Which suggestion is appropriate for the pregnant woman who is experiencing nausea and vomiting?

Nausea and vomiting symptoms are extremely common during the 1st three months of pregnancy due to changing hormones. The following are some suggestions to help with these symptoms.

Which suggestion is appropriate for the pregnant woman who is experiencing nausea and vomiting?

  1. Symptoms seemed more pronounced when the stomach is empty. Eating frequently (every 1 ½ – 2 hours) in small amounts will keep the nausea to a minimum.
  2. Separate liquids from solid foods – if you drink something, don’t eat for at least 30 minutes.
  3. Carbohydrates and starches are the most popular foods.
  4. High fat, spicy, or gaseous foods are not tolerated well.
  5. Citrus fruits and drinks usually have too much acid.
  6. Vitamins are important. If you can tolerate prenatal vitamins, they should be taken daily with solid foods.
  7. Folic acid (0.4-1mg average) is recommended daily. This is available in the prenatal vitamins or may be taken separately.
  8. Centrum or two children’s chewable vitamins may be taken daily if other vitamins cannot be tolerated.
  9. Vitamin B-6, 50-100mg twice daily or vitamin B-6, 25mg four times every day can decrease nausea (must take 2 times every day).
  10. Motion sickness or sea sick bands can be purchased at drug stores and dive shops.
  11. Keep some type of dry food next to your bed if you get up during the night or when you wake up in the morning.
  12. Try eating lemon drops, mints, and foods and drinks containing ginger (i.e. ginger ale, ginger snaps).

Some women require prescription medication or hospitalization if symptoms are severe. Please feel free to call if vomiting is excessive.

  • Saltine Crackers
  • Milk Shakes
  • Melba Toast/Graham Crackers
  • Grape Juice
  • Bagels – Plain or with Cream Cheese
  • Papaya Juice
  • Toast/Cheese Toast
  • Apricot Juice
  • Peanut Butter
  • Apple Juice
  • Peeled Apples/Apple Sauce/Watermelon
  • Gatorade
  • Oatmeal/Grits
  • Lemonade

  • Dry Cereals – Cheerios/Rice Chex
  • Ginger Tea
  • Rice/Noodles/Baked or Boiled Potatoes
  • Hi-C Punch
  • Oodles of Noodles
  • Ginger Ale
  • Macaroni and Cheese
  • 7-Up
  • Scrambled Eggs
  • Sprite
  • Sherbert/Ice Pops
  • Coke
  • Pretzels/Pop Corn
  • Ginger Snaps
  • Tuna/Chicken – Baked or Grilled

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Nausea and vomiting in pregnancy: what advice do midwives give?

Gemma Wills et al. Midwifery. 2008 Dec.

Abstract

Objective: to determine what advice and support midwives give to women experiencing nausea and/or vomiting in pregnancy, with a particular interest in if and how herbal and alternative therapies are prescribed.

Design: cross-sectional survey.

Setting: a public, tertiary maternity hospital in Melbourne, Australia.

Participants: forty-nine midwives who provide antenatal care.

Findings: the advice most commonly given to women experiencing nausea and/or vomiting was to eat frequent small meals and snacks (91%). Other common advice was given by half the midwives or less: avoidance of fatty/spicy foods (53%); eating before rising in the morning, e.g. consumption of dry biscuits/toast (51%); and keeping hydrated (49%). Most midwives (39/46, 85%) included some form of vitamin or herbal supplement in their advice for nausea and vomiting in pregnancy; however, many were unaware of potential harmful side effects or what would constitute appropriate doses.

Key conclusions: advice for nausea and vomiting in pregnancy was generally consistent with that documented in the literature. The findings suggest that it is likely that herbal medicines and alternative treatments are often included in common advice given for nausea and vomiting of pregnancy; however, there is little evidence to guide practice in this area. Similarly, common advice for nausea and vomiting in pregnancy is based more on anecdotal evidence than rigorous scientific evidence, highlighting a need for more research in this area.

Implications for practice: it is crucial that midwives support women experiencing nausea and vomiting in pregnancy, and that the issue is not treated as merely something women need to 'cope with' as part of pregnancy. Advice given to pregnant women needs to include what is known about the safety and efficacy of various treatments in pregnancy, so they can make informed choices. There is a need for increased awareness of the issues around the safety and efficacy (or otherwise) of herbal supplements and alternative treatments when prescribed or used during pregnancy, and midwives need to be aware of the evidence for any treatment or supplement they suggest to women. Due to the small size of this study and the lack of other literature on this topic, further research would be of benefit.

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What should a pregnant woman experiencing nausea and vomiting do?

drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting) eat foods or drinks containing ginger – there's some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy)

What will stop a pregnant woman from vomiting?

Treatment for vomiting during pregnancy.
sipping on water or ginger ale..
avoiding triggers, such as certain foods and smells..
taking prenatal vitamins..
using anti-nausea/anti-vomiting medications (if advised by a doctor).