Posts Tagged ‘morning sickness’

Common pregnancy concerns: when should you call your provider?

Monday, August 28th, 2017

During pregnancy, it’s common to worry about every ache, pain, and unfamiliar feeling. But do you always need to contact your health care provider? Here is information to help you decide.

Bleeding

Up to half of all pregnant women have some bleeding or spotting during pregnancy. Although it may be common, it’s still important to let your health care provider know. Make sure you:

  • Keep track of how heavy you are bleeding, if the bleeding gets heavier or lighter, and how many pads you are using.
  • Check the color of the blood. It can be brown, dark or bright red.
  • Don’t use a tampon, douche or have sex when you’re bleeding.

Call your provider or go to the emergency room right away if you have any of the following symptoms:

  • Heavy bleeding,
  • Bleeding with pain or cramping,
  • Dizziness and bleeding,
  • Pain in your belly or pelvis.

Abdominal Pain

As your baby grows, the muscles around the uterus pull and stretch. This can cause pain low in your belly. You may feel it most when you cough or sneeze. It usually goes away if you stay still for a bit or if you change to a different position.

But if your pain is severe, doesn’t go away, gets worse, or is accompanied by bleeding, you should call your provider right away.

Headaches

Headaches are common during pregnancy, especially in the first trimester. They’re often caused by pregnancy hormones, stress or body tension caused by carrying extra weight throughout pregnancy.

However, headaches may be sign of preeclampsia or other complications. You should call your provider if your headache:

  • Is severe or doesn’t go away,
  • Comes with fever, vision changes, slurred speech, sleepiness, numbness or not being able to stay alert,
  • Comes after falling or hitting your head,
  • Comes with a stuffy nose, pain and pressure under your eyes or a toothache. These may be signs of a sinus infection.

Vomiting

Morning sickness is nausea and vomiting that happens in the first few months of pregnancy. Even though it’s called morning sickness, it can happen any time of day.

At least 7 in 10 pregnant women (70%) have morning sickness in the first trimester. It usually starts at about 6 weeks and is at its worst at about 9 weeks. Most women feel better in their second trimester, but some have morning sickness throughout pregnancy. If you are experiencing any nausea or vomiting, let your provider know.

For most women, morning sickness is mild and goes away over time. But call your provider if:

  • Your morning sickness continues into the 4th month of pregnancy.
  • You lose more than 2 pounds.
  • Your vomit is brown in color or has blood in it. If so, call your provider right away.
  • You vomit more than 3 times a day and can’t keep food or fluids down.
  • Your heart beats faster than usual.
  • You’re tired or confused.
  • You’re making much less urine than usual or no urine at all.

Don’t take any medicine, supplement or herbal product to treat your symptoms without talking to your provider first. And if you are ever unsure whether or not you should call your provider, it’s better to call. Most likely your provider will be able to answer your question and put your mind at ease.

Have questions? Email us at AskUs@marchofdimes.org.

How to stay healthy and safe at work

Friday, August 18th, 2017

Most women who work will continue to do so during pregnancy—some will work up to the day of their baby’s birth. But sometimes working during pregnancy can have some challenges. Here are some tips that can help you stay safe and comfortable at work throughout your pregnancy.

Common pregnancy discomforts

  • Nausea: Unfortunately morning sickness can happen at any time during the day. To help manage your nausea, try to avoid foods and smells that bother you and snack on crackers or other bland foods. And make sure you are drinking lots of fluids!
  • Fatigue: Being pregnant can be exhausting—especially during the first trimester. During your work day, try to get up and walk for a few minutes or even take a power nap in your car during your lunch break. Get to bed early, exercise, and eat healthy foods.

Workplace safety

  • Dangerous substances: If you work with metals (such as mercury or lead) chemicals, or radiation, talk to your health care provider. Describe your work environment and any safety equipment you or your company uses. Your provider can then tell you if it’s safe for you to keep working during pregnancy.
  • Heat: Working in places that are very hot can raise your body temperature. If your body temperature is too high, it could be dangerous to the baby. Make sure you talk to your provider.
  • Heavy duty jobs: If your job includes heavy lifting or climbing, it might not be safe during pregnancy. Nausea, fatigue and dizziness can make it hard to do these jobs safely. And your added weight can throw off your sense of balance and make you more likely to fall. You may need to talk to your employer about taking on other job responsibilities during your pregnancy.
  • Infections: If you work with children or in a health care setting, you may be at risk for infections. Wash your hands regularly. If you think you were exposed to an illness, talk to your provider right away.

Computers and desks

If you work on a computer or sit at a desk for most of the day, comfort is key. To avoid wrist and hand discomforts, neck and shoulder pains, backaches and eye strains, follow these tips:

  • Take short breaks often and walk around your office or building.
  • Adjust your chair, keyboard and other office equipment to be more comfortable.
  • Use a small pillow or cushion for lower back support.
  • Keep your feet elevated by using a footrest.
  • Be sure to use the correct hand and arm positions for typing.
  • Use a non-reflective glass screen cover on your computer monitor.
  • Adjust the computer monitor for brightness and contrast to a setting that is comfortable for your eyes.

It’s important that the work environment around you is safe for you and baby. If you have concerns, speak with your health care provider and your supervisor at work.

You can learn more ways to stay safe at work on our website

Have questions? Email us at AskUs@marchofdimes.org.

Morning sickness during pregnancy

Monday, September 8th, 2014

pregnant womanThe news of another royal baby on the way has caused a lot of excitement on both sides of the pond. But learning that the Duchess of Cambridge may once again be suffering from morning sickness in her second pregnancy makes me feel deeply for her. I had morning sickness in both of my pregnancies. I remember it being a lot harder to manage the second time around while working and caring for my first child.

Morning sickness is nausea (feeling sick to your stomach) and vomiting that happens during pregnancy, usually in the first few months. It’s also called nausea and vomiting of pregnancy or NVP. Even though it’s called morning sickness, it can last all day and happen any time of day. Mild morning sickness doesn’t harm you or your baby. But if morning sickness becomes severe (called hyperemesis gravidarum), it can lead to weight loss and dehydration (not having enough water in your body). These problems can be harmful during pregnancy.

If you have mild morning sickness, there are some things you can do that may help you feel better, like:

• Keep snacks by your bed. Eat a few crackers before you get up in the morning to help settle your stomach.
Eat five or six small meals each day instead of three larger meals.
• Eat foods that are low in fat and easy to digest, like cereal, rice and bananas. Don’t eat spicy or fatty foods.
• Eat healthy snacks between meals. This helps keep your stomach from being empty and helps prevent feeling sick to your stomach. Try snacks that are high in protein, like milk or yogurt.
• Drink plenty of fluids, especially water.
• Avoid smells that upset your stomach.
• Take your prenatal vitamin at night or with a snack. Sometimes vitamins can upset your stomach.

Talk to your health care provider if you have morning sickness. Your provider may prescribe a medicine to help relieve your nausea. It comes as a tablet that you take every day as long as you have symptoms.

If you have hyperemesis gravidarum, you may need treatment in a hospital with intravenous (IV) fluids. These are fluids that are given through a needle into a vein. Signs of hyperemesis gravidarum include:

• Vomiting more than 3 to 4 times a day
• Vomiting that makes you dizzy, lightheaded or dehydrated. Signs of dehydration include feeling thirsty, having a dry mouth, having a fast heart beat or making little to no urine.
• Losing more than 10 pounds in pregnancy

Read our article on morning sickness to learn more. Or watch our videos on mild morning sickness and severe morning sickness.

Updated 9/13/2017

Join our chat on morning sickness

Tuesday, March 11th, 2014

Join us Thursday March 13th at 1 PM ET.

Morning Sickness Tweet Chat

Nausea and vomiting of pregnancy

Tuesday, July 16th, 2013

The March of Dimes and Duchesnay USA, are partnering to help educate women about the impact of nausea and vomiting of pregnancy (NVP), also known as morning sickness.

Visit MorningSicknessUSA.com for great information. This is a new resource for pregnant women with NVP created by Duchesnay, featuring symptom trackers, recipes, lifestyle management ideas, and expert articles. You can stay connected with helpful insights, information, and news about morning sickness and NVP from experienced moms and notable medical professionals. Take a look!
nvp info

FDA approves drug to fight nausea and vomiting

Thursday, April 11th, 2013

On April 8, 2013, the U.S. Food and Drug Administration approved the drug Diclegis (doxylamine succinate and pyridoxine hydrochloride) to treat pregnant women experiencing nausea and vomiting.

More than half of all pregnant women have some nausea during the first trimester. For most women this nausea usually goes away by the second trimester. But for some women, nausea and vomiting may continue even past the first 12 weeks of pregnancy.

Diclegis is a delayed-release tablet intended for women who have not adequately responded to conservative management of nausea and vomiting during pregnancy, such as changes to their diet and lifestyle. These modifications include eating several small meals instead of three large meals, eating bland foods that are low in fat and easy to digest and avoiding smells that can trigger nausea.

“Diclegis is now the only FDA-approved treatment for nausea and vomiting due to pregnancy, providing a therapeutic option for pregnant women seeking relief from these symptoms,” said Dr. Hylton V. Joffe of the FDA’s Center for Drug Evaluation and Research. Observational studies have shown that the combination of active ingredients in Diclegis does not pose an increased risk of harm to a developing fetus.

For questions and answers about how drugs are approved by the FDA, click on this link.

Chat on hyperemesis and morning sickness

Tuesday, December 4th, 2012

No doubt you have heard that Kate Middleton, Dutchess of Cambridge, is pregnant. The news came as she was admitted to hospital suffering from a severe form of morning sickness called hyperemesis gravidarum, HG. 

As many of you moms well know, 50-90% of women report some nausea and vomiting, especially in early pregnancy. But in rare cases, about 1 in 200, pregnant women develop this severe morning sickness that prevents them and their babies from getting the nutrients and water they need. HG is marked by severe nausea and vomiting accompanied by dehydration and weight loss, and women can report feeling their heart racing or lightheadedness. It’s a serious matter and must be treated and watched carefully.

Join us and Dr. Dolan this Wednesday, Dec. 5th, at 3 PM ET for a #pregnancychat on hyperemesis – who’s at risk and different treatments. Feel free to ask questions. Did you have hyperemesis? Share your experience, how you handled it, what support you got or needed.

How your baby grows – month 3

Monday, September 12th, 2011

insideYour baby:

By the end of the third month, your baby is about 2 ½ to 3 inches long and weighs about one ounce. Your baby’s fingernails and toenails are formed. Your baby’s mouth has 20 buds that become baby teeth. Fine hairs begin to form on your baby’s skin. You can hear your baby’s heartbeat for the first time. (Ask your provider to let you listen.)

Your body:

You may still feel tired and have morning sickness. You may have headaches and get lightheaded or dizzy, If these symptoms don’t go away, tell your health care provider. (Talk to your provider before you take any medicine for a headache.) You may have gained 2 to 4 pounds by now and your clothes may begin to feel tight.

How your baby grows – month 1

Monday, August 29th, 2011

pregnant-coupleEvery Monday for the next nine weeks, I’ll be writing about the fascinating changes that occur within a developing baby and the changes a woman experiences during her pregnancy. Here’s what goes on in your first month.

Your baby:

By the end of the first month, your baby is about ¼ inch long. Tiny limb buds appear that will grow into your baby’s arms and legs. Your baby’s heart and lungs begin to form. By the 22nd day, the heart starts to beat. Your baby’s neural tube begins to form and will become the brain and spinal cord.

Your body:

Your body is making lots of hormones that help your baby grow. But hormones can make you feel moody and cranky. Your breasts may get bigger and may hurt and tingle. You may feel sick to your stomach. This is called morning sickness, even though it can happen at any time of day or night. (Try eating some crackers and smaller meals.) You may crave some foods or hate foods you usually like. You may feel very tired. It’s important to rest whenever you can.

Hyperemesis gravidarum

Thursday, November 4th, 2010

Nausea and occasional vomiting, often referred to as morning sickness, are common during pregnancy and aren’t harmful to you or your baby. But if you’re vomiting often and just can’t manage to keep food or even water down, you may have a condition called hyperemesis gravidarum and that can be dangerous.

Hyperemesis occurs in about 1 in 200-300 pregnancies and is more common in young or first-time moms.  With hyperemesis, you and your baby are not getting the nutrients you need, you can easily become dehydrated, your electrolytes might get out of balance. If you’re vomiting a lot, nothing you do improves it, you lose more than two pounds, your urine turns a dark color, or you see blood in your vomit, let your provider know right away and get some help with it.  You may need hospitalization for treatment with IV fluids and antinausea meds to help you feel better and to protect you and your baby.