Why toxicosis in pregnant women in the early stages. The severity of toxicosis in pregnant women. Prevention of early toxicosis of pregnant women

  • When does toxicity start?
  • What week does toxicosis end?
  • What is pregnancy nausea?
  • How to treat toxicosis?

We will answer these questions in this article!

What is toxicosis?

Toxicosis of pregnant women- this is the reaction of the body to poisoning (self-poisoning), manifested by a number of symptoms:

  1. nausea
  2. salivation
  3. weakness
  4. drowsiness
  5. weight loss.

Toxicosis in the concept of young mothers is morning sickness or vomiting, but in reality everything is much more complicated.

Yes, nausea is a fairly common manifestation of toxicosis in pregnant women, but equally common signs in the form of loss of appetite and body weight, respectively, ptyalism (salivation of pregnant women) and lethargy are also toxicosis.

Therefore, do not replace the concepts of toxicosis and nausea.

There are many suggestions why toxicosis occurs in pregnant women.

1. Adaptation of the body to the pregnant state.

As a result, the digestive, cardiovascular and other systems cannot cope with new sensations (uterine growth, hormonal changes), and the body reacts to this with vomiting and nausea.

When does toxicosis end? early dates? With a singleton pregnancy, this most often occurs by 13-14 weeks, with a multiple pregnancy, it can drag on for a couple of weeks.

Thus, when the body gets used to its new state, toxicosis will end.

2. Stress.

Pregnancy is a huge responsibility for a future mother. It is not surprising that even desired pregnancy brings with it a lot of anxiety and stress. What can we say about an unplanned pregnancy!

The body reacts on stress by the release of adrenaline into the blood, which, in combination with pregnancy hormones, can have an irritating effect on the center of vomiting.

Nausea caused by the stress of the expectant mother also has a psychological background. Surely you have heard stories when a woman who thinks that she is pregnant told that she was sick in the morning.

And even that she feels the movements of the fetus, although pregnancy does not exist. Just on a subconscious level, a person can program himself in such a way that he begins to feel something that is not really there.

3. Immunobiological factor.

It is believed that the fetus for the mother's body is first considered a foreign tissue, and the body tries to reject it.

No wonder it is in the first trimester that most often occurs spontaneous abortion. Rejection of "other" cells it can be accompanied by intoxication, manifested by weakness, nausea or vomiting.

4. The state of health of the mother.

If a woman has chronic diseases of systems and organs, there is a high probability that, having become pregnant, she will suffer from toxicosis. The stronger the body, the easier and easier the pregnancy will be.

How to prepare for pregnancy so that it passes easily read.

However, not only the initial state of health of the mother affects the appearance of toxicosis of pregnant women:

5. Heredity

according to one theory, it also plays a role in the appearance of toxicosis.

It is believed that if a mother or grandmother felt sick and vomited during the first trimester, then their female descendants cannot avoid the same fate.

However, this assumption has no scientific evidence. However, as practice shows - this theory is quite possible!

6. Often the cause nausea and vomiting of pregnant women is "exacerbation" olfactory and taste buds, due to which the usual smells and tastes are felt most clearly and can cause nausea in the expectant mother.

Toxicosis in pregnant women: when to see a doctor.

Nausea, vomiting, salivation, weakness and drowsiness accompany many mothers throughout the first trimester.

Closer to 14 weeks, poor health is replaced by cheerfulness and hyperactivity, and the pregnant woman enjoys her wonderful position.

However, despite the fact that toxicosis in the early stages does not require special treatment, you should pay attention to the following:

  1. nausea does not stop and does not stop
  2. vomiting more than 10-15 times a day
  3. no appetite (or there is a desire to eat, but it is impossible to do this due to vomiting)
  4. low or high blood pressure
  5. problems with urination or bowel movements
  6. decrease in skin turgor (if you take the skin into a fold, for example, on the shoulder, it will not soon come to original view and stay dry and flabby)
  7. vomiting accompanied by abdominal pain
  8. troubled by incessant headaches
  9. you cannot drink water.

If there is at least one of the above symptoms, you should immediately consult a doctor in a antenatal clinic.

Dehydration, disorders of the cardiovascular and other systems - these are deadly conditions of the body, especially for a pregnant woman.

There are three degrees of toxicosis of pregnant women:

  • Light, when vomiting bothers no more than 4 times a day, more often in the morning. At the same time, the pregnant woman feels good, has a good appetite, does not lose weight and drinks enough water.
  • medium weight, when vomiting occurs about 10 times at any time of the day. At the same time, the expectant mother eats poorly, loses weight and complains of weakness. This condition is not critical, but you should consult a doctor for examination and possible hospitalization for the treatment of toxicosis.
  • Extreme degree. Vomiting up to 15-19 times with symptoms characteristic of this condition: rapid weight loss, dehydration, disruption of systems and organs. This state a pregnant woman is treated only permanently.

Causes of toxicosis in the later stages.

Most often, nausea and vomiting accompany a woman only in the first trimester.

However, it happens that in the second trimester the body, which has accumulated an order of toxins and harmful substances, reacts to its condition with vomiting or nausea.

If the toxicosis does not go away, be sure to consult a doctor!

In the second half of pregnancy, nausea can be caused by physical factors: the baby is growing, and the uterus is squeezing the internal organs. From here, hepatosis of pregnant women may occur (when the gallbladder ducts are clamped and the liver is compressed), exacerbation of gastritis or previously existing pancreatitis. Accordingly, one of the symptoms that accompany these diseases will be vomiting and nausea.

Do not forget about late toxicosis - gestosis of pregnancy.

This is a serious condition that can also affect the baby, causing oxygen deficiency (fetal hypoxia). Naturally, with any suspicion of preeclampsia, you should consult a specialist.

At mild degree toxicosis, pregnant women can relieve their well-being on their own. There are many ways to reduce morning sickness and prevent vomiting during pregnancy. which ones actually work?

What to do if you feel sick?

  • Pregnancy nausea occurs on an empty stomach. That's why:
  • avoid long breaks in eating
  • eat small meals often
  • keep a few biscuits or loaves on the bedside table: as soon as you wake up and feel an attack of nausea, eat something and the nausea will subside
  • Do not overeat: during pregnancy, you need to eat for two, not for two (and in the first trimester, the baby practically does not require additional calories). Overeating puts extra strain on the gastrointestinal tract and can cause nausea and vomiting in pregnancy.
  • Eliminate pungent, any artificially flavored food. Olfactory and taste buds will be less irritated, and nausea will recede.
  • 4. Do not get out of bed abruptly: an organism that has not yet woken up can respond to stressful awakening with vomiting or nausea.
  • Don't recycle. The pregnant body is sensitive to stress, fatigue and lack of sleep. And stress, as already mentioned, is one of the causes of toxicosis in the early stages.
  • Get rid of bad habits if you haven't already done so. Smoking affects the production of enzymes in the stomach, which can cause nausea!
  • Take vitamins (as recommended by your doctor).
  • Sleep at least 8 hours a day.

The above recommendations really help to cope with nausea in the early stages.

However, if you still have a question: I'm sick, what should I do?- Let's take a closer look at some important aspects life of a pregnant woman.

Nutrition.

  1. Drink clean water (as much as your body requires).
  2. Do not drink carbonated drinks: they increase gas formation in the intestines and can cause nausea.
  3. Do not eat sour fruits and do not drink juices, strong tea and coffee - they irritate the stomach lining and cause heartburn.
  4. Do not eat foods that are difficult and long to digest (dry bran, mushrooms, fatty meat).
  5. Limit sugary foods: they shift the pH to the acid side and can also negatively affect the stomach.
  6. Eat more protein in the morning.
  7. Try not to drink food, and between lunch and dinner, drink clean water with a drop of lemon - such a drink removes nausea well.
  8. Find "your product". It can be an apple, a banana, a cracker - everything that will help you remove the feeling of nausea. Such a product is sure to be found, experiment!
Read more about how to eat during pregnancy.

Mode of work and rest.

  1. Walk at least 2 hours a day (weather and health permitting).
  2. Sleep in a well ventilated room.
  3. Monitor indoor humidity. Dry air has a negative effect on well-being. If possible, get a humidifier.
  4. Do not overwork and avoid conflict situations.
  5. If nausea interferes with work, take a sick leave. Stress at work and constant "duty" in the toilet room will not add health to you and your child!

Medicine for nausea during pregnancy.

    During pregnancy, all drugs are contraindicated, especially in the first trimester, when all the vital systems of the fetus are formed.

  1. Be careful with folk methods and herbal preparations from nausea - neither can be dangerous.
  2. Medicines during pregnancy can only be prescribed by a doctor, provided that his benefit to the mother will be much higher than the harm to the baby.

Physical methods.

If all of the above does not help, you can:

  1. Accept warm shower. Water will help you relax and forget about nausea.
  2. Stand in a knee-elbow position: this way the stomach will be located in an anatomically correct position, and the evacuation of food into the 12th duodenum will occur faster.
  3. Try sleeping on your left side.

Pregnancy is the most exciting and at the same time desirable period in a woman's life. What could be better than realizing that a little life is developing in you? These feelings of euphoria when you look at an image on an ultrasound scan, tiny arms, legs, a heart, the first jolts that convey the emotions of the baby, and are a way of communication between mom and baby, and now he can definitely make it clear when he likes something or, on the contrary, it causes discomfort.

And it would seem that everything is so beautiful, everyone around you runs around to make you feel good and comfortable, they feed you with all sorts of goodies, create the most favorable environment for the expectant mother, and suddenly, like snow on your head, toxicosis. Of course, it does not occur in everyone, but 80% of pregnant women experience this nuisance, mainly in the first trimester. For most, he is the first sign that a little one has appeared inside.

What is toxicosis in pregnant women

Toxicosis is the general condition of a woman in position, this is explained by the fact that the waste products of the fetus do not yet have sources where they could go, so they enter and spread through the blood of a pregnant woman, and thereby cause light form intoxication, which is manifested by nausea, dizziness, vomiting, metabolic disorders. Nausea, as a rule, haunts in the morning, after waking up.

Toxicosis is divided into three main types:

  1. Easy . Nausea occurs several times a week, and has little effect on a woman's weight;
  2. Moderate . Vomiting up to 10 times a day, and weight loss by 3-5 kg ​​in a few weeks, increased salivation, as well as low blood pressure;
  3. Heavy . Gag reflex more than 25 times a day, lack of appetite, sudden and significant weight loss, fever and high heart rate.

The first yes types refer to a physiological temporary state, but the third is a pathological stage that requires additional medical care.

Causes of toxicosis in early pregnancy

To date, it has not been possible to give an exact definition of why nausea occurs. Some doctors are inclined to believe that changes in the central nervous system are the cause, because a woman begins to think more, rethink, worry and experience a sense of anxiety, while another category of doctors believe that toxicosis is a normal manifestation of protective reactions and body properties to the appearance of a foreign body inside myself. But also, there are common scientifically agreed and valid reasons.

Hormonal changes

The composition of hormones begins to change from the very first hours of fertilization of the egg, this process affects well-being, behavior, and health. A woman becomes whiny, touchy, taste buds and sense of smell become aggravated, which can lead to nausea. After the first three months of pregnancy, the body is already beginning to accept the cells of the embryo, and it does not have a desire to reject it, which is why closer to the second trimester, during the normal course of pregnancy, toxicosis disappears.

Protective properties

A natural defensive reaction is considered to be the development of aversion to certain smells: nicotine, smoke, fish, eggs, raw meat and many other foods. Therefore, the body selectively and individually excludes the use of certain foods, because the above foods may contain infectious or pathogenic bacteria, which is why vomiting removes an unnecessary and harmful toxin from the body, which indicates the importance of the presence of toxicosis in certain cases.

Development and maturation of the placenta

After the placenta finishes developing and already takes on the function of retaining toxic substances (this happens around 13-14 weeks), vomiting stops bothering the expectant mother.

Diseases of a chronic nature

Launched or untreated infections significantly weaken the woman's immunity. In this case, even at the stage of pregnancy planning, it is ideal to include complex vitamins in your daily regimen, but if this does not happen, then start drinking them as soon as you find out about your situation, choosing the right complex, agreed with the doctor.

Psychological changes

Very often, toxicosis early stage x develops due to emotional state mothers, especially if the pregnancy was unplanned, and there are still a number of doubts in the head. Irritability increases, the quality of sleep worsens, constant nervous, stressful tension, or simply an early mood that toxicosis will definitely be or should be, is deposited in the subconscious and begins to cause false symptoms Problems.

age factor

Women over the age of 30 are more susceptible to toxicosis if the pregnancy is the first, and especially if there were numerous or one-time abortions before it. Doctors around the world claim that ideal age emotional and physical, in order to become a mother of 19 - 28 years old, but, of course, there are exceptions to the rules.

Genetics

It concerns more toxicosis in the second half of pregnancy. If women from previous generations suffered and experienced vomiting in the twentieth weeks of bearing a child, then there is a high probability that this may well be genetically transmitted from birth to you.

Multiple pregnancy

When several eggs are fertilized at once, the pregnancy can be considered multiple. It is clear that when carrying in this case, there will be much more difficulties. Toxicosis is expressed much more progressively than with a classic singleton pregnancy, but the threat of miscarriage or fetal fading is much less.

How to deal with early toxicosis

Infusion for toxicosis

Mix a tablespoon of herbs - chamomile, lemon balm, mint, pour 0.5 liters of boiling water, let stand. After cooling, you can add a spoonful of honey. Drink 50-100 ml with every feeling of nausea, or just during the day.

General rules to follow:

Nutrition for toxicosis in early pregnancy

In general, a person is a reflection of what he eats, healthy and good nutrition important for any organism, and for a woman during pregnancy, this is doubly important. The concept that the expectant mother should eat for two is absolutely and categorically wrong!

She should eat as much as her body requires to store and conserve energy. It is important that she even eats a few, and what, because her general condition, the indicators of a number of tests and the level of vitamins and trace elements for the normal development of the baby depend on this.

In order to avoid toxicosis, nutrition should be balanced and varied, this will also prevent the appearance of food allergies in the newborn.

Products that help overcome toxicosis:

  • Fruits and vegetables fresh or boiled: potatoes, carrots, beets, kiwi, apples, bananas, pomegranate, lemon, avocado, but do not lean on citrus;
  • Protein food : fish, cottage cheese, meat (low-fat varieties), eggs, seeds;
  • Dairy products : yogurt, cheese, sourdough, fermented baked milk;
  • pickles : herring or paste from it, sauerkraut, pickled cucumbers, but this group of products, in a very moderate amount, in order to protect the impact and burden on the kidneys;
  • Beverages : weak green or herbal tea, still water, fresh juices, fruit and berry fruit drinks;
  • Legumes : nuts, beans..;
  • Honey - but not more than two tablespoons per day, otherwise the tone of the uterus may increase;
  • Dried fruits : raisins, dried apricots, dates, prunes;
  • Sweets can be in the form of marmalade, marshmallows.

Should be excluded:

  • flour products - bread, white flour buns;
  • Fried, fatty foods ;
  • Fast food ;
  • Carbonated drinks ;
  • Chocolate ;
  • canned food ;
  • Sweets are especially dangerous because they can increase blood sugar.

1. Correction of nutrition and rejection of bad habits.
2. Walking on fresh air, as well as daily ventilation of the premises in which you work, live, sleep.
3. Drink water with lemon or lime, as well as a decoction of rose hips.
4. Take complex vitamins, and additionally folic acid in tablets, it has been proven that it is able to alleviate toxicosis in the very early stages.
5. Get enough sleep! This is very important, the sleep of a pregnant woman should be at least 8 hours, otherwise in the morning you will feel unwell and nauseous.
6. Light sports in the form of gymnastics, special yoga for pregnant women, will greatly benefit your health, the development of the baby, and will also help maintain an attractive and fit shape.
7. Psychologically tune in to the fact that the pregnancy will proceed calmly, carefree. Think often about how you will meet your little miracle.
8. Eat food in small portions, avoiding malnutrition or overeating, 5-6 times a day.
9. Eat only warm food, cold and hot food is not recommended. After all, such a contrast can negatively affect the receptors of the stomach, after which severe nausea and vomiting can occur.
10. Monitor the level of hemoglobin, its deficiency can cause and exacerbate the manifestations of toxicosis.
11. Drink no more than 1-1.5 liters pure water every day, in small sips, thus, the feeling of nausea will be muffled, and excess fluid will not accumulate in the body with subsequent swelling.

Toxicosis is a frequent companion of women in an interesting position. Nausea, dizziness, weakness and an acute reaction to odors are felt by 90% of pregnant women. Fortunately, to alleviate the symptoms of toxicosis is quite within the power of everyone. Today we will tell you how to cope with toxicosis during pregnancy, and in what cases it is possible to completely prevent its occurrence.

If a pregnant woman has nausea and vomiting more than 3 times a day, the weight melts before her eyes, the desire to eat disappears, and “there is no more strength to hold on” - it means that the expectant mother is faced with manifestations of real toxicosis. It can begin almost from the moment of delay of menstruation, and last until the middle of the second trimester (16 weeks of pregnancy).

In most cases, women have a mild and moderate degree of toxicosis. They do not require drug therapy and hospitalization. But it’s still worth trying to get rid of toxicosis and taking measures to reduce the severity of symptoms.

1. Adjust your daily routine

This is a point that requires attention in the first place - the well-being of the body as a whole depends on it. You should try to get enough sleep, spend less time at the computer monitor and watching TV. At least a pregnant woman needs at least 8 hours of sleep at night, as well as at least 1-1.5 hours of daytime rest.

2. Reduce operating voltage

Stress and overstrain are one of the causes of early toxicosis. Are you pregnant but still working hard? Working for days on end should remain in the past while carrying a baby. Serious physical exertion, contact with dangerous/ harmful substances can pose a threat to the normal course of pregnancy.

On a note!If you provide your employer with a certificate from antenatal clinic about pregnancy, according to your application, he is obliged to transfer you to “light work” (work that excludes the impact of adverse production factors).

3. Lifts without sudden movements

After waking up, it is advisable to lie down in bed for a while, eat bread or cookies to reduce the risk of nausea. Get up gradually, first sit down, sit for a minute or two, lower your legs to the floor and then you can rise.

4. Organize your diet

But without violence. If you woke up without appetite, and it hasn’t been there all the first half of the day, then you shouldn’t “cram” the missed breakfast into yourself. Try experimenting with portions and time between snacks. Starving is just as bad as overeating. Remember to drink liquids - if you vomit, you need to drink at least 2 liters per day, if you feel normal - at least 1.5 liters.

5. Control your blood pressure

If you have low blood pressure during pregnancy, then you are probably haunted by toxicosis. Get a blood pressure monitor and monitor your blood pressure throughout the day. If blood pressure is not higher than 100/60 mm Hg, then drink a cup of black or green tea, or eat some dark chocolate.

Note! Subject to all the above tips, maintaining healthy lifestyle life and creating a favorable atmosphere for bearing a baby, you can avoid the occurrence of toxicosis.

Why does toxicosis occur?

Medicine does not have a clear answer why the early stage of pregnancy in expectant mothers is often overshadowed by toxicosis. There are only hypotheses, here are the four most common ones:

  1. Hormonal- a high content of the "hormone of pregnant women" in the blood leads to the appearance of toxicosis. The level of hCG (human chorionic gonadotropin) is usually higher in mothers who carry several babies under the heart at once, but it can be in excess in mothers who are expecting one child. Estrogens, progesterone, and thyroid hormones can also affect toxicosis.
  2. genetic- some doctors suggest that a specific gene, which is inherited, is responsible for the development of toxicosis. Therefore, while carrying a baby, you can ask mothers and grandmothers how their pregnancies went and whether the fight against toxicosis bypassed them.
  3. Immunological- it happens that the mother's body perceives fetal egg inside itself as an alien tissue, and begins to intensely fight with it. But then the natural “mechanism” for maintaining pregnancy is activated, counteracting the “attack” on the unborn child. All these processes inside the body of a woman lead to the so-called toxicosis;
  4. Psychosomatic- according to psychologists, poor health and toxicosis in a pregnant woman can be caused by a change in lifestyle, experiences, relationships with a partner, etc.

As well as a detailed answer from the doctor about why toxicosis occurs in the early stages of pregnancy:

The severity of toxicosis in pregnant women

Toxicosis can be considered normal state if it causes discomfort in moderation. But sometimes it takes such force that we are talking about a dangerous complication of pregnancy. How to determine the same "limit"? First of all, it is worth focusing on the severity of nausea, vomiting, as well as well-being in general. Obstetricians-gynecologists distinguish three degrees of severity of toxicosis.

The severity of toxicosis Manifestations
Light degreeSigns of "mild toxicosis": sensitivity to odors, slight dizziness in the morning, vomiting up to 5 times a day. The general condition of the pregnant woman is normal, urinalysis is normal, there is no loss in body weight.
Average degree Body weight is significantly reduced, the pregnant woman has weakness, lethargy. Arterial pressure is low. In the analysis of urine, a small amount of ketone bodies is observed. Attacks of vomiting occur from 5 to 10 times a day.
Severe degreeThe rapid loss of body weight, the expectant mother keeps subfebrile temperature, there is a rapid heartbeat. Low pressure. A large number of ketone bodies are found in the urine. Dehydration sets in. Vomiting occurs more than 10 times a day.

Attention! If a pregnant woman has pronounced symptoms of moderate and severe symptoms, and there is no adequate treatment for toxicosis, this threatens with complications - from kidney failure to intrauterine delay fetal growth. All changes in the body that disturb the expectant mother should be immediately notified to the obstetrician-gynecologist observing the pregnancy.

Toxicosis - down! How to get rid of toxicosis (first aid)

There are many ways to alleviate the condition of a pregnant woman with toxicosis - you do not have to stoically endure your discomfort. We have collected the most popular of them, and which method is the most effective is up to you.

So, here are some basic tips on what to do with toxicosis in the early stages.

At the first sign of nausea and intolerance to smells:

  • As soon as you feel that a “lump” has come up to your throat and vomiting is coming, drink half a glass of water in small sips. Water can be ordinary clean, or mineral, preferably a little cool. Avoid overly sweet and highly carbonated drinks.
  • If you feel dizzy and anticipate fainting, immediately sit up and lower your head down. In this position, you should sit for 3-5 minutes.
  • Small ice cubes help to stop an emergency attack of nausea well - you need to dissolve them like candies.
  • Make it a habit to keep a green apple, fresh lemon, ginger, or something minty on hand. A sour apple will save you from an attack of nausea, it is a natural antiemetic. A slice of ginger/lemon will help to cope with long-lasting nausea that occurs when motion sickness in vehicles or abruptly getting up from a chair. Mint in lollipops or a drink, in addition to being fresh and distracting, will have a sedative effect and calm the nerves.
  • Pregnant women do not tolerate stuffiness, so if possible, spend more time in the fresh air, ventilate the room more often, use a fan or air conditioner in the heat.
  • Sometimes with toxicosis with nausea appears profuse salivation(due to stomach cramps). To cope with this symptom, rinsing your mouth with cold water will help. If salivation occurs frequently, then prepare a decoction of pharmaceutical herbs in a thermos: sage, chamomile or mint, and rinse with them.
  • Nausea is caused by hot foods, so eat warm or slightly chilled foods for the duration of toxicosis. When cooking, turn on the hood and do not spend a lot of time standing on your feet - cook better while sitting.

How to relieve toxicosis (mom's experience - video):

Folk remedies for the treatment of toxicosis

When all known ways getting rid of toxicosis exhausted, come to the rescue people's councils proven over the years. Their use is completely safe - after all, they contain only natural ingredients, which, in addition to healing action rich in vitamins and minerals, and they will not be superfluous during the period of bearing a child. Try it, suddenly one of the folk remedies for toxicosis will become good decision for you and help you get rid of it forever.

Folk remedies for toxicosis Action and method of application
Rose hip Rosehip decoction is a good remedy for nausea. Rose hips in a decoction have a beneficial effect on the health of the expectant mother, cleanse the body of a pregnant woman from toxins and strengthen the immune system. Rose hips should be brewed in a ratio of 100 g of fruit per 1 liter of water. Pour the fruits with water, bring to a boil, let it boil for 5-7 minutes. Turn off and let the broth brew for 4 hours. Refrigerate and take after meals.
Cranberry Cranberry juice is a remedy for toxicosis, known to our grandmothers. Crush 150 g of cranberries, pour the juice into a glass, and pour the remaining mass with boiling water (500 ml) and simmer over low heat for 15 minutes. Then remove from heat, add about 1/3 cup of sugar and previously drained juice. Stir, cool, drink as the main drink.
Ginger Ginger with toxicosis is simply an indispensable product - it eliminates nausea, dizziness, even with a severe degree of illness. Ginger tea is the most effective. For it, you need to pour a little fresh grated ginger into a glass of water, let it brew and sweeten with honey. You can also chew small pieces of ginger root in the morning for those who are exhausted by bouts of nausea and vomiting.
Mint Fresh mint is an assistant with vivid manifestations of toxicosis. A sprig of mint added to tea will relieve fatigue, tension and help raise low blood pressure. When pursuing unpleasant odors, you need to chew 2-3 leaves of fresh mint in your mouth.
Honey Delicious, sweet "medicine" will help stop an attack of nausea. Take a teaspoon of honey and suck it like a lollipop. Also, a honey drink helps with nausea (especially in the morning) - dissolve 1 tbsp in a glass of boiling water. honey and add a couple of slices of lemon.

Medications for the treatment of toxicosis

If toxicosis is severe, then you can not avoid visiting a doctor and undergoing therapy prescribed by a doctor.

Only the attending obstetrician-gynecologist can recommend a medicine for toxicosis in order to compare all the possible risks for the mother and child. Most often, doctors prescribe antiemetics, but only in emergency cases, and strictly choosing the appropriate drug in this particular case.

drug for toxicosis Operating principle
MetoclopromideHelps eliminate nausea and gag reflex. Effective in early and late toxicosis (preeclampsia). Available in tablets, oral solution, solution for intramuscular injection.
DiphenhydramineIt is used in pregnant women under the strict supervision of a doctor with excessive vomiting (severe toxicosis). Produced in powder for dilution in an aqueous solution.
PromethazineOne of the most effective remedies for early toxicosis. Combats nausea, vomiting, unpleasant sensations of lightheadedness during pregnancy. Produced in tablet form.
MeclizineProvides medical correction in the elimination of symptoms of nausea, reduces the frequency of vomiting by 70%. Release form - tablets.

Risk factors: who is predisposed to toxicosis

The likelihood of toxicosis in a pregnant woman increases if one or more of the following factors occur:

  • pregnancy is complicated by blood discharge;
  • while expecting a baby, an exacerbation of infection occurred urinary tract, herpetic infection;
  • overweight, obesity (fat metabolism disorders);
  • eating disorders that began in the pre-pregnancy period (bulimia, anorexia);
  • multiple pregnancy;
  • there are diseases of the gastrointestinal tract (gastric ulcer, gastritis);
  • the expectant mother has chronic stress, overwork, lack of oxygen;
  • inadequate and/or erratic nutrition;
  • the age of the pregnant woman is up to 25 years (it is in young women that the risk of toxicosis is high, after 35 years it, on the contrary, is minimal).

What is dangerous late toxicosis during pregnancy:

8 ways to help yourself with toxicosis

Unpleasant manifestations of toxicosis do not bypass almost all expectant mothers. Even with an easy pregnancy, women sometimes face some problems. Try to alleviate the condition with the help of our tips - some of them can become a "first aid course" for suddenly oncoming nausea.

Light snack

When leaving the house, take with you cookies, an apple, a piece of cheese, bread. During pregnancy, the level of glucose in the blood is extremely unstable, it can drop sharply, which provokes a deterioration in the condition of the pregnant woman. "Dry ration" for all 9 months should always be at hand.

Control your stool

Make sure that the chair was at least 1 time in 1-2 days. Remember to go to the toilet "by and large", even if you eat little. When the intestines are not emptied for several days, toxins accumulate in it, which easily enter the blood of a pregnant woman, aggravating her health.

More air

Fresh air is the best healer for toxicosis. A room in which a pregnant woman spends a lot of time should be ventilated frequently. Avoid crowded and stuffy rooms. If this is not possible (for example, due to work duty), take 10-minute breaks every two hours to get clean air into your lungs. Do not inhale sharp and strong smells of perfumes, household chemicals.

Rest after eating

After eating, the pregnant woman must definitely lie down - so she will avoid an attack of nausea and reduce the unpleasant manifestations of severe toxicosis. Good effect on the condition of the expectant mother daytime sleep, especially during the period from the 5th to the 12th week.

mint break

One of the most effective means from nausea - mint in all its manifestations. Peppermint candies, refreshing chewing gum, or iced mint tea will help to cope with the onset of morning sickness in the first trimester of pregnancy.

long awakening

Doctors recommend expectant mothers to wake up later: getting up early provokes morning vomiting. If you have toxicosis, forget about abruptly getting out of bed in the morning. And so that the beginning of the day is not overshadowed by a bad state, treat yourself to a symbolic breakfast in bed. Nothing supernatural: just eat a bagel, a tangerine, a green apple, a muesli bar. Gradually drink a glass of water, juice or fruit drink. Order? This will help you deal with nausea and dizziness.

Drink mineral water

Treatment of toxicosis, accompanied by vomiting, should take place with the replenishment of fluid deficiency in the body of the expectant mother. Cool mineral water, drunk in small sips, brings relief after vomiting and dizziness quickly subsides.

Fragrant sachet

Natural dried herbs that can be found in any pharmacy will help get rid of nausea. With toxicosis, it is good to inhale the aroma from a sachet with dried lemon balm, raspberry leaves, peppermint and chamomile.

Diet for toxicosis of pregnant women: what you can eat for good health

Nausea in the morning can not always be interpreted by a doctor as a manifestation of toxicosis. Most often this condition is at 5-8 weeks of pregnancy - normal phenomenon, and it is called the adaptation of the body to pregnancy. But if the expectant mother has complete absence appetite, which is combined with the inability to swallow anything (otherwise there will be vomiting), then this is a “true” toxicosis that needs to be observed.

Diet for early toxicosis

So, how to deal with toxicosis during pregnancy in the early stages? With a mild course of symptoms of nausea, without weight loss and tests within the normal range of a pregnant woman, it is best to listen to your body and trust your intuition. He himself will tell you what diet at a particular moment suits him. If you want to eat something, do not deny yourself; if a certain product is disgusting - remove it from your menu, at least until the second trimester. Also desirable:

  • try to sleep more than 8-9 hours a day;
  • to walk outside;
  • avoid overwork and traumatic situations.

Important! If possible, refuse to buy food for a while (smells in stores often provoke vomiting with toxicosis), cook only the food that you can safely eat yourself. Perfumes and household chemicals are also postponed until "better times".

Diet for late toxicosis

Many are wondering how to treat toxicosis for a long time at home, meaning gestosis by their condition. In the second half of pregnancy, many women experience swelling of the arms and legs, and the doctor reveals a large weight gain associated with fluid retention in the body. This pathology occurs due to increasing vascular permeability. With this violation, a woman seeks to reduce fluid intake, or goes on a diet, which is absolutely impossible to do - this will lead to thickening of the blood and small vascular thrombosis.

What should be done:

  • to normalize the condition, consult a doctor: he will prescribe drugs to restore blood circulation and to strengthen the vascular walls;
  • drink liquid at least 2.5 l / day;
  • do not drink food during the meal and do not drink liquid immediately before eating - drink only after you have already eaten;
  • enrich your diet with vegetables, fruits, fermented milk products and meat;
  • do not arrange unloading days.
  • eat small meals, but often (arrange healthy snacks every 2-3 hours);
  • give preference to soups, broths, fresh fruits and vegetables in a salad;
  • try not to starve for a long time, hunger provokes nausea;
  • 5-7 minutes before the main meal, eat bread or dried fruits - such a “training” for the stomach will help to absorb the rest of the food;
  • drink enough fluids throughout the day;
  • during a surging attack of nausea, drink half a glass of mineral water, eat a slice of lemon or mint candy;
  • do not eat standing up, it is most convenient to eat, being in an almost reclining position.

One of the unpleasant, but expected companions of pregnancy in many women is early toxicosis. On the one hand, morning sickness and even vomiting, weakness, increased salivation, rejection of certain tastes and smells indicate that the body is undergoing serious work related to the restructuring of all its systems. This allows you to feel "really" pregnant when the tummy has not yet appeared. But the other side of the coin is constant discomfort and thoughts about when the painful feeling of nausea will disappear and you can safely enjoy the expectation of your baby.

In this article, we will talk about the main causes of toxicosis and how to deal with it.

Toxicosis in early pregnancy: when does it start, how long does it last and when does it end?

Sometimes it is due to the appearance of morning sickness that a woman begins to guess about the onset of pregnancy. Toxicosis before the delay is rare, although it is theoretically possible, starting from 7-10 days after conception. But still, at such an early stage, pregnancy often manifests itself as an increase in appetite and an addiction to certain products rather than nausea.

Usually, toxicosis is “waited” after they see two stripes on a home test. Each pregnancy is unique, and it is impossible to say how long toxicosis will begin, and whether you will have it at all.

Most often, toxicosis begins at 5-6 obstetric week pregnancy.

Exhausted by the frequent, and even constant feeling of "lightheadedness", pregnant women in the early stages ask themselves the question: "When will toxicosis pass?" Toxicosis lasts only a couple of weeks in some women, and it manifests itself weakly, while in others it does not pump even with the beginning of the second trimester, but, according to doctors, most often lasts up to 13-14 (in some cases up to 16) weeks of pregnancy. It is by this time that the formation of the placenta is completed, which leads to the rapid extinction of the symptoms of toxicosis. As a consolation to women suffering from nausea, it is worth saying: many experts consider this unpleasant condition a good indicator of the normal course of pregnancy.

Toxicosis: symptoms and signs

Toxicosis of pregnant women is a complex of pathological changes in the state of the body caused by poisoning with harmful substances of internal origin.

Symptoms of toxicosis in the early stages are weakness, drowsiness, lowering blood pressure, dizziness, excessive salivation, decreased or complete loss of appetite, changes in the perception of smells and tastes, cravings for unusual foods, nausea and vomiting. Very rarely, the cause of intoxication remains incomprehensible to a woman, although there are cases when it is changes in eating behavior that suggest pregnancy.

Minor ailments, which are considered nausea and vomiting no more than 1-2 times a day up to 13 weeks of pregnancy, occur in about 90% of women and are not considered by doctors as a pathology. Doctors directly call toxicosis a condition in which a woman vomits at least 3 times a day.

Toxicosis, accompanied by frequent vomiting, can lead to metabolic disorders, which leads to weight loss up to exhaustion and dehydration. The most severe cases of toxicosis cause dystrophic changes in the kidneys, liver, heart, lungs and central nervous system.

The gag reflex is the most well-known sign of toxicosis. It is by the strength of its severity that toxicosis is attributed to one or another degree of severity.

In rare cases, toxicosis can be manifested by the occurrence of dermatous rashes, asthma in pregnancy, osteomalacia (softening of the bone substance), tetany (skeletal muscle spasms).

Degrees of toxicosis

From a medical point of view, toxicosis has three degrees of severity:

First (light) degree - vomiting occurs up to 4-5 times a day, most often in the morning and after meals. This reduces the appetite and worsens the mood of the woman, but in general does not affect the general state of health. A mild degree of toxicosis causes a slight loss of body weight (up to 3 kg). Treatment is carried out outside the hospital. The standard recommendations of doctors are taking drugs that help eliminate toxins from the body, as well as medications that reduce the excitability of the nervous system and speed up metabolism.

Second (middle) degree tolerated by a woman is much harder than light. Vomiting becomes more frequent up to 10 times a day, the temperature may rise, the heartbeat accelerates (up to 100 beats per minute). A pregnant woman loses weight (up to 3-4 kg in two weeks), which sometimes leads to a decrease in blood pressure. Moderate toxicosis can also be expressed by rare vomiting (once every few days), but at the same time by severe nausea that prevents food intake. If the tests reveal the appearance of acetone in the urine, the woman needs hospitalization or treatment in a day hospital. Standard therapy is carried out in the form of intravenous administration of a medicinal solution using a dropper. It helps to fill the lack of fluid and nutrients in the body of a pregnant woman. If the symptoms of toxicosis progress, the doctor may prescribe treatment with drugs that suppress the excitability of the vomiting center. For their appointment, good reasons are necessary, therefore, in no case should you take such medicines at your own discretion.

Third (severe) degree requires immediate hospitalization. The condition of the pregnant woman is characterized dangerous symptoms: vomiting becomes prolonged and frequent, up to 25 times a day, a woman loses more than 10 kg in weight, because she cannot even drink water, the pulse quickens to 120 beats per minute, the temperature rises to 37.5⁰С. With a severe degree of toxicosis, metabolism is disturbed, the body quickly comes to dehydration. Acetone (ketone bodies) and creatine appear in the urine, changes are also found in the biochemical blood test. Treatment is carried out in a hospital, it is similar to treatment with an average degree of toxicosis. In extremely severe cases, when therapy has no effect and toxicosis becomes life-threatening for a woman, doctors recommend terminating a pregnancy by medical indications.

Causes of toxicosis

Even a fairly high level of development of modern medicine does not help doctors give an unambiguous answer to the question of what is the cause of toxicosis. Indeed, it is not clear why pregnancy does not bring any benefits to some women. discomfort, and others suffer from nausea, vomiting and other symptoms of early toxicosis so badly that they have to resort to medical help. All doctors agree in only one opinion: toxicosis is pathological condition, and the degree of its manifestation largely depends on the state of health of the woman.

From a medical point of view, the main causes of toxicosis are:

1. Hormonal changes in the body of a pregnant woman . Fertilization of the egg in the uterine cavity causes colossal hormonal changes which can not but affect the general condition of the body. The conception and development of a child in a woman's body is a natural process, and yet the embryo is initially a kind of foreign object, to which the body still needs to adapt. Hormone surges directly affect the state of the nervous system, which, in turn, affects the gastrointestinal tract: they change taste sensations appetite disappears or increases, vomiting or nausea occurs.

From the moment the embryo attaches to the wall of the uterus, hCG (human chorionic gonadotropin) begins to be produced - a hormone responsible for normal flow pregnancy. It is with the fast growth of hCG, the level of which in the "non-pregnant" time is close to zero, and in expectant mothers it is estimated in thousands of units, the appearance of extremely unpleasant symptoms of toxicosis is often associated. Probably, this is precisely what explains the increased nausea and vomiting during multiple pregnancy - after all, in this case, and hCG level there will be more.

2. Reaction to metabolic products of the fetus . A child developing in the womb receives the necessary nutrients from the mother and releases unnecessary and toxic metabolic products back into the mother's body. Accordingly, the body of a pregnant woman is subjected to increased loads - now he has to utilize the products of not only his own metabolism, but also the metabolism of the baby. And only by 13-14 weeks of pregnancy, the placenta is formed, which takes over the function of recycling the baby's waste. Intoxication of the woman's body decreases, therefore, toxicosis also gradually disappears.

3. The presence of gastrointestinal diseases in a woman . Acute or chronic disease gastrointestinal tract, especially the pancreas or gallbladder, often leads to increased symptoms of toxicosis.

4. Protective reaction of the body against potentially dangerous substances . Pregnant women experiencing toxicosis notice that not all foods and smells evoke the same reaction in them. Women experience the strongest rejection in relation to cigarette smoke, coffee and hard-to-digest foods: meat, fish, eggs, fried and smoked. Thus, the body tries to protect the child from toxins, and the mother herself from overloading the gastrointestinal tract.

This reason is partly related to the reason from point 2: until the placenta is formed, the mother's body is under serious stress. The body begins to actively resist the additional intake of potentially dangerous foods that can cause even more severe intoxication. In addition, the first trimester is the most important in terms of the formation of the baby's vital systems, so the mother's body, with the help of toxicosis, protects him from possible dangers caused by food.

5. emotional stress . Pregnancy is a very stressful time for many women. It seems that everyone knows that pregnant women do not need extra nerves, but in fact, hormone surges and excitement for the baby lead to the fact that the expectant mother is often worried, sleep deprived, and irritated. An unplanned pregnancy brings with it fears about the future. Since the nervous system strongly influences the state of the gastrointestinal tract, it is not surprising that experiences become another factor contributing to the onset of toxicosis. In addition, there is also a factor of a woman's own mood: self-hypnosis is a very strong thing. Some moms-to-be are so excited about morning sickness that they actually get it.

6. genetic predisposition . If your mother and grandmother suffered from toxicosis, it is likely that you will experience its symptoms. In addition, women who suffered from toxicosis during a previous pregnancy have a high chance of its recurrence.

7. Late pregnancy, presence of chronic diseases . With age, most women accumulate health problems, which cannot but affect the course of pregnancy. If a woman is expecting a baby for the first time over the age of 30-35, and especially after several abortions, this is a risk factor for a number of complications, including toxicosis. However, proper pregnancy planning and attention to one's own health can minimize the danger of this item.

How to deal with toxicosis during pregnancy? Folk remedies

Despite the great joy experienced by most pregnant women who have recently learned about their condition, few of them will rejoice at the appearance of nausea and vomiting. Therefore, it is not surprising that the question “how to get rid of early toxicosis” is extremely relevant for those women who have recently begun to feel its first symptoms. Folk remedies for combating toxicosis relate primarily to nutrition, are safe and have been tested by generations of women.

To alleviate toxicosis, adhere to the following principles:

  1. Spend as much time outdoors as possible. The required minimum is 1 hour per day. A half-hour walk before bed will help you fall asleep faster and sounder.
  2. To prevent morning sickness, put a handful of nuts, dried fruits, crackers or cookies on your bedside table in advance and eat them immediately after waking up. Also in the morning you can drink warm mint tea with lemon, ginger and honey - it will alleviate your condition.
  3. Acidic fruits (green apples, lemon, orange) can reduce nausea.
  4. A good way to relieve toxicosis are fruits with a high liquid content - watermelon, melon, grapes.
  5. Eat often so that the stomach does not remain for a long time empty. Portions should be small so as not to overload the digestive system.
  6. Try to eat as many raw vegetables and fruits as possible, and use cooking methods such as steaming or baking for cooking.
  7. Useful for toxicosis exercise therapy and breathing exercises. They activate blood circulation, saturate the body with oxygen, improve well-being and create a positive attitude, which is so important during pregnancy.
  8. Massage of the head and collar zone will help to calm down and reduce the excitability of the vomiting center of the brain.

Nutrition for toxicosis: what to eat and drink to make it easier?

Nausea and vomiting, a heightened sense of smell and jumps in appetite with toxicosis create a lot of problems with eating. You can’t limit yourself in food, because right now your body especially needs the intake of vitamins and trace elements. If there is only what you want, again, you can cause a deficiency of important substances (this is especially true for those who are drawn only to buns and tea). What to do - force yourself to eat as usual? Those who know what severe toxicosis is will only laugh at such a recommendation.

The basic principles of nutrition for toxicosis are as follows:

  • No need to force yourself to eat, because it is necessary if there is no appetite at all.
  • To reduce nausea, try to eat small meals spaced about 2 hours apart.
  • Refuse fried, smoked, pickled, very salty, fatty, spicy foods, canned food, chocolate.
  • Avoid eating too cold and too hot food.
  • Even if you never got involved healthy eating- it's time to start. Help your body deal with toxicity with light, fresh foods. Focus on vegetables, fruits, greens, nuts, cereals. From dairy products, it is better to choose sour-milk products, for example, natural low-fat yogurts without additives, cottage cheese, kefir. The meat and fish you eat should be lean.
  • It is advisable to drink a glass of water in the morning and before every meal. room temperature. You need to drink in small sips.
  • Useful for toxicosis and various freshly squeezed juices (carrot, apple, beetroot, celery juice). Sweet and sour fruit drinks (for example, cranberry) can alleviate your condition, green tea with lemon, tea or infusion of mint, lemon balm, chamomile or yarrow, non-carbonated mineral water.

Treatment of toxicosis

The desire of women to find a universal remedy for toxicosis is quite understandable, but, unfortunately, it is hardly feasible. There are both medical and folk methods, in the fight against nausea, use homeopathy and other alternative methods of treatment. Their effectiveness in each case will be different, in addition, one should take into account how harmless this or that remedy is and what contraindications it has.

The main methods of treating toxicosis at home:

  1. medical. Any medicines used by a pregnant woman should be, first of all, safe. Therefore, in no case do self-appointments, but be sure to consult about the treatment of toxicosis with a doctor observing your pregnancy. Most drugs have a number side effects, which must be correlated with the benefits of their use. There are no specific "pills for toxicosis". And in cases where toxicosis threatens the preservation of pregnancy, doctors prescribe a complex treatment for a woman with the help of drugs such as enterosgel, cerucal, Essentiale, etc.
  2. Immunocytotherapy. This method of treatment consists in the fact that the lymphocytes of the father of her child are injected under the skin of the forearm. A day after this, the symptoms of toxicosis are relieved. Flaw this method- the risk of infection from a man dangerous infections Therefore, before the procedure, it is necessary to fully examine it.
  3. Homeopathic. Treatment with individual homeopathic remedies is considered safe and sufficient. effective way fight against toxicity.
  4. Aromatherapy. People have known about the positive effect of essential oils on the body for a long time. Inhaling the scent of essential oils can help reduce nausea. peppermint or ginger. Apply 2-3 drops of oil to a handkerchief or palms and bring it to the nose at the moments when nausea begins to overcome.

Some women are helped by alternative methods of toxicosis: herbal medicine, acupuncture and even hypnosis.

And finally, I would like to say to expectant mothers: even if toxicosis torments you, do not forget that this is a temporary phenomenon. The body is not an enemy to itself, it only adapts to a new state, rejecting products in which it does not experience this moment needs. Tune in to the fact that your pregnancy is going well, and very soon you will feel the joy of meeting your baby, forgetting about some of the unpleasant moments of waiting for him!

Toxicosis sometimes overshadows a wonderful time for a woman - the period of bearing a baby. Instead of enjoying this amazing period, a woman is painfully looking for a way out of an unpleasant and tormenting state. Why toxicosis develops, how it proceeds and how to alleviate its manifestations during early pregnancy, we will describe in this material.


What it is?

In medicine, the concept of "toxicosis" is invested more broad concept than we used to think. It refers to any pathological condition that is caused by exposure to toxins. Toxins can be external, exogenous. Such toxicosis develops as a result of a microbial infection, because most bacteria poison the body of their carrier with the products of their vital activity. Toxicosis can be endogenous, caused by exposure to substances that are formed in the human body as a result of metabolism. Toxicosis of pregnant women is one of the endogenous conditions.

In the body of the expectant mother, a whole range of changes occur, which ultimately lead to signs of toxicosis. Literally from the first minutes after the conception, a woman begins to change hormonal background, and these changes can make themselves felt by toxicosis.

In the cerebral cortex of women with the onset of pregnancy, a new temporary center is formed - the so-called "pregnancy center". Its task is to control the behavior and physiological functions of pregnancy. The new center, of course, is very necessary for the body of the expectant mother, but its active work often leads to malfunctions in other centers, in particular, the center responsible for the production of saliva, for vasomotor functions, and excessive activation of the vomiting center.

That is why already in the very early stages of pregnancy, when a woman is not yet aware of her position, there may be profuse salivation during sleep, nausea and vomiting, headaches, chills, slight increase body temperature.



Gestational toxicosis, although it is a frequent companion of expectant mothers, especially in the early stages, is not an obligatory symptom of pregnancy. If there is no toxicosis, this is also quite normal and natural. According to medical statistics, up to 80% of expectant mothers suffer from early toxicosis to one degree or another. A woman's body is exposed to toxic effects due to the fact that in most cases it fails to adapt to pregnancy in time, to take all the numerous internal changes at once, for granted.

In the concept of "toxicosis" doctors include disorders of the gastrointestinal tract, nervous system, endocrine glands, failures of immune defense, pathological changes in the work of the cardiovascular and urinary systems. All signs and symptoms of gestational toxicosis are considered comprehensively, not one at a time, and it is by the combination of disorders that occur during the development of pregnancy that doctors can judge the degree, severity, type of toxicosis and how to deal with it, if there is necessity.


Start dates and duration

True reasons toxicosis is not fully understood, in an inadequate reaction female body Much is still unknown about pregnancy. But the main version is immune. In other words, the woman's immunity is at a loss - there is a half-foreign object in the body, but it cannot be destroyed! From the first minutes after the conception, the hormone progesterone begins to be produced in large quantities. It prepares the walls of the uterus for the upcoming implantation, takes care of the accumulation of nutrients and fats, and also affects the woman's immunity. A fertilized egg (zygote, and later - blastocyst and embryo) contains only half of the genetic set similar to the native one. The second half of the genetic material is paternal, it is her immunity that qualifies as a foreign object.

So that the immune system cannot deal with the embryo, progesterone artificially suppresses its mechanisms. In women with strong immunity, the manifestations of toxicosis are usually stronger, because their immune defenses do not give up for a long time. The process of immune suppression by progesterone causes changes at the biochemical level, it is these new substances that cause internal intoxication.



Enter the first day of your last menstrual period

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After the implantation of a fertilized egg, which occurs on average 7-8 days after conception, the production of another “pregnant” hormone, hCG, begins. Chorionic gonadotropin also contributes to the well-being of the expectant mother. Its concentration increases gradually, and after a week, around the date when a woman expects her next menstruation, the first signs of toxicosis may appear.

Usually, it is at the 5-6th week of pregnancy (if you start counting from the first day of the last menstruation, as all obstetricians do), the woman begins to feel sick, she has bouts of dizziness, her taste preferences change. Less often, toxicosis is described, which appears a little earlier - at 3-4 weeks, immediately after implantation. Most often, an unpleasant condition first makes itself felt at 7-8 weeks.




How long toxicosis lasts is a difficult question. Here a lot depends on the individual characteristics of the organism. Experts tend to believe that toxicosis is most likely during the period active formation placenta - from 5-6 weeks to 14-16 weeks of pregnancy. Most women who suffered from early morning sickness claim that they feel much better after 12-13 weeks of pregnancy. For some, toxicosis is "dragged" up to 18-20 weeks.

The severity of a woman's condition is determined in the laboratory, mainly by the level of acetone in the urine and characteristic changes in the blood formula.

An increase in acetone is always associated with a lack of glucose. In the morning, the sugar level is always lower than in the evening, which is why toxicosis most often makes itself felt in the morning.


Symptoms

Signs and manifestations of gestational toxicosis in general terms are well known to all women and are actively discussed by them in specialized forums. Most often, toxicosis manifests itself as causeless nausea and even vomiting. Any little thing can provoke them, for example, the smell of previously loved perfumes, the taste of toothpaste during the morning or evening toilet, the smells of cooking food, gasoline, toilet water husband - all this can cause a sharp attack of nausea.

Quite often, dizziness is the first sign of early toxicosis. They can be minor, rare and short-term, or they can cause a lot of trouble - if a woman suddenly, paroxysmal dizziness, she feels weak, then loss of consciousness is not excluded at the most inconvenient time - when traveling in transport, at work, in a store.


Also common forms of gestational toxicosis are belching, including with bile, signs of indigestion (diarrhea, constipation, heartburn), change taste preferences, headaches that accompany early pregnancy, manifesting mainly in the evenings. In six out of ten pregnant women after conception, after a week or two, daily rises in body temperature begin. The temperature during toxicosis rises slightly - just above 37.0 degrees, usually in the afternoon or in the evening. It is caused by an increase in progesterone in the body of the expectant mother, the concentration of which reaches its peak in the afternoon.

Such a temperature does not need to take medications, antipyretics, it is physiological and cannot harm the unborn baby in any way. Most cases of gestational toxicosis in the early stages are also considered quite physiological and do not need treatment. Doctors say that you just need to endure temporary unpleasant symptoms associated with the adaptation of the female body to new conditions. However, constant toxicosis, which prevents a woman from eating normally, leads to significant weight loss, disruption of the gastrointestinal tract, changes in blood composition, and may require hospitalization.


Quite rarely, toxicosis manifests itself dermatological problems- rashes on the skin with and without itching, exacerbation bronchial asthma, osteomalacia. The symptoms of early gestational toxicosis are very individual and can be present both individually and in combination, much depends on the extent and in what form it is observed in a woman.

Kinds

As already mentioned, toxicosis in a pregnant woman can have various forms and views. It is necessary to distinguish several main types of female malaise at the most initial terms gestation:

    Poisoning. We are talking about poisoning if vomiting, diarrhea, abdominal pain appeared suddenly. Such toxicosis is also called bacterial. It is associated with the poisoning of the body with toxins, which bacteria released into low-quality food during reproduction.

    Evening. Unpleasant symptoms with such toxicosis appear exclusively in the evening. It may be due to the fact that the woman was tired, did not eat enough during the working day, and experienced stress.

Despite the fact that nausea and dizziness prevent you from falling asleep normally, such toxicosis is not considered dangerous, it passes quickly enough.


    Morning. This type is the most common. It is in the morning, after a long sleep, the level of glucose in the human body is minimal, against this background nausea and even vomiting appear. Such symptoms at the very beginning of the day also do not pose a danger to the woman and the child.

    Early. Unpleasant symptoms with it are characteristic of women up to 14-16 weeks of pregnancy. If the manifestations are moderate, the woman does not suffer from rapid weight loss and there are no signs of dehydration, no treatment is required.

    Preeclampsia(late toxicosis). This is toxicosis that develops at the end of the second or third trimester. This is the most dangerous view toxicosis, it can lead to placental abruption, fetal death. Among the reasons maternal mortality gestosis also occupies one of the leading positions. It requires mandatory medical intervention.


The degree of severity of the manifestations of the woman may well be assessed by herself, but it is better to report the disturbing moments to the attending physician. A minor degree (first) is usually characterized by infrequent vomiting (no more than 3-4 times a day), which occurs after eating. Weight loss with a mild degree does not exceed 3-4 kilograms, the mucous membranes of a woman remain sufficiently moisturized, the skin is elastic. Pulse and blood pressure levels are most often within normal limits. This stage does not require medication.

Severe toxicosis (second degree) is characterized by more frequent vomiting, which can occur up to 8 times a day. The woman's health is deteriorating. Acetone appears in the urine, a characteristic acetone smell out of the mouth, blood pressure drops, this causes bouts of weakness. The pulse is quickened, the skin is dry, the woman loses weight up to 6-8 kilograms. This stage necessarily requires medical intervention.

Threatening toxicosis (third degree) is characterized by frequent and debilitating vomiting (more than 15 times a day), severe dehydration, and a large loss of body weight. This degree is a threat to the life of a woman, medical intervention is indispensable. The skin and tongue of a woman become dry, blood pressure drops, the pulse exceeds 120 beats per minute. The composition of the blood changes, not only acetone is found in the urine, but also protein.


Who is threatened?

Since the mechanism of the onset of toxicosis has not yet been fully studied, its causes are not obvious, it is quite difficult to determine the circle of women who are at risk. But long-term observations of obstetrician-gynecologists show that there are quite good reasons to believe that women are most susceptible to the development of toxicosis in the early stages:

  • those who became pregnant before the age of 18-19 and women who became pregnant after 30 years;
  • who suffered from various pathologies and diseases of the kidneys before pregnancy, immune system, as well as those who had problems with the endocrine system;
  • in which the previous pregnancy was accompanied by toxicosis;
  • with gynecological problems, in particular with inflammatory processes in the endometrium;
  • abusing alcoholic drinks and smoking;
  • born from a pregnancy accompanied by toxicosis, as well as in the presence of obstetric history their mothers and sisters of other pregnancies with unpleasant symptoms of intoxication;
  • those who moved from central Russia or its southern regions to the north and became pregnant within the first five years after the move;
  • which are characterized by latent anemia.



And it's far from complete list prerequisites for the development of intoxication at the initial gestational age. When registering for pregnancy, the doctor must collect a complete history, he is interested in how the previous pregnancies proceeded, what they were like with close relatives of the expectant mother.

If an obstetrician-gynecologist has reason to believe that a woman is in a state of pretoxicosis, he can prescribe preventive treatment and make recommendations. Not always pretoxicosis develops and becomes a full-fledged toxicosis, but such a possibility cannot be ruled out.


Why is it missing?

In the generally accepted view, toxicosis is almost an obligatory symptom of pregnancy, especially in the early stages. Actually it is not. Many pregnant women do not experience it and carry their babies easily. Why is this happening?

First of all, non-toxic pregnancy is possible when a woman does not have chronic diseases, there are no problems with immune pathologies, with metabolism, and being overweight. The absence of gestational toxicosis as such can be genetically determined - the mother and grandmother of the expectant mother did not suffer from nausea and vomiting when carrying their babies.

In any case, if there is no toxicosis, this is normal. This suggests that the woman's body easily adapted to the onset of pregnancy, all organs and systems began to rebuild to work in new conditions, there is no "protest" from the mother's body.


The absence of toxicosis should not be frightening. But if he was, and then abruptly disappeared until 12-14 weeks, this may be a sign of a fading pregnancy, a halt in development of the embryo. If a woman's toxicosis lasted for several weeks or months, and then disappeared abruptly, you should definitely visit your doctor and make sure that the pregnancy is developing.

The absence of toxicosis in the early stages is the most favorable prospect for a woman and her baby. If there is no vomiting and related "troubles", the probability of premature spontaneous interruption pregnancy, the child receives a sufficient amount of vitamins, minerals and other essential substances from the mother's blood, the mood and well-being of the mother are stable and this creates good prerequisites for the development of the fetus.


Medication treatment

Treatment with the use of medicinal drugs is prescribed only for moderate and threatening degrees of toxicosis, with severe toxicosis. With a mild degree, you can completely get by with traditional medicine, of course, after agreeing on their use with your doctor. The average degree may require treatment with prescribed medications at home or in a day hospital. In severe toxicosis, a woman is hospitalized.

Doctors begin to deal with severe toxicosis after determining the degree and severity of the course. The usual classical treatment regimen includes "Droperidol". This drug belongs to the group of antipsychotics that suppress the vomiting center in the cerebral cortex. The frequency of vomiting attacks decreases. Droppers with this drug have a faster and more pronounced effect than the introduction of the drug intramuscularly. Often a woman is prescribed Relanium tablets, sometimes the drug Cerucal is recommended. Such therapy allows at the first stage to provide effective help- the activity of the central nervous system is regulated, the urge to vomit becomes less.

The second stage of inpatient treatment is aimed at replenishing the water-salt balance, which is significantly disturbed due to frequent vomiting and diarrhea. With severe vomiting, a woman is given a dropper with saline solutions, saline, vitamins. Be sure to introduce glucose, B vitamins and give ascorbic acid (vitamin C). The woman is shown enterosbrents - "Polysorb", "Enterosgel". If the woman's condition continues to be severe due to dehydration, hormone therapy is prescribed - Prednisolone (hydrocortisone).



Expectant mothers with severe toxicosis are recommended antihistamines Suprastin, Tavegil, Diprazin, Diphenhydramine. These drugs, according to the classical treatment regimen, are indicated for intramuscular administration. Along with taking medications, it is recommended to drink plenty of warm water, bed or semi-bed rest.

Today, the method of immunocytotherapy can also be applied. It is resorted to if drug treatment does not give a tangible effect. Under the skin in the region of the forearm, the expectant mother is injected with an extract from her husband's lymphocytes. Relief should come in a day, because the woman’s immunity will “switch” to a new object heightened danger on foreign cells. However, this method has only a temporary effect and exists in order to make the woman feel better for a while.




Termination of pregnancy for medical reasons is carried out with severe threatening toxicosis in cases where medical methods the effects described above did not bring results within 12 hours from the start of therapy if the woman's condition continues to be threatening. Also, termination of pregnancy is strongly recommended as the only life-saving option if a woman develops liver dystrophy, kidney failure, and nephropathy against the background of severe toxicosis. Termination of pregnancy in the early stages with the help of artificial abortion.

Numerous homeopathic preparations (for example, Nux vomica-Homaccord, Mercurius, Colchicum-6, Vomikumheel, Kokkulyus indikus and others), although they are recommended by manufacturers as effective remedies for any form of toxicosis of pregnant women, proven have no effect. Clinical trials of these drugs have not been conducted, and the doses of active ingredients in the preparations are so small that, by and large, a woman will receive only small fractions of sugar, water, and only a few molecules (!) Of the active substance.


With severe toxicosis, you should not try to be treated on your own with homeopathic remedies that are considered harmless. You can miss precious time which is necessary in order for the woman to be provided with qualified medical care.

Homeopathy is harmless, but alas, completely useless, especially in threatening conditions. Light stages of toxicosis usually do not need the use of medicines and homeopathy, and in severe cases, treatment should be fast, competent and qualified. Therefore, you should not prescribe drugs for yourself on your own, and even more so, you do not need to keep silent about the fact of poor health, believing that this is how it should be during pregnancy.


Folk remedies

ethnoscience has hundreds of recipes that help pregnant women get rid of unpleasant and obsessive nausea and dizziness. These recipes have been tested by dozens of generations of women, but it should be understood that it makes sense to resort to them only when women light the degree of toxicosis that does not threaten her life and health.

Aromatherapy helps to relieve nausea and pathological perception of smells. Pregnant women resorted to her in Ancient Rome, V Ancient Greece, treatment with essential oils was widely used in Rus'.

To cope with morning sickness, a few drops of peppermint essential oil can be applied to the wrist or handkerchief. It is enough to put it next to you while washing, having breakfast.


Aromatic ginger oil helps to reduce night sickness and eliminate bouts of vomiting that occur after meals. It is enough to put a drop of oil on the palms of your hands, rub it well, bring it to your face and take a deep, calm breath. If a woman suffers from bouts of dizziness, she is advised to carry a small bottle of pine or fir essential oil with her. A few drops of this coniferous oil on the wrist will help to cope with discomfort.

When choosing an essential oil, be sure to take into account your own tendency to allergies, because aromatherapy is not suitable for everyone. If it is not possible to visit an aromatherapist, you need to start from which groups of substances you have an allergic reaction to. If you are allergic to citrus fruits, you should not use essential oils of orange, lemon, if you are allergic to pollen, you should avoid essential oils and extracts of tropical and exotic plants, flowers and fruits.


If, after applying the oil, redness appeared on the wrist, a runny nose, lacrimation, and skin itching began, this method of helping with toxicosis should be categorically abandoned, giving preference to other options.

Historically, phytotherapeutic methods of combating gestational toxicosis have received wider application in Russia. If you suffer from nausea in the morning, it is recommended to drink tea with a mint leaf. With frequent vomiting, a woman can help lemon water. For its preparation on a glass of clean drinking water take about one teaspoon of lemon juice. Also effective, according to pregnant women, are decoctions of rose hips and homemade juice from sour fresh cranberries. Such drinks will not only relieve an attack of nausea, but also enrich the body with vitamin C.

In Rus', even before the advent of qualified obstetricians, when all hope was only for midwives, women took pumpkin tea for nausea. To do this, they took the pulp of a pumpkin, finely chopped it, and then brewed it with boiling water. They drank it like regular tea. Tea with oregano was also popular, or rather, a decoction made from dried oregano and boiling water. For 300 grams of water, no more than 10 g of herbal raw materials were taken. Similar decoctions were prepared from lemon balm, plakun grass, calendula flowers.



A decoction of chamomile and sage, as well as tea with the addition of an aqueous tincture of motherwort, is used selectively, in small doses.

Honey and bee products are usually not recommended for pregnant women, but in some cases it is allowed to drink tea with the addition of a teaspoon of fresh and high-quality honey.

Anyway, Before using herbal remedies, be sure to consult a doctor, since herbs are not at all as harmless as most people think. They can lead to the development of a strong allergic reaction, indigestion, sleep, decrease or increase in blood pressure, and even early termination of pregnancy.


Nutrition

It is with food intake that most often occur big problems with early gestational toxicosis. In addition to changing taste preferences, a woman's appetite is disturbed (either it is not there, or it is increased). Menu planning should be given Special attention. If it is compiled and planned correctly, many unpleasant manifestations and symptoms can be avoided.

The main mistake of expectant mothers is a misunderstanding of the essence of toxicosis. They believe that the less they eat, the less they will feel sick and sick. This is wrong. The second big misconception concerns a diet based on one food or one food group. You can often hear that more experienced mothers advise a woman suffering from early toxicosis to eat what she wants and not to eat what makes her sick.

In the early stages, the fetus and the expectant mother need vitamins and minerals in full, and therefore a “bias” in favor of only cottage cheese or only apples can cause metabolic disorders, the development of allergies, both in the mother and in the future in the fetus.


A balanced diet during the period of toxicosis should exclude foods to which a woman has an emetic reaction, but they definitely need to find worthy replacement. For example, with an inadequate reaction to pork, you can cook veal or poultry meat. But meat in one form or another must be in the diet. If a woman has nausea from cabbage and beets, you need to add zucchini, pumpkin to the diet. It is necessary to ensure that there are enough fruits rich in vitamin C. If vomiting torments, you should in no case refuse to eat salt, because it allows you to partially restore the minerals lost with vomit.

Unlike the second and third trimesters, when salty is undesirable, at the very beginning of pregnancy, you can afford lightly salted cucumbers, fish, but in very moderate quantities. Completely contraindicated in toxicosis carbonated drinks and fatty food, canned food, as well as smoked meats.


Worth giving up a large number sweets, because sugar contributes to the fermentation processes in the intestines.

It is best during this period to eat raw vegetables and fruits, cereals (dairy and non-dairy), boiled and steamed meat and dishes from it, fish, cottage cheese, dairy products. Nuts and seeds, which some use as emergency assistance with nausea, it is better to replace with white bread crackers, cooked at home without spices. Nuts can cause severe allergies, and white crackers will not cause negative consequences.

It is important not to forget to eat first courses every day. Food should be taken fractionally, in small portions, but often - every 3-4 hours.


Compliance simple tips will help to cope with early toxicosis. General recommendations include the following tips:

  • Start your morning right. Don't get up too abruptly when the alarm goes off. The rise should be gradual and smooth. Keep a plate of white crackers or dried fruit on your bedside table. One piece of dried apricots or crackers right after waking up can get rid of morning vomiting. Use children's toothpastes - they are less harsh and usually do not lead to vomiting. For breakfast, be sure to drink sweet tea after porridge or scrambled eggs to increase blood glucose levels. ​​
  • Eliminate pungent odors . Try not to be in smoky rooms during the day, do not use a lot of perfumes, if necessary, do not hesitate to ask others to reduce the amount of perfume or toilet water used.
    • Get outdoors more. If the distance allows, replace the bus trip with a walk, and in the evenings make it a rule to walk before going to bed. For walks, choose quieter and more secluded places, parks, squares, forest belts, located away from highways.
    • Rest more often. If possible, try to lie down during the day for at least half an hour. But in the evening after dinner, do not immediately go to bed, first go for a walk. This will contribute to better digestion and solving problems with night toxicosis.
    • Sleep with an open window. The designs of modern windows allow you to sleep with the sash ajar even in winter. The better the room is ventilated, the less the expectant mother will feel sick. In summer you can sleep with open window or an open patio door.



    • Avoid stress and sudden movements. An attack of nausea can be provoked even by a sharp change in body position. Therefore, accustom yourself to be sedate, measured, move more smoothly and carefully. Avoid physical activity, which causes noticeable fatigue, as well as active sports in which you can lose consciousness and get injured (bicycles, roller skates, a treadmill in the gym). Swimming, skiing in the winter season will benefit.
    • Stay in good spirits. Psychosomatic causes of toxicosis - rejection of the child, unwanted pregnancy, fear of childbirth, the care of the father of the baby, the fear of losing a child. Get more positive emotions, tune in to the fact that everything will be fine and the symptoms of toxicosis will recede faster than you can imagine.


    If suddenly toxicosis has intensified, do not waste time in vain - consult a doctor. Complaints about toxicosis are not as insignificant and ridiculous as it might seem, because serious pathology can be hidden behind its manifestations.

    For toxicosis in early pregnancy, see the following video.