Nausea and vomiting in pregnancy, commonly known as morning sickness, affects more than 70% of pregnant women. Despite its name, symptoms are rarely limited to the morning, often starting around weeks 6-8 of pregnancy and subsiding by weeks 16-20. This condition can range from mild discomfort to more severe symptoms that significantly impact quality of life.
While the exact cause isn’t well understood, factors such as maternal age, the number of pregnancies, and underlying medical conditions may influence the severity of symptoms. Women experiencing nausea and vomiting in pregnancy may face challenges in their social, emotional, and psychological well-being, along with reduced work efficiency.
Hyperemesis Gravidarum (HG)
In severe cases, nausea and vomiting may escalate to hyperemesis gravidarum (HG), a condition affecting 0.3-3.6% of pregnant women. HG can significantly impair daily activities and poses both short- and long-term health risks.
Short-term effects of hyperemesis gravidarum include:
- Weight loss: Often due to inadequate caloric intake
- Dehydration: From persistent vomiting
- Electrolyte imbalances
- Wernicke encephalopathy: A rare but serious neurological condition
- Vitamin K deficiency: Leading to potential complications
- Mental health challenges: Including depression, anxiety, PTSD, and even suicidal ideation
- Pregnancy termination considerations: In extreme cases, due to the severity of symptoms
Long-term effects of hyperemesis gravidarum include:
- Changes in family planning: Due to fear of recurrence
- Ongoing mental health impacts: Including anxiety, depression, and PTSD
What’s the Difference Between Nausea and Vomiting and Hyperemesis Gravidarum?
The differences between nausea and vomiting in pregnancy and hyperemesis gravidarum are as follows:
Nausea and Vomiting in Pregnancy |
Hyperemesis Gravidarum in Pregnancy |
| Minimal Weight Loss | Weight loss of more than 5% |
| Adequate caloric intake most days | Inadequate caloric intake for weeks or months |
| Symptoms are unpleasant but don’t limit activities | Symptoms cause misery and limit daily activities |
| Managed with dietary and lifestyle changes | Requires medical treatment, such as IV therapy |
| Symptoms subside by 16 weeks gestation | Symptoms may persist until delivery |
How to Relieve Symptoms of Nausea and Vomiting During Pregnancy
Dietary and Lifestyle Modifications
Mild to moderate symptoms can often be managed with adjustments to diet and daily habits. Recommendations include:
- Eating small, frequent meals every 1-2 hours to avoid an empty stomach
- Avoiding spicy or fatty foods that can exacerbate nausea
- Eliminating supplemental iron (if not medically necessary)
- Opting for bland or dry foods, such as crackers, especially in the morning
- Incorporating high-protein snacks to stabilize blood sugar levels
Evidence-Based Treatments
For women whose symptoms persist, the following treatments may offer relief:
- Vitamin B6: Research shows that Vitamin B6 alone can effectively reduce nausea. The safe upper limit in pregnancy is 200 mg per day, so consult your healthcare provider before starting.
- Ginger: A traditional remedy for gastrointestinal issues, ginger has been shown to reduce nausea in pregnancy. While generally safe, it’s essential to speak with your doctor about appropriate dosing.
- Acupuncture and Acupressure: These therapies involve stimulating specific points in the body to reduce nausea and vomiting. Acupuncture, when performed by licensed practitioners, is a safe and effective option during pregnancy. At Oona Wellness Group, our naturopathic doctors provide this service with expertise.
Hyperemesis Gravidarum: Specialized Care
Managing hyperemesis gravidarum often requires a multidisciplinary approach. Medical interventions such as IV fluids, anti-nausea medications, and nutritional support may be necessary. Complementary therapies like acupuncture may provide additional relief, helping to reduce symptoms and improve quality of life. Psychological support is equally critical, as the mental health impacts of HG can be profound and long-lasting.
If you suspect you’re experiencing HG, it’s essential to seek medical attention promptly to avoid complications.
Get Help from a Naturopathic Doctor
At Oona Wellness Group, our naturopathic doctors are well positioned to support women through all stages of pregnancy. From managing mild nausea to providing care for severe cases like hyperemesis gravidarum, we offer personalized, evidence-based solutions tailored to your needs. During your appointment, your naturopath will:
- Assess the severity of your symptoms
- Create a customized treatment plan
- Recommend safe, effective natural remedies
- Collaborate with your healthcare team if needed
Our approach combines nutritional guidance, supplementation, acupuncture, and compassionate care to help you feel your best during pregnancy.
Book Your Appointment Today
Don’t let nausea and vomiting overshadow the joy of your pregnancy. Let our team at Oona Wellness Group guide you toward relief and support for a healthier, happier pregnancy. Book your appointment today to start feeling better.
