Do you suffer from pregnancy nausea? That’s what you need to do Special guide

The Guide to Nausea in Pregnancy: Despite the unpleasant feeling that nausea in pregnancy brings with it, it is important to understand that we as doctors do not necessarily look at it as a bad thing. Every gynecologist and doctor who performs pregnancy monitoring knows that nausea is an indirect sign of a normal rise in hormones, especially when it comes to the first trimester of pregnancy. Precisely a woman who experienced nausea and vomiting in early pregnancy and then suddenly benefited, is sometimes required to be tested. However, when it comes to nausea in pregnancy it is important to make sure that the phenomenon does not harm the quality of life. Nausea should be classified according to its severity and intensity and action should be taken to treat them.

Morning sickness is the mildest degree of nausea in pregnancy and also the most common phenomenon. Morning sickness, as it is called, is characterized by the fact that as the day progresses, it subsides, and the pregnant woman can continue with the routine of her life. In some cases, the condition worsens to the point of prolonged nausea, which does not stop and is even accompanied by vomiting. In these cases, it is advisable to make a medical inquiry and seek treatment. Urgent treatment is required when there is also weight loss, of about 5% of body weight, or in cases where blood tests indicate a risk of dehydration.

Pregnant woman (Photo: Shutterstock)

If we get the impression that the nausea is beyond the normal range, it is necessary to monitor for signs of dehydration in the urine and functional monitoring of vital organs such as the kidneys, liver, thyroid gland and more. It is important to rule out gastrointestinal problems or pregnancy complications because severe nausea may, in some cases, be a sign of more serious problems. The doctor should rule out various options to make sure that the nausea is not due to conditions that could endanger the pregnancy.

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Do not have to suffer

It is possible to deal with nausea in pregnancy and today, even more than ever. For pregnant women who suffer from nausea, we recommend changing their lifestyle during pregnancy. Among the recommendations it is important to try to increase the rest hours, make sure to drink a lot and eat smaller portions and more often. Although nausea impairs the desire to eat, it is precisely the diet during this medication that is extremely important and therefore, it is recommended not to reduce the amount of food they consume each day but to distribute it differently throughout the day. A different distribution of the doses around the clock, may help and even help the body recover. Changes in the menu and types of foods can also be a solution. Spicy, fried or fatty foods may increase nausea and should be avoided. To ensure that the body continues to receive the essential nutrients it may need to also consume vitamins and supplements.

There are also traditional and common treatments that may alleviate the phenomenon. Some women report that adding slices of ginger or lemon to drinking water improves coping with nausea. However, it should be noted that this claim has not been scientifically proven in clinical trials conducted on women during pregnancy.

Pregnant woman (Photo: Ing Image)Pregnant woman (Photo: Ing Image)

In cases where the nausea is prolonged and no benefit is observed, it is important to consult a doctor as soon as possible. The doctor can estimate the need for medication as there are now also prescription medications that help alleviate the phenomenon, especially for those who feel that their quality of life has been impaired as a result. These are treatments that have been tested by the US Food and Drug Administration, FDA, among pregnant women and have received high safety scores. Recently, he joined the medical toolbox, also a drug from the antihistamine family, called “Bonjesta”, which counteracts nausea and vomiting and can be a solution for those suffering from the problem. There are cases where the doctor will recommend a combination of several different drugs. But it is important to note that not every anti-nausea medication is also suitable for treating the population of pregnant women. It is important to make sure that the cure for nausea has been researched and found to be safe for pregnant women and not just the general population.

Most often, drug treatment is started from a low dose and gradually increases depending on the condition of the pregnant woman. Western medicine now offers effective treatments that can have a quick and effective effect, so you can quickly get back to routine – even in the first trimester of pregnancy.

Although nausea in pregnancy is a fairly common phenomenon, it should not be taken lightly. If the nausea worsens or impairs the quality of life, it is recommended and even advisable to be examined by the attending gynecologist.

The author is the director of the Maternal and Fetal Medicine Unit at Rambam Medical Campus, Haifa


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