Can pregnant women induce vomiting? Causes of toxicosis in general and nausea in particular. What to do if you feel sick during pregnancy

Expecting a baby is one of the most exciting times in a woman's life. In addition to pleasant moments, 65% of all expectant mothers are faced with such a symptom as vomiting during pregnancy. . After conception, abrupt changes occur in the body. hormonal changes which leads to poor health. Therefore, along with the delay menstrual cycle, it is customary to consider vomiting as a sign of pregnancy.

When does vomiting start during pregnancy? appears only at the ninth week after conception, and completes its formation closer to the sixteenth. All this time the woman's body is under strong influence toxins, leading to vomiting and nausea during pregnancy. translated from Greek means "poisonous".

With the onset of this condition, a woman has:

vomiting on early dates pregnancy;
loss of appetite;
weakness;
increased salivation;
change in taste preferences;
irritability, tearfulness.

Toxicosis is conditionally divided into three degrees of severity:

Vomiting during early pregnancy that does not recur more than 5 times a day. General state while remaining satisfactory. There is slight weight loss.
The frequency of vomiting attacks in pregnant women increases up to 10 times a day. In women, the state of health worsens: the heart rate increases, the arterial pressure(hypotension), weakness and dizziness develop. Weight loss up to 3 kg. Toxicosis of the second degree requires constant medical supervision.
Severe vomiting during pregnancy – up to 25 times a day, which leads to fluid loss and electrolyte imbalance. The expectant mother is rapidly losing weight. The body temperature rises, bad smell from mouth. This condition requires hospital treatment.

The appearance of vomiting later dates pregnancy is called or late toxicosis. This pathology requires immediate hospitalization, because even in developed countries preeclampsia is common cause maternal mortality.

The main signs of late toxicosis:

hypertension (increased blood pressure);
vomiting in the third trimester of pregnancy;
dropsy or;
appearance;
headache.

With severe attacks of nausea and vomiting in late pregnancy , and also with the manifestation of other signs of preeclampsia, a woman should seek medical help.

Varieties of pathology

In rare cases, the gag reflex is a symptom of a serious illness and requires specialist advice.

For an accurate diagnosis, you need to know which vomiting during pregnancy indicates pathological changes body:

Morning sickness is not uncommon for many women who are expecting a baby, but vomiting during pregnancy in the evening is characteristic of diseases gastrointestinal tract.
Vomiting during pregnancy, accompanied by fever. This occurs in acute intestinal infections and pathologies internal organs, as well as in diseases of the genitourinary system.
Diarrhea and vomiting during pregnancy occur due to or infectious diseases of the intestine.
Vomiting of bile during pregnancy usually occurs in morning time, on empty stomach. If given state aggravated after eating, this may indicate inflammatory processes V gallbladder(cholecystitis) or pancreas (pancreatitis).
Vomiting blood during pregnancy indicates a manifestation or exacerbation peptic ulcer stomach, as well as varicose veins veins of the esophagus. Also, with repeated vomiting, there is a risk of microcracks in the mucous membranes of these organs, which also contributes to the appearance of blood in the vomit.
Acid vomiting during pregnancy is due to hyperacidity in the stomach. A woman in position should carefully monitor the work of the gastrointestinal tract and control the acid that is excreted from the body.
Green vomiting during pregnancy often occurs as a result of repeated vomiting, the amount of bile rapidly increases, and the color of the vomit becomes green tint. This coloration can also cause infectious diseases and mushroom poisoning.

When does vomiting during pregnancy become dangerous?

During childbearing, vomiting in women is normal and goes away on its own after the body is completely accustomed to its new state. But there are cases when, in combination with other symptoms, vomiting during pregnancy is pathological and requires emergency medical care.

You need to see a doctor if:

a woman during pregnancy has nausea without vomiting in conjunction with an increase in blood pressure;
there is repeated vomiting in the second trimester of pregnancy;
vomiting is accompanied by an increase in body temperature or a violation of the digestive system;
there is blood in the vomit;
vomiting during pregnancy yellow color or with a green tint;
significant weight loss occurs
there are signs of intoxication and dehydration of the body;
there are swelling.

How to alleviate the condition?

What to do if vomiting occurs during pregnancy? Toxicosis causes severe discomfort to women in position. To help the body cope with the feeling of nausea, you can eat in the morning without getting out of bed. green apple or take a few sips of mineral water.

Toxicosis is pathological condition complicating pregnancy. The development of toxicosis of pregnant women is directly related to the development gestational sac and accompanying this development hormonal, vascular and immunological changes in the body of the expectant mother. Early toxicosis of pregnant women, which will be discussed, develops in the first trimester of pregnancy and, as a rule, ends after 12 weeks.

Why does toxicosis develop?

The reason for the development of early toxicosis has not yet been clearly established. Why do some women experience no discomfort during pregnancy, while others are doomed to suffering? Until now, there is no consensus on this matter. Many theories have been put forward trying to explain the mechanisms of toxicosis. The leading role in the development of this complication of pregnancy, obviously, belongs to the central nervous system. Functioning changes with the onset of pregnancy nervous system, its effect on the gastrointestinal tract is manifested by nausea, vomiting, increased salivation, etc. Also note the match maximum level main pregnancy hormone chorionic gonadotropin- with the onset of toxicosis, which suggests the relationship of this hormone with the development of symptoms of toxicosis.

The presence of any disease of the gastrointestinal tract in a woman also increases the risk of developing early toxicosis. IN Lately information began to appear that early toxicosis can be a kind of mechanism that limits the flow of unwanted substances to the fetus this moment substances. But, despite these assumptions, toxicosis of pregnant women is still pathological, and not normal state, because he can provide Negative influence on the fetus, which will not receive oxygen and nutrients in full. In addition, severe toxicosis is a risk factor for miscarriage.

Symptoms

Manifestations of early toxicosis are quite diverse. But, as a rule, when they talk about early toxicosis, they mean its most common form - vomiting pregnant. Quite often, such vomiting is accompanied by salivation, or ptyalism (this symptom can manifest itself by itself).

TO rare forms early toxicosis include tetany of pregnant women (manifested by convulsions), dermatoses (skin lesions), osteomalacia (softening of the bones), bronchial asthma pregnant, jaundice pregnant.
Vomiting occurs in more than half of pregnant women. However, about 10% of those suffering from toxicosis need treatment. Periodically occurring vomiting not more than 2-3 times a day, on an empty stomach or associated with food intake, as well as nausea during pregnancy and inadequate reaction to odors occur in a large number pregnant women; they are safe for the expectant mother and baby, do not require medical intervention.

These symptoms appear, as a rule, starting from 5-6 weeks of pregnancy and do not significantly affect the condition of the woman. You don't have to worry if you have similar symptoms. As already said, essential role the nervous system plays in the formation of toxicosis. Therefore, the more you worry, the more pronounced such manifestations become.

The degree of manifestation of toxicosis

Light degree- Vomiting occurs 4-5 times a day, usually after meals and in the morning. This reduces appetite and depresses the mood of a pregnant woman. The general condition is usually not affected, but there is a slight decrease in body weight, usually up to 3 kg. With this severity of toxicosis, treatment is carried out on an outpatient basis. Apart from general recommendations the doctor may prescribe various medicines that reduce the excitability of the nervous system, improve metabolism, as well as drugs that ensure the removal of toxic substances from the body.

Average degree characterized by an increase in vomiting up to 10 times a day. At the same time, the general condition of the woman noticeably worsens. She is losing weight. May be noted slight increase temperature, heart rate up to 90 beats per minute. To toxicosis medium degree Severity can also be attributed to situations where vomiting occurs once every few days, but nausea is significantly pronounced, preventing food intake. Acetone may appear in the urine. In such a situation, hospitalization of a woman is necessary or, at first, infusion therapy (intravenous administration of fluids using a dropper) in a day hospital. With its help, restore the lack of fluid and nutrients in a woman's blood. With the progression of manifestations of toxicosis, drugs can be used to suppress the excitability of the vomiting center. These drugs are prescribed only by a doctor, after weighing all possible benefits and disadvantages of such treatment!

Severe degree is an indication for urgent hospitalization. At the same time, vomiting becomes repeated, the woman's condition deteriorates sharply. A pregnant woman cannot even take in water, which quickly leads to dehydration. Metabolism is significantly disturbed. There are pronounced changes in the data laboratory research(acetone is found in the urine, ketone bodies, there are changes in the biochemical analysis of blood). In the absence of the effect of treatment similar to that carried out with a moderate degree of toxicosis, it is even possible to terminate the pregnancy by medical indications.

With the onset of pregnancy, the functioning of the nervous system changes, its effect on the gastrointestinal tract is manifested by nausea, vomiting, increased salivation, etc.

How to get rid of ptyalism?

Salivation, or ptyalism, often accompanies vomiting of pregnant women, may precede it, less often is the only manifestation of toxicosis. Some increase in saliva during pregnancy is a natural consequence advanced level the hormone estrogen in the blood of a pregnant woman, as well as disruption of the normal functioning of the nervous system. But with the development of ptyalism, the daily secretion of saliva can exceed 1 liter. Salivation depresses the psyche of the patient, causes damage to the mucous membrane of the lips and skin around the mouth. In severe cases, dehydration may develop.

When symptoms of ptyalism appear, you can rinse your mouth with a decoction of oak bark, sage, chamomile or lemon juice diluted with water. An infusion of yarrow herb is also recommended (g tablespoons of grass with flowers, pour 0.5 liters of boiling water, leave for 30 minutes), which must be taken 10 minutes before meals and two hours after meals, 2 tablespoons. It is recommended to lubricate the mucous membrane of the lips and the skin around the mouth with Vaseline or Lassar paste. Otherwise, all recommendations regarding vomiting of pregnant women are also effective for salivation. With severe salivation, infusion therapy is also carried out.

Necessary Prevention

It should be said that at present, cases of severe vomiting of pregnant women are extremely rare, because. This condition is easier to prevent than to cure. When planning a pregnancy, put in order your digestive tract- consult a gastroenterologist, use therapeutic nutrition.
It is very important to consult a doctor in time when the first signs of toxicosis of pregnant women appear, and in the future to follow all the recommendations, no matter how obvious they may seem to you. A pregnant woman needs a full sleep in order to fall asleep well and have a good rest, you need to spend enough time on fresh air. Any pregnant woman, and even more so when signs of toxicosis appear, needs walks. If there is a park or square near your house, walk there for at least half an hour during the day and before going to bed. The oxygen received during walks has a positive effect on all processes occurring in your body. In addition, during the walk, blood circulation will improve, which will also have a beneficial effect on your condition.

You need to wake up slowly, not jumping out of bed from the alarm clock. It is necessary to allow the body to gradually move to a state of wakefulness.
Lying in bed (even if you feel sick and don’t feel like eating at all), eat some carbohydrate unsweetened product - a cracker, a loaf, a piece of black bread. It is useful to drink an infusion of chamomile flowers: it has a beneficial effect on the digestion process. For some, eating acidic foods such as a slice of lemon, an unsweetened apple, or kiwi helps prevent nausea. You need to eat often, but in small portions. Usually, women themselves know which foods are well tolerated by them, and which inevitably cause vomiting. You need to listen to yourself. Often even thinking about an unwanted product causes nausea. Basically, vegetable products, cereals are well tolerated. It is necessary to limit the use of foods that are difficult to digest - smoked meats, fatty meats, spicy and salty. Although some women, on the contrary, want salty foods. In small quantities, they can be consumed - if it brings relief to the condition. It should be remembered: excessively hot, as well as excessively cold food irritates the stomach.

Drinking is preferably alkaline, because. with vomiting, as a rule, there is an accumulation in the body of acidic metabolic products. Useful mineral water without gas, as well as herbal teas, weak tea with lemon. Drinking should also be room temperature or cool. good effect with nausea and vomiting, mint, lemon balm, valerian have. All of them, in addition to this, give a calming effect. It is advisable to always have mints in your purse, chewing gum And at work and at home, you can drink mint tea. On sale are mint and lemon balm in filter bags that can be brewed instead of tea. Valerian can be used additionally in the form of herbal tea, which will allow you to remove nervous tension and improve sleep. It can be taken in the evening before bedtime or more often if needed. To normalize the work of the gastrointestinal tract, you can use the collection: 8 parts of wormwood, 2 parts of St. John's wort, 2 parts of yarrow. Pour 1 tablespoon of the crushed mixture with 1 cup of boiling water, insist in a sealed container in a water bath for 15 minutes. Take 1/3 cup 3 times a day before meals. In some cases, nausea can be provoked by iodine contained in prenatal vitamins. Therefore, pregnant women suffering from toxicosis are often recommended to take multivitamins without this trace element. Folic acid, on the contrary, reduces the manifestations of toxicosis. In addition, in the first weeks of pregnancy, this vitamin is vital for the normal formation of the embryo, primarily its nervous system. Therefore, be sure to take prenatal vitamins containing folic acid, or separately this vitamin. Exercises give a good effect physical therapy using breathing exercises and stretching exercises. Gymnastics activates blood circulation, saturates tissues with oxygen, which improves the mood and well-being of a pregnant woman. It is very useful to massage the scalp and collar area: it perfectly relaxes and reduces the excitability of the centers of the brain, including the vomiting.

In the event that vomiting becomes daily, more than 3 times a day, and has no connection with food intake, they speak of the development of toxicosis of pregnant women. But the most important indicator of the development of toxicosis is the deterioration in the well-being of a pregnant woman or the identification of deviations in her state of health according to the results of a laboratory examination (urinalysis, biochemical analysis blood). In this case, you need to seek help from a doctor, and if you are already being observed for pregnancy, then inform your doctor about the appearance of such symptoms. No matter how unpleasant the symptoms of early toxicosis are, always remember: it passes rather quickly. And your baby, meanwhile, grows and develops. And don’t let the thought of why you need all this torment now come to you. All this is just a small annoyance compared to what happiness you will experience holding your baby in your arms. think about it and toxicosis will pass how everything in this world goes, except for love for your child.

Very often, the onset of nausea and vomiting becomes clear sign fertilization. It is by this symptom that a woman understands that conception has occurred. Usually, vomiting during pregnancy develops in the early stages, by the 12th week it already disappears. There are cases where there is late toxicosis taking place in the third trimester. Every female body is individual, as is its reaction to fertilization and change hormonal background.

If morning or evening nausea and periodic vomiting do not occur too often, for example, once a day, they do not cause significant discomfort to the woman. But there are situations when unpleasant symptoms develop more frequently. Then it is important to understand why persistent vomiting and need to figure out how to deal with it. The reason for contacting a doctor should be a situation where vomiting is observed all day, leading to the release of vomit. The doctor will conduct an examination, assess the state of health of the woman, prescribe effective treatment if any pathological condition or disease occurs.

If you are interested in the causes of vomiting observed during pregnancy, then they can be divided into two groups: physiological and pathological. In the first case, the following factors act as concomitant factors:

changes in the functioning of the central nervous system. They directly affect the work of the gastrointestinal tract, can provoke interruptions in it;
changes in the hormonal background, in particular, an increase in the level of human chorionic gonadotropin. The levels of the latter in the body reach maximum levels just during the first case of nausea;
mechanical effect of the fetus on the gastrointestinal tract. Here we are talking about situations when unpleasant symptoms appear in the later stages.

In these cases, we are talking about normal processes that do not need to be treated. Simply, a woman will be advised to take certain measures to reduce the intensity and frequency of nausea.

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About availability pathological causes can say such manifestations:

severe vomiting that does not stop during the day, happens more than 6 times a day;
prolonged diarrhea;
vomit with blood or bile;
there is a noticeable weight loss;
significantly worsened appetite;
dryness in a mouth is noted;
there was a thirst;
the color of urine has changed;
increased body temperature;
weakness and drowsiness;
headache.

Here, most likely, the cause was a disease of the gastrointestinal tract, requiring emergency treatment. It can be elementary poisoning, inflammation of the gallbladder, intestines, and other diseases. In such cases, the doctor, after a thorough examination of the patient, will select the most effective and safe treatment allowing you to quickly get rid of the problem.

In the event of vomiting, in no case should you take any medications on your own. Conservative treatment carried out under close supervision qualified specialist. Then it will be safe and effective, will help to eliminate complications.

If none pathological signs not observed, vomiting occurs infrequently, you can take general measures, which in many cases allow you to achieve the desired result:

exclude from the diet foods that contribute to the appearance of nausea and vomiting, if such have been noted;
try not to eat during the hours when nausea is observed;
eat fractionally - in small portions about 5-6 times a day;
do not eat solid, hard to digest foods;
do not eat before bedtime, maximum - two hours before;
after eating, do not lie down, but stay upright for about an hour.

Usually this is enough to significantly alleviate the condition of a pregnant woman. If this does not happen, the doctor will prescribe medications. Often, expectant mothers are advised to take drugs that stabilize the nervous system. They allow you to restore its functioning, reduce the number of vomiting.

During vomiting, drink plenty of fluids to prevent dehydration. You need to do this in small sips. If, after taking the liquid, vomit occurs immediately, it means that the throats need to be done less, and the time interval between them should be reduced.

Why is vomiting observed in the second trimester of pregnancy, what to do in this case

In the second trimester of pregnancy, vomiting occurs less frequently than in the first, manifests itself with less intensity. But, if toxicosis has not subsided, this situation should be a reason to visit a doctor. The doctor will be able to identify the cause that provoked the appearance of vomiting, prescribing an effective treatment as a result. Among possible factors note:

increased acidity in the stomach, provoked by excessive consumption of spicy or fatty foods;
stressful situation leading to disruption of the functioning of the gastrointestinal tract;
late toxicosis, requiring measures to alleviate the condition;
exacerbation of chronic diseases of the gastrointestinal tract;
intestinal infection or poisoning.

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The same reasons can provoke vomiting in the third trimester. Only here they add a special presentation of the fetus, as a result of which the stomach is high blood pressure. It is worth noting that in late pregnancy, vomiting is very rare, more often the result of diseases than features. physiological state. Therefore, in this case a doctor must be visited. The doctor will take a medical history, prescribe laboratory tests and ultrasound. Based on the examination, he will be able to draw the correct conclusion.

In late pregnancy, nausea, ending with the discharge of vomit, poses a threat to the fetus if it happens systematically, so visiting medical institution under no circumstances should it be neglected. Timely initiation of treatment will reduce the risk to "none".

Description:

Vomiting of pregnant women is a condition of a pregnant woman that occurs in connection with the development of the entire fetal egg or its individual elements and characterized by a multiplicity of symptoms, of which the most persistent and pronounced are dysfunction of the central nervous system, vascular disorders and metabolic disorders. When the fetal egg or its elements are removed, the disease, as a rule, stops.
The manifestation of toxicosis of pregnant women, which is a complication of a normal pregnancy and is characterized by dyspeptic phenomena and disorders of all types of metabolism. in the early stages (up to 12 weeks of gestation) is observed in 40-60% of women. In most cases, they are mild and do not require treatment. In the vast majority of pregnant women, vomiting appears between 4 and 7 weeks of gestation.

Symptoms:

These conditions of pregnant women are classified according to the time of their occurrence. Violations that manifest themselves in the I trimester are called toxicoses, in the II and III trimesters - preeclampsia.
Allocate mild, moderate ( moderate) and severe (excessive, indomitable) vomiting of pregnant women.

Light vomiting.
The general condition is satisfactory. The frequency of vomiting is up to 4-6 times a day. Periodic (mainly in the morning). A slight decrease in body weight (up to 5% of the original). Hemodynamic parameters (heart rate and blood pressure) were within normal limits. No change in clinical analysis blood. Diuresis is normal. However, in pregnant women with early toxicosis significantly increases the risk of preeclampsia and fetoplacental insufficiency.

Moderate vomiting.
General condition of moderate severity. Frequency of vomiting 10 times a day or more, constant nausea, salivation. Decrease in body weight by 6-10% of the original. Increase in body temperature. tachycardia, arterial hypotension, decreased diuresis. Weak positive reaction urine for acetone.

Indomitable vomiting.
This pathology is accompanied by a general severe condition, vomiting up to 20 times a day, constant nausea, profuse salivation. Weight loss is more than 10% of the original. There is an increase in body temperature up to 38 ° C, arterial hypotension. Diuresis is sharply reduced. In the blood - an increase in the level of residual nitrogen, urea, bilirubin, an increase in hematocrit, a decrease in the content of albumins, cholesterol, potassium, chlorides in the blood serum. Observed, urobilinuria, erythrocyturia and, the smell of acetone from the mouth, a sharply positive reaction of urine to acetone, impaired vital functions important organs and systems, severe and dehydration.

Causes of occurrence:

The etiology of toxicosis has not been fully elucidated. Most researchers note among the factors predisposing to the development of toxicosis chronic diseases gastrointestinal tract and liver, dysfunction thyroid gland, trophoblastic diseases, neuropsychiatric diseases, the age of the pregnant woman (up to 18 years and after 35). There is an allergic theory of the development of vomiting of pregnant women, a theory of poisoning by metabolic products, sensitization of the body by fetal antigens.

Treatment:

For treatment appoint:

Easy vomiting of pregnant women passes independently. However, many pregnant women are prescribed appropriate therapy, including recommendations on daily routine and diet.
An important component of therapy is a varied, fortified diet. Food is taken in fractional portions in the supine position. The use of mineral alkaline water is shown.
The treatment-protective regime includes the absence of negative emotions, maintaining a favorable psychological climate in the family of the pregnant woman and in communication with the attending physician.
Complex therapy of vomiting of moderately severe pregnant women includes antiemetics, drugs that normalize endocrine and metabolic processes, antihistamines, disinfectants, infusion drugs that normalize water and electrolyte balance.
It is recommended to avoid medication whenever possible. It is best not to take iron supplements until nausea resolves. Before getting out of bed, it is recommended to eat dry cookies. It is better to eat often and in small portions. It is recommended to increase the consumption of drinks, avoid eating foods high in fat and protein. Taking a multivitamin before conception or early in pregnancy can help reduce nausea. However, iron-containing vitamins can aggravate symptoms.
During treatment, it is necessary to observe the medical-protective regimen. Hypnosuggestive therapy can be used to influence the central nervous system. A good effect is given by various options for reflexology.
Basic Rule drug therapy in severe and moderate vomiting is the parenteral method of administration until reaching lasting effect. Drugs are used to influence the central nervous system, including drugs that act on various neurotransmitter systems of the medulla oblongata: atropine, haloperidol, droperidol, metoclopramide, clemastine, promethazine, thiethylperazine.
To combat dehydration of the body, to detoxify and restore COS, infusion therapy is used in the amount of 1.0–2.5 liters per day, depending on the severity of toxicosis and the patient's body weight.
Considering the frequent and pronounced violation of liver function in pregnant women with early toxicosis, in order to prevent it in women at risk, as well as in the complex of therapeutic measures for toxicosis of any severity, the drug Essentiale forte N should be included.

If a young woman suddenly vomited, then the first thing the witnesses will think about will be pregnancy. Indeed, vomiting during pregnancy is not uncommon. Most often, it occurs at the earliest stages and is one of the signs of toxicosis, but it happens that pregnant women vomit and last trimester when they develop . In most cases, vomiting during pregnancy is a temporary symptom and resolves on its own, but less optimistic forecasts are possible.

Toxicosis of pregnant women

More than half of all pregnant women experience nausea and vomiting during pregnancy. At the same time, most often expectant mothers vomit in the morning, but it also happens the rest of the day. Morning vomiting during pregnancy, along with salivation, is the most common manifestation of toxicosis. The phenomenon, of course, is the most unpleasant, but, according to the results of American studies, it can be considered as good sign: vomiting during pregnancy indicates its normal course, according to American scientists. Their studies have shown that women who experience nausea and vomiting during pregnancy have a greater chance of successful bearing, while expectant mothers who do not suffer from toxicosis often experience. Just in case, I note that if you are not vomiting, then this does not mean at all that things are bad. Rather, on the contrary: vomiting during pregnancy is not yet a cause for concern, more precisely, it is far from always.

There are several degrees of severity of vomiting during pregnancy. In the vast majority of cases, women face the most mild degree when vomiting occurs up to 4 times a day. At the same time, despite the obvious discomfort, future mom does not experience obvious health problems associated with vomiting. This condition does not harm the unborn baby.

It would seem that this unpleasant phenomenon is well studied. However, it is not known for certain why pregnant women vomit. Doctors only suggest some reasons, the most likely of which seems to be hormonal changes in a woman's body.

How to alleviate the condition?

And even though they have not been studied enough, every woman is interested in how to stop vomiting during pregnancy? Often the condition can be alleviated by slightly changing your daily habits. Start with waking up. It is the morning for many pregnant women that is the most difficult to survive. If you are throwing up a lot in the morning, then learn to appease your stomach before getting out of bed. It can be dry cookies or crackers and a few sips of water - cook them in the evening to have a snack in the morning without getting out of bed. Rise only after some time has passed, so that everything "subsides". And it is better to lie in a semi-sitting position, lifting upper part body.

In general, when vomiting during pregnancy, it is extremely important not to starve and drink enough fluids. But with the use of water and food, there are often problems: everything immediately comes back. Doctors urge pregnant women in such cases to eat only the desired dishes, but certainly fractionally: literally a little bit, but quite often. It is better to exclude all fried, smoked and other aggressive foods (although, most likely, it already disgusts you) and choose something light as snacks: vegetables, fruits, sour-milk drinks. Protein is good for breakfast (an egg or a piece of boiled lean meat). Try to include B vitamins in your diet, especially vitamin B6 (or pyridoxine) - it can eliminate nausea and prevent vomiting. Pyridoxine is found in whole grains, buckwheat, sprouted wheat, potatoes, carrots, cabbage, bananas, hazelnuts, peanuts, sunflower seeds, chicken, and fish. Vitamin B6 is also sold in the form medicinal product in a pharmacy. However, before using it, be sure to consult a doctor (the recommended dose for pregnant women is no more than 25 mg 3-4 times a day).

With toxicosis, first courses are useful - light soups and broths. Liquid warm food, as a rule, is accepted with gratitude by the stomach.

If drinking during pregnancy makes you vomit every time, try sucking on ice cubes. Drinking in this case is best between meals, and not during, in small sips and portions. Find a way to get fluid into your body, because it's extremely important! Many pregnant women who vomit are helped to relieve the condition and adding lemon to tea or mineral water. Special solutions (for example, Regidron) will help to fill the electrolyte deficiency, and added chicken broth will also work.

Aromatherapy can also help. The easiest, fastest and most harmless way is to cut a lemon and enjoy citrus aroma. It is believed that it eliminates nausea well and is able to stop bouts of vomiting. Essential oils citrus fruits can also be used, but here it is better to consult with a knowledgeable practitioner.

When to sound the alarm?

Experts say that only 8-10% of women who experience nausea and vomiting during pregnancy need medical attention. These are pregnant women who develop an average and especially severe degree of vomiting. In addition to the fact that the expectant mother cannot eat and provide the growing fetus with the necessary substances, she is also rapidly losing the resources accumulated by the body that do not have time to be replenished. The water-electrolyte balance is disturbed, intoxication and dehydration sets in, which is very dangerous for both.

You should definitely see a doctor if:

vomiting is repeated more than 6 times a day or does not stop at all;
you started to lose weight (more than 3 kg in 10-14 days);
the amount of urine has decreased, and it has darkened;
you experience dry mouth and constant feeling thirst;
skin, mucous membranes of the eyes and mouth become dry;
the reaction became inhibited;
you feel tired and powerless all the time;
you lose consciousness;
you smell acetone from your mouth;
body temperature is increased;
reduced;
palpitations (more than 80 beats per minute).

In this case, the doctor will refer you to inpatient treatment. In most cases, a woman's condition is alleviated by intravenous administration of drugs that stop intoxication and compensate for the loss of fluid and nutrients. Antiemetics are treated less frequently due to the high likelihood of their teratogenic effects on the fetus.

If the measures taken by the medical staff do not help and the vomiting does not stop, the doctor may decide to terminate the pregnancy. But in practice this rarely happens. As a rule, all expectant mothers independently cope with toxicosis. However, if you feel unwell, then notifying the leading gynecologist about this will not be superfluous at all, even if the condition is not critical. It should also be noted here that vomiting during pregnancy is not always a sign of toxicosis. We can talk about, for example, or some kind of disease of internal organs (gastritis, ulcers, cholelithiasis, pancreatitis, and others). Therefore, in any case, notify your doctor that you feel unwell - he will help establish the correct diagnosis and alleviate your condition.

Of course, most likely, you do not have the strength to endure bouts of vomiting and tiring nausea. But after 12 weeks, things should get better. Ask for a leave of absence from work or take sick leave if vomiting during pregnancy has become an obstacle to the performance of your duties. Do not be afraid to ask for support and help from loved ones: let them take care of all household chores and cooking if you are unable to do this due to poor health.

Remember: more than 50% of all women experience vomiting during pregnancy. And it's not the worst" by-effect". Have patience and courage: very soon it will become easier - and you will be able to enjoy this wonderful period of your life! Keep your nose up!

Especially for- Elena Kichak