the end of the pregnancy: they can sometimes be the harbinger of an impending delivery!
Why do they appear especially in the morning when getting up?
While some pregnant women may feel nauseous at any time of the day, in most cases, morning sickness is mainly felt in the morning upon waking. They would indeed worsen when the stomach is emptyand that the speed of blood glucose is weak. “It is probably also the moment when the body gets going and the metabolism gets going,” adds the obstetrician.
Is it normal to feel nauseous all day long?
One thing is certain: there are no rules when it comes to pregnancy symptoms, and therefore nausea. “Nausea is rarely continuous. It occurs in many women on waking in the morning, often with an aversion to smells, but it can also occur before meals. Eating a little generally relieves symptoms,” explains Barbara Forster .
Finally, some people prefer to experience nausea in the late afternoon, without the reasons being explained.
What to eat in case of nausea?
If the rules aren’t the same for everyone and every woman has her own sensitivity to “trigger” or “sedative” foods, there are still some important principles to follow to limit morning sickness:
† Split meals : Eating often in small quantities makes it possible on the one hand to limit hypoglycaemia and on the other hand to avoid large meals, which are difficult to digest.
– Prioritize food lightly digestibleSo not too thick and not too sweet. “Women who suffer from it often turn to foods that are neutral in taste, such as pasta, bread, rice. But be careful, it is still desirable to ensure a varied food intake with vegetables and fruits,” Barbara insists. . forster.
– Trust your desires, which are generally good indicators of what you will tolerate.
Very popular with pregnant women, without risks and side effects, theacupuncture would be very effective in relieving morning sickness.
It works by restoring the meridians between the liver and gallbladder and between the stomach and spleen. In general, 2 sessions per week for 2 to 3 weeks are sufficient to achieve good results.
Thus, several studies (1 and 2) have confirmed the effectiveness of acupuncture on pregnancy sickness.
The World Health Organization (WHO) admits ginger is used in the treatment of pregnancy-related nausea† The recommended dose is 250 mg of dried rhizome or 10 g of fresh ginger, administered four times a day.
Based on the same principles as acupuncture, bracelets acupressure trade in stimulate the P6 point also known as Nei Kuan. Considered an important point in the treatment of nausea, retching, dizziness and vomiting, it also acts as a regulator of digestive dystonia and blood pressure thanks to its antivagal action.
Several plants are known for their ability to ease the digestive system. Consumed in the form of herbal tea made fromconcentrated dry extracts, they are particularly recommended for digestive problems in pregnant women. This is especially the case for verbena, basil, fennel, lemon balm and caraway, which are known for their anti-nausea properties.
Homeopathy: Ipeca 9ch, sepia officinalis, tabacum
homeopathy can also be a solution to relieve nausea, although its effectiveness is inconsistent and often questioned by traditional medicine.
“The variety of homeopathic treatments allows you to adapt to the woman’s situation and focus on describing the appearance of her symptoms,” explains Barbara Forster.
Barbara Forster: Morning sickness with disgust of odors responds better to sepia officinalis, Ipeca can relieve nausea or vomiting with salivation, while tabacum may be indicated in vomiting with nausea.
Reserved for nausea associated with vomiting, these drug treatments are necessarily prescribed by a health professional. It is usually the domperidone – known as Motilium -, of the vitamin B6 alone or in combination with doxylamine.
“In severe forms, hospitalization of the mother may be necessary to avoid the risk of dehydration and/or severe metabolic disorders,” specifies Barbara Forster.
Whatever happens, self-medication is strongly contraindicated, even more so during pregnancy: it is therefore essential to seek advice from your midwife, doctor or pharmacist.