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Nausea and Vomiting of Pregnancy
What Causes it?
The exact cause is not understood. Nausea in pregnancy may related to sensitivity to increased levels of estrogen, or other hormones, or changes in the way the body uses carbohydrates. Fatigue and emotional factors may also play a role in some women. The hormonal changes of pregnancy can cause your digestion to slow down which may contribute to nausea. A recent study "Hyperemesis gravidarum associated with Helicobacter pylori seropositivity" in Obstetrics and Gynecology (1998: April:91 (4): 615-7 (ISSN: 0029-7844) suggests that Hyperemesis Gravidarum, a medical name for severe nausea and vomiting of pregnancy suggests that infection with Helicobacter pylori is associated with Hyperemesis.  Ninety-five of 105 patients with hyperemesis gravidarum had positive serum IgG concentrations compared with 60 of 129 controls.
Timing
If nausea and vomiting are experienced, it usually occurs in the first 12 weeks of pregnancy. Some women have symptoms up until 20 weeks. Symptoms can vary from mild queasiness to vomiting, and may occur at any time during the day.

Prevention and Relief

Eat small meals frequently which are high in carbohydrate and protein., Eat every one to two hours while awake and keep an snack by the bed.
Lie down when symptoms appear.
Try eating dry toast or crackers when you arise.
Don't eat fatty or spicy foods.
Salty foods or lemon smells may help settle your stomach. Ask yourself what will make you feel better: something crunchy, salty, sour, fruity or sweet, and eat it. Don't worry about perfect nutrition right now.
Avoid getting over-tired.
Keep track of situations and factors that trigger nausea so that you can avoid those things. Odors, sudden motion, or even busy patterns can serve as triggers.
Use acupressure: Look at your wrist on the palmer side. Locate the crease furthest from your hand between your hand and wrist. Measure two thumb widths up from this crease, and press in the middle of your wrist at this spot. There is an acupressure point here, which if stimulated for several seconds, relieves nausea and motion sickness in most people. If you have the point, you should feel a distinct twinge when you stimulate it. You may use it several times a day.
Try 50-100  mg. Vitamin B-6 twice a day.
Herbs: Sips of mint tea , raspberry leaf tea, ginger root, anise or fennel may help.
Try sucking on candied ginger.
Wild yam tincture may be used in a glass of water or mint tea twice a day (1 dropperful).
Homeopathic remedies: Ipecac 30x, Nux vomica 6x, Cannibus 30x have been used by some women with success.
Relaxation, visualization, or self-hypnosis may help.
What to Avoid and possible Danger Signs
Do not take any medication without first contacting your midwife or other care provider.
Danger signs: Call your OB Caregiver.
Prolonged nausea and vomiting, longer than 24 hour
Inability to keep any food or fluids down.
Severe pain in any part of your body

Complementary
Locums NPs
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Midwives
Pediatrics
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Speakers Bureau
Woman's Health

Updated
8/29/2010
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