Materiały źródłowe

• #1 Vomiting and morning sickness – NHS

  https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/

  Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. […] Unfortunately, there’s no hard and fast treatment that will work for everyones morning sickness. Every pregnancy will be different. […] But there are some changes you can make to your diet and daily life to try to ease the symptoms. […] If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes: get plenty of rest (tiredness can make nausea worse), avoid foods or smells that make you feel sick, eat something like dry toast or a plain biscuit in the morning, eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta), eat cold foods rather than hot ones if the smell of hot meals makes you feel sick, drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting), eat foods or drinks containing ginger there’s some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy), try acupressure there’s some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm or by pressing with your fingers, may help relieve the symptoms.

• #2 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Nausea and vomiting of pregnancy affects nearly 75% of pregnant women. […] Initial treatment is conservative and includes dietary changes, emotional support, and vitamin B6 supplementation. […] Several safe and effective pharmacologic therapies are available for women who do not improve with initial treatment. […] Vitamin B6 should be prescribed as first-line treatment for nausea and vomiting of pregnancy. […] Physicians should consider prescribing doxylamine (Unisom SleepTabs) in addition to vitamin B6 for treatment of nausea and vomiting of pregnancy because the combination reduces symptoms by 70%. […] Traditional first-line therapy for nausea and vomiting of pregnancy and for hyperemesis gravidarum includes dietary modifications such as avoidance of large meals and consumption of low-fat, low-fiber, bland foods.

• #3 Morning Sickness: Nausea and Vomiting of Pregnancy | ACOG

  https://www.acog.org/womens-health/faqs/morning-sickness-nausea-and-vomiting-of-pregnancy

  Nausea and vomiting of pregnancy is a common condition. […] There are safe treatment options that can make you feel better and keep your symptoms from getting worse. […] You should talk with your obstetrician-gynecologist (ob-gyn) or other obstetric care provider if nausea and vomiting of pregnancy affects your life and causes you concern. […] Hyperemesis gravidarum is the term for the most severe form of nausea and vomiting of pregnancy. […] Women with hyperemesis gravidarum need treatment, sometimes in a hospital, to stop the vomiting and restore body fluids. […] Because hyperemesis gravidarum is difficult to treat and can cause health problems, experts recommend early treatment so that it does not become severe. […] Yes, take a prenatal vitamin. Studies show that taking a vitamin supplement before and during pregnancy reduces the risk of having severe nausea and vomiting of pregnancy.

• #4 Morning Sickness: Nausea and Vomiting of Pregnancy | ACOG

  https://www.acog.org/womens-health/faqs/morning-sickness-nausea-and-vomiting-of-pregnancy

  Nausea and vomiting of pregnancy is a common condition. […] There are safe treatment options that can make you feel better and keep your symptoms from getting worse. […] You should talk with your obstetrician-gynecologist (ob-gyn) or other obstetric care provider if nausea and vomiting of pregnancy affects your life and causes you concern. […] Hyperemesis gravidarum is the term for the most severe form of nausea and vomiting of pregnancy. […] Women with hyperemesis gravidarum need treatment, sometimes in a hospital, to stop the vomiting and restore body fluids. […] Because hyperemesis gravidarum is difficult to treat and can cause health problems, experts recommend early treatment so that it does not become severe. […] Yes, take a prenatal vitamin. Studies show that taking a vitamin supplement before and during pregnancy reduces the risk of having severe nausea and vomiting of pregnancy.

• #5 Morning sickness – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/morning-sickness/symptoms-causes/syc-20375254

  Many people have morning sickness, especially during the first three months of pregnancy. […] Home remedies, such as snacking during the day and sipping ginger ale or taking medicine you can buy without a prescription, might help relieve nausea. […] There’s no sure way to prevent morning sickness. However, taking a daily vitamin supplement before and during pregnancy might help.

• #6 Hyperemesis: (Way) beyond morning sickness – Harvard Health

  https://www.health.harvard.edu/blog/hyperemesis-way-beyond-morning-sickness-2019070917269

  Women who take a multivitamin before getting pregnant, such as a prenatal vitamin, are less likely to have severe symptoms. […] If women develop hyperemesis, the American College of Obstetrics and Gynecology recommends lifestyle changes. Examples include eating small, frequent meals that are high in protein; avoiding spicy, fatty, or oily foods; and not taking a prenatal vitamin that contains iron. […] Ginger, such as ginger tea, capsules, or candy, may help decrease symptoms of nausea. However, one systematic review of studies found that it did not decrease the incidence of vomiting. […] The best options for women with persistent symptoms may be a combination of rest, hydration, avoiding a somewhat lengthy list of triggers that provoke nausea and vomiting, and trying complementary and pharmacologic treatments.

• #7 Researchers identify key cause of pregnancy sickness and a potential way to prevent it

  https://keck.usc.edu/news/researchers-identify-key-cause-of-pregnancy-sickness-and-a-potential-way-to-prevent-it/

  A new USC and University of Cambridge study finds that a hormone produced by the fetus – and a mother’s sensitivity to the hormone – are the cause behind nausea and vomiting of pregnancy, which, in its more extreme form can put the mother and fetus at risk. […] The findings, which appear today in Nature, suggest that pre-pregnancy exposure to the hormone might mitigate symptoms in some women. […] Lowering GDF15 is one way to potentially address pregnancy sickness—and the present study provides the first human evidence that it is likely safe to do so. Another way to reduce symptoms involves exposing women to GDF15 prior to pregnancy, to “prime” or prepare them for elevated levels of the hormone once they become pregnant. […] “This study provides strong evidence that one or both of those methods will be effective in preventing or treating HG,” Fejzo said.

• #8 Study finds cause and potential prevention for pregnancy sickness – UKRI

  https://www.ukri.org/news/study-finds-cause-and-potential-prevention-for-pregnancy-sickness/

  A new study has shown why many women experience nausea and vomiting during pregnancy, and why some women become so sick they need to be admitted to hospital. […] The discovery points to a potential way to prevent pregnancy sickness by exposing mothers to GDF15 ahead of pregnancy to build up their resilience. […] Knowing this gives us a clue as to how we might prevent this from happening. […] The researchers believe that building up womans tolerance to the hormone prior to pregnancy could hold the key to preventing sickness.

• #9 Researchers identify key cause of pregnancy sickness and a potential way to prevent it

  https://keck.usc.edu/news/researchers-identify-key-cause-of-pregnancy-sickness-and-a-potential-way-to-prevent-it/

  The next step for the research team is to test whether priming women with GDF15 exposure prior to pregnancy can reduce nausea and vomiting or even prevent HG. […] Fejzo is now applying for funding to test whether metformin, a drug that increases GDF15 levels, is safe for use in patients who have a history of HG. […] The researchers also hope to test an additional class of drugs that may help with HG by blocking GDF15 from binding to its receptor in the brain. […] “Hopefully, now that we understand the main cause of HG, we’re a step closer to developing effective treatments to stop other mothers from going through what I, and many other women, have experienced,” she said.

• #10 GDF15 linked to maternal risk of nausea and vomiting during pregnancy | Nature

  https://www.nature.com/articles/s41586-023-06921-9

  The fact that high GDF15 levels in the non-pregnant state appears to protect against the development of NVP and HG suggests that strategies which safely increase circulating GDF15 levels before pregnancy may be useful in the prevention of these conditions. […] Regardless of specific agents used, more information on the dose-response and time course of GDF15 desensitization in humans is required before planning trials of prepregnancy GDF15 exposure in women at risk of HG.

• #11 Preventing recurrence of severe morning sickness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1783751/

  A recent Motherisk article showed that initiating antinauseants even before symptoms start could prevent recurrence of severe morning sickness. […] The study of 26 women who had had severe morning sickness during previous pregnancies showed that using antiemetics before symptoms of morning sickness started appeared to prevent recurrence of severe morning sickness in subsequent pregnancies. […] Pre-emptive therapy decreased the severity of their symptoms significantly during their current pregnancies to mild in 5 cases and moderate in 4 cases (P.01). […] The apparent effect of doxylamine-pyridoxine was stronger than the effects of any other antiemetics with which the American women were treated. […] Results suggest that pre-emptive antiemetic treatment can modify the vicious circle of severe nausea and vomiting during pregnancy that causes many women to need hospitalization. […] Motherisk is currently conducting a randomized controlled trial comparing pre-emptive doxylamine-pyridoxine therapy with the regular recommended protocol (ie, starting medication only in response to symptoms) to corroborate the initial findings of our prospective observational study.

• #12 Preventing recurrence of severe morning sickness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1783751/

  A recent Motherisk article showed that initiating antinauseants even before symptoms start could prevent recurrence of severe morning sickness. […] The study of 26 women who had had severe morning sickness during previous pregnancies showed that using antiemetics before symptoms of morning sickness started appeared to prevent recurrence of severe morning sickness in subsequent pregnancies. […] Pre-emptive therapy decreased the severity of their symptoms significantly during their current pregnancies to mild in 5 cases and moderate in 4 cases (P.01). […] The apparent effect of doxylamine-pyridoxine was stronger than the effects of any other antiemetics with which the American women were treated. […] Results suggest that pre-emptive antiemetic treatment can modify the vicious circle of severe nausea and vomiting during pregnancy that causes many women to need hospitalization. […] Motherisk is currently conducting a randomized controlled trial comparing pre-emptive doxylamine-pyridoxine therapy with the regular recommended protocol (ie, starting medication only in response to symptoms) to corroborate the initial findings of our prospective observational study.

• #13 Preventing recurrence of severe morning sickness

  https://pmc.ncbi.nlm.nih.gov/articles/PMC1783751/

  A recent Motherisk article showed that initiating antinauseants even before symptoms start could prevent recurrence of severe morning sickness. […] The study of 26 women who had had severe morning sickness during previous pregnancies showed that using antiemetics before symptoms of morning sickness started appeared to prevent recurrence of severe morning sickness in subsequent pregnancies. […] Pre-emptive therapy decreased the severity of their symptoms significantly during their current pregnancies to mild in 5 cases and moderate in 4 cases (P.01). […] The apparent effect of doxylamine-pyridoxine was stronger than the effects of any other antiemetics with which the American women were treated. […] Results suggest that pre-emptive antiemetic treatment can modify the vicious circle of severe nausea and vomiting during pregnancy that causes many women to need hospitalization. […] Motherisk is currently conducting a randomized controlled trial comparing pre-emptive doxylamine-pyridoxine therapy with the regular recommended protocol (ie, starting medication only in response to symptoms) to corroborate the initial findings of our prospective observational study.

• #14 Morning Sickness: Nausea and Vomiting of Pregnancy | ACOG

  https://www.acog.org/womens-health/faqs/morning-sickness-nausea-and-vomiting-of-pregnancy

  Nausea and vomiting of pregnancy is a common condition. […] There are safe treatment options that can make you feel better and keep your symptoms from getting worse. […] You should talk with your obstetrician-gynecologist (ob-gyn) or other obstetric care provider if nausea and vomiting of pregnancy affects your life and causes you concern. […] Hyperemesis gravidarum is the term for the most severe form of nausea and vomiting of pregnancy. […] Women with hyperemesis gravidarum need treatment, sometimes in a hospital, to stop the vomiting and restore body fluids. […] Because hyperemesis gravidarum is difficult to treat and can cause health problems, experts recommend early treatment so that it does not become severe. […] Yes, take a prenatal vitamin. Studies show that taking a vitamin supplement before and during pregnancy reduces the risk of having severe nausea and vomiting of pregnancy.

• #15 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Suck on this! Since sour flavors seem to help curb nausea, try sucking on a piece of lemon-flavored hard candy. […] Enjoy mini meals. An empty belly can cause nausea, so eating five or six small meals throughout that day keeps your tummy topped-up. […] Avoid fatty and dried foods. These are harder to digest! […] Embrace ginger. Ginger is a known remedy for reducing nausea and vomiting symptoms in pregnancy. Have a ginger tea made from fresh-grated ginger. Chew on ginger candies. Seek out ginger ale made with real ginger. […] Morning Sickness Medications and Supplements […] If diet and lifestyle changes arent quelling the queasies, your healthcare provider may recommend medication or supplements as a morning sickness treatment. (Always connect with your provider before taking any OTC meds during pregnancy.) Some options include:

• #16 Morning sickness | March of Dimes

  https://www.marchofdimes.org/find-support/topics/pregnancy/morning-sickness

  Morning sickness usually starts at about 6 weeks of pregnancy and goes away in the second trimester. […] If you have morning sickness, tell your health care provider. […] Mild morning sickness doesnt harm you or your baby. […] If you have hyperemesis gravidarum, your provider may treat you with medicine to help relieve your nausea and vomiting. […] Yes. Heres what you can do to help you feel better and even prevent morning sickness: […] Talk to your provider before trying any of these: […] Even if its legal where you live for either personal or medical use, its not safe to use marijuana to treat morning sickness. […] Yes. If you cant relieve morning sickness on your own or if you have severe nausea and vomiting of pregnancy, your provider may treat you with these medicines: […] Talk to your provider before you take any medicine during pregnancy, even medicine to help treat morning sickness.

• #17 Morning Sickness: When It Starts, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/16566-morning-sickness-nausea-and-vomiting-of-pregnancy

  Morning sickness can be managed through various diet and lifestyle changes. […] Making small changes to your diet and lifestyle can go a long way in decreasing nausea. […] There are a few things you can do to feel better. […] Eating a diet high in protein, whole grains, vegetables and fruit is beneficial for you and for the fetus. […] Your healthcare provider may recommend taking vitamin B6 (also called pyridoxine) and doxylamine. […] Your obstetrician can prescribe medications to prevent nausea (also called antiemetics). […] Seeking care for morning sickness early in pregnancy can help prevent it from becoming more severe.

• #18 Vomiting and morning sickness – NHS

  https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/

  Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. […] Unfortunately, there’s no hard and fast treatment that will work for everyones morning sickness. Every pregnancy will be different. […] But there are some changes you can make to your diet and daily life to try to ease the symptoms. […] If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes: get plenty of rest (tiredness can make nausea worse), avoid foods or smells that make you feel sick, eat something like dry toast or a plain biscuit in the morning, eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta), eat cold foods rather than hot ones if the smell of hot meals makes you feel sick, drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting), eat foods or drinks containing ginger there’s some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy), try acupressure there’s some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm or by pressing with your fingers, may help relieve the symptoms.

• #19 Pregnancy – morning sickness | Better Health Channel

  https://www.betterhealth.vic.gov.au/health/healthyliving/pregnancy-morning-sickness

  Around half to two-thirds of all pregnant women will experience morning sickness. […] Symptoms of morning sickness may be relieved by eating a few dry crackers before you get up in the morning, avoiding foods and smells that make you nauseous, drinking plenty of fluids and choosing high-carbohydrate and high-protein foods. […] Suggestions for coping with morning sickness include: Eat a few dry crackers or plain sweet biscuits before getting out of bed in the morning. […] It may help to avoid cooking or preparing foods. […] Drink as much as you can manage. Sometimes sips of flat lemonade, diluted fruit juice, cordial, weak tea, ginger tea, clear soup or beef extract drinks are helpful. […] Vitamin B6 supplements can be useful, but doses above 200 mg per day can actually be harmful. Follow your doctors advice. […] Consider acupressure or acupuncture on the wrist. […] Always seek medical advice if your morning sickness is severe, if you have lost a lot of weight quickly, or if you feel depressed or anxious.

• #20 Pregnancy sickness (nausea and vomiting of pregnancy and hyperemesis gravidarum) | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pregnancy-sickness-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum/

  Nausea and vomiting of pregnancy is a common condition that settles by 20 weeks in 9 out of 10 pregnant women. […] Several different anti-sickness medicines are available that may help your symptoms. While some of these medicines may not be licensed for use in pregnancy, they are considered safe for you and your baby. […] Most women with nausea and vomiting of pregnancy will be able to manage their symptoms themselves. You could: eat small amounts of foods that are high in carbohydrate and low in fat, such as potato, rice and pasta, or foods that are easier to tolerate such as plain biscuits or crackers. […] If your symptoms do not settle or if they stop you doing your daily activities, see your GP. They can prescribe anti-sickness medication that is safe to take in pregnancy. […] There are several different types of anti-sickness medicines that you may be offered. An oral medication that is a slow-release combination of doxylamine and pyridoxine (vitamin B6) called Xonvea is the only licensed treatment of nausea and vomiting in pregnancy in the UK.

• #21 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Suck on this! Since sour flavors seem to help curb nausea, try sucking on a piece of lemon-flavored hard candy. […] Enjoy mini meals. An empty belly can cause nausea, so eating five or six small meals throughout that day keeps your tummy topped-up. […] Avoid fatty and dried foods. These are harder to digest! […] Embrace ginger. Ginger is a known remedy for reducing nausea and vomiting symptoms in pregnancy. Have a ginger tea made from fresh-grated ginger. Chew on ginger candies. Seek out ginger ale made with real ginger. […] Morning Sickness Medications and Supplements […] If diet and lifestyle changes arent quelling the queasies, your healthcare provider may recommend medication or supplements as a morning sickness treatment. (Always connect with your provider before taking any OTC meds during pregnancy.) Some options include:

• #22 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Dont lie down after eating. Itll cause the gastric juices in your tummy to rise and make you feel ill. […] Try a motion-sickness band. These zero in on your P6 pressure point on the inside of your wrist thats thought to tamp down nausea. […] Foods to Eat for Morning Sickness […] Bland foods. Bananas, rice, applesauce, toast, and tea are all low in tummy-turning fat and easy to digest. […] Stay hydrated. Dehydration can make nausea worse. Aim for 8 to 12 cups of water a day during pregnancy. […] Include protein at every meal. Itll help stave off nauseaand increase your energy, according to research. Bonus: Adding a healthy, lean protein to each meal can keep you fuller longer and help prevent blood sugar levels from spiking. […] Stash a snack on your nightstand. Eat dry toast or crackers before you get out of bed in the morning, to avoid jostling your empty tummy.

• #23 14 Cures For Morning Sickness During Pregnancy – Mustela USA

  https://www.mustelausa.com/blogs/mustela-mag/14-cures-for-morning-sickness-during-pregnancy

  Eat breakfast in bed. Yes, you read that correctly. Eat breakfast in bed. We recommend sticking with dry products like toast or cereal. […] Instead of the standard three meals a day that you’re used to, we recommend eating smaller meals more frequently. […] Eating 5 or 6 (or more) small meals a day will help stabilize your blood sugar levels. This will keep you from being too hungry and too full both feelings that can make morning sickness worse. […] Chewing your food 30 times before swallowing makes digestion easier and can reduce the nausea associated with pregnancy. […] If you find that your sense of smell is becoming more sensitive, we suggest you avoid heavy odors like tobacco, perfumes, and exhaust from vehicles. […] To combat the nausea associated with fatigue and stress, we recommend getting plenty of sleep.

• #24 Nausea and Vomiting in Pregnancy — Dr Rachel Ryan

  http://drrachelryan.com.au/nausea-and-vomiting-in-pregnancy

  Nausea and vomiting in pregnancy (known formally as hyperemesis gravidarum or, more commonly, as morning sickness) is very common, particularly in the first trimester. […] Ideally, we want to avoid getting to the stage that you become dehydrated and start to lose weight. […] Here are some of the ways we can address nausea and vomiting in pregnancy, starting from the simplest measures and progressing up to the more intensive treatments. […] Try to be proactive and contact me early if you think things are spiralling out of control. The earlier we are able to treat you, the more likely we are to be able to use the simple methods only. […] Eat small meals frequently letting yourself get really hungry may make you nauseated, as may large meals. […] Have food and fluids separately some people find that having a drink with a meal can make nausea worse so try separating your meals and your drinks.

• #25 Morning sickness – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/morning-sickness/diagnosis-treatment/drc-20375260

  Treatments for morning sickness include vitamin B-6 supplements (pyridoxine), ginger and drugs such as doxylamine (Unisom). Continuing symptoms might require prescription anti-nausea medications. […] Extra fluids and prescription medicine are recommended for moderate to severe morning sickness. […] To help relieve morning sickness: Choose foods carefully. Select foods that are high in protein, low in fat and easy to digest. Avoid greasy, spicy and fatty foods. Bland foods, such as bananas, rice, applesauce and toast may be easy to digest. Salty foods might be helpful, as are foods that contain ginger such as ginger lollipops. […] Drink plenty of fluids. Sip water, real ginger ale or ginger tea. Try to drink 6 to 8 cups of fluids without caffeine each day. […] Check with your health care provider before using any herbal remedies or alternative treatments to relieve morning sickness.

• #26 Nausea and Vomiting in Pregnancy — Dr Rachel Ryan

  http://drrachelryan.com.au/nausea-and-vomiting-in-pregnancy

  Nausea and vomiting in pregnancy (known formally as hyperemesis gravidarum or, more commonly, as morning sickness) is very common, particularly in the first trimester. […] Ideally, we want to avoid getting to the stage that you become dehydrated and start to lose weight. […] Here are some of the ways we can address nausea and vomiting in pregnancy, starting from the simplest measures and progressing up to the more intensive treatments. […] Try to be proactive and contact me early if you think things are spiralling out of control. The earlier we are able to treat you, the more likely we are to be able to use the simple methods only. […] Eat small meals frequently letting yourself get really hungry may make you nauseated, as may large meals. […] Have food and fluids separately some people find that having a drink with a meal can make nausea worse so try separating your meals and your drinks.

• #27 6 Pregnancy-Safe Medications to Take for Nausea

  https://www.verywellhealth.com/nausea-medicine-for-pregnancy-8777216

  Nausea and vomiting during pregnancy, commonly referred to as morning sickness, are generally mild conditions that resolve on their own over time. […] Morning sickness can be managed with lifestyle changes such as diet, herbal supplements, and rest. However, many over-the-counter (OTC) products and prescription medications are available for morning sickness, too. Which medication you take may depend on the severity of your symptoms. […] The American College of Obstetrics and Gynecology (ACOG) recommends supplementing 10 to 25 milligrams (mg) of vitamin B6 three to four times daily for pregnancy-related nausea and vomiting. […] Doxylamine is found in many OTC sleep aids. You can take it along with vitamin B6 to help relieve morning sickness. […] The ACOG recommends adding doxylamine when vitamin B6 alone does not relieve symptoms.

• #28 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Although nausea and vomiting of pregnancy and hyperemesis gravidarum have been linked with a variety of psychological conditions, including depression and stress-related disorders, more recent data have not shown a definitive association. […] A variety of other nonpharmacologic therapies for nausea and vomiting of pregnancy are listed in Table 2. […] Vitamin B6 (10 to 25 mg every eight hours) is more effective than placebo in improving symptoms of nausea. […] Combination therapy with vitamin B6 and doxylamine (Unisom SleepTabs) reduces nausea and vomiting by 70%. […] Although there have been concerns about teratogenicity, a large meta-analysis showed that combination therapy with vitamin B6 and doxylamine is safe for use in the first trimester. […] Antihistamines decrease stimulation of the vomiting center by affecting the vestibular system.

• #29 Pregnancy sickness (nausea and vomiting of pregnancy and hyperemesis gravidarum) | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pregnancy-sickness-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum/

  Nausea and vomiting of pregnancy is a common condition that settles by 20 weeks in 9 out of 10 pregnant women. […] Several different anti-sickness medicines are available that may help your symptoms. While some of these medicines may not be licensed for use in pregnancy, they are considered safe for you and your baby. […] Most women with nausea and vomiting of pregnancy will be able to manage their symptoms themselves. You could: eat small amounts of foods that are high in carbohydrate and low in fat, such as potato, rice and pasta, or foods that are easier to tolerate such as plain biscuits or crackers. […] If your symptoms do not settle or if they stop you doing your daily activities, see your GP. They can prescribe anti-sickness medication that is safe to take in pregnancy. […] There are several different types of anti-sickness medicines that you may be offered. An oral medication that is a slow-release combination of doxylamine and pyridoxine (vitamin B6) called Xonvea is the only licensed treatment of nausea and vomiting in pregnancy in the UK.

• #30 Morning sickness: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000604.htm

  Bland foods, such as gelatin, frozen desserts, broth, ginger ale, and saltine crackers, also soothe the stomach. […] Avoid eating foods that are high in fat. […] Try to eat before you get hungry and before nausea occurs. […] Drink plenty of liquids. […] Foods that contain ginger may also help. […] Try changing how you take your prenatal vitamins. […] Taking just folic acid for a few weeks may be effective if you don’t tolerate the large pill of prenatal vitamins. […] Some other tips are: […] Try acupressure wristbands that apply pressure to specific points on your wrist. […] Try acupuncture. […] Vitamin B6 (100 mg or less daily) has been shown to ease symptoms of morning sickness. […] Diclegis, a combination of doxylamine succinate and pyridoxine hydrochloride (Vitamin B6), has been approved by the US Food and Drug Administration (FDA) for treating morning sickness.

• #31

  https://www2.hse.ie/conditions/hyperemesis-gravidarum/treatment/

  You can take the following medication to treat hyperemesis gravidarum (HG) during pregnancy: anti-sickness drugs, vitamins B6 and B12, steroids. […] Folic acid and other pregnancy supplements can also reduce sickness. You should take these every day for at least the first 12 weeks of pregnancy. Take them while you do not feel sick – this is so you don’t throw them up. […] If your GP does not think you need to go to hospital, you can reduce your symptoms by: resting, planning ahead to avoid work at times when symptoms are worse, avoiding things that you know trigger your sickness – such as strong smells, drinking plenty of fluids – if you struggle to keep water down, you could try ice lollies or watermelon, having drinks with ginger, fennel or peppermint to help reduce sickness, eating small snacks every 2 to 3 hours – carbohydrates (like crackers or biscuits) are best, not eating and drinking at the same time – some women say this reduces sickness, acupressure – a type of massage where you press on certain parts of your body (pressure points) with your fingers.

• #32 Optimal management of nausea and vomiting of pregnancy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2990891/

  Implementing uniform dietary changes can be quite challenging; consequently randomized controlled trials to investigate the effectiveness of dietary changes are lacking. […] In summary, it appears that ginger is a safe, effective, and inexpensive solution for treating NVP and should be considered as a first-line option for management of NVP symptoms, or as adjuvant with other forms of therapy. […] As the only drug approved for use in pregnancy, Diclectin should be used as first-line therapy for the treatment of NVP symptoms in women, as studies have shown a 70% decrease in nausea and vomiting with its use. […] Treatment with pharmacotherapy should follow the stepwise guide in Figure 1; the treatments outlined are listed in alphabetical order and it is the physicians decision to decide which order is most appropriate according to their patients condition. […] Health care providers should recognize NPV as a medical condition with significant potential to compromise womens wellbeing, even when symptoms are moderate, and should not hesitate to treat aggressively.

• #33 Nutrition tips for morning sickness | Ohio State Health & Discovery

  https://health.osu.edu/health/womens-health/nutrition-tips-for-morning-sickness

  Finding out youre pregnant can be exciting news. But for many, that celebration is interrupted by a party pooper: morning sickness. […] The bad news: For some people, theres just no perfect remedy to make that nausea improve. You might need to try a variety of strategies to find the option that helps your symptoms the most. […] Research shows that ginger effectively and naturally decreases nausea. […] A vitamin B6 supplement often can lessen nausea. Its available over the counter, but talk with your doctor about whether its best for you. […] Avoid fried or fatty foods they take longer to leave the stomach, meaning theyre more likely to contribute to feelings of nausea. […] Its important to eat what you can in small, frequent meals throughout the day, aiming especially to eat something small in the morning cereal, for example, or yogurt. […] Hang in there. We covered the good and bad news, but remember the best news: Pregnancy can be difficult, but at the end of nine months, its all worth it.

• #34 ​What are Safe Treatments for Morning Sickness? | Poison Control

  https://www.poison.org/articles/what-are-safe-treatments-for-morning-sickness

  Morning sickness is common during pregnancy and can lead to severe complications for some women. Fortunately, there are multiple treatment options available, including both prescription and non-prescription medications. […] Non-drug treatments for morning sickness include eating small amounts of food several times a day instead of consuming larger meals, as well as eating foods with a high protein content. Acupressure wrist bands may also provide some relief. […] Ginger is an herbal product commonly used in pregnancy to treat nausea and vomiting. […] The use of ginger as a treatment for pregnancy-induced nausea and vomiting has been studied for decades. Multiple studies have demonstrated its safety and effectiveness. The American College of Obstetricians and Gynecologists (ACOG) recommends ginger as a first-line non-drug option, at a dosage of 250 mg 4 times a day.

• #35 Optimal management of nausea and vomiting of pregnancy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2990891/

  Implementing uniform dietary changes can be quite challenging; consequently randomized controlled trials to investigate the effectiveness of dietary changes are lacking. […] In summary, it appears that ginger is a safe, effective, and inexpensive solution for treating NVP and should be considered as a first-line option for management of NVP symptoms, or as adjuvant with other forms of therapy. […] As the only drug approved for use in pregnancy, Diclectin should be used as first-line therapy for the treatment of NVP symptoms in women, as studies have shown a 70% decrease in nausea and vomiting with its use. […] Treatment with pharmacotherapy should follow the stepwise guide in Figure 1; the treatments outlined are listed in alphabetical order and it is the physicians decision to decide which order is most appropriate according to their patients condition. […] Health care providers should recognize NPV as a medical condition with significant potential to compromise womens wellbeing, even when symptoms are moderate, and should not hesitate to treat aggressively.

• #36 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Suck on this! Since sour flavors seem to help curb nausea, try sucking on a piece of lemon-flavored hard candy. […] Enjoy mini meals. An empty belly can cause nausea, so eating five or six small meals throughout that day keeps your tummy topped-up. […] Avoid fatty and dried foods. These are harder to digest! […] Embrace ginger. Ginger is a known remedy for reducing nausea and vomiting symptoms in pregnancy. Have a ginger tea made from fresh-grated ginger. Chew on ginger candies. Seek out ginger ale made with real ginger. […] Morning Sickness Medications and Supplements […] If diet and lifestyle changes arent quelling the queasies, your healthcare provider may recommend medication or supplements as a morning sickness treatment. (Always connect with your provider before taking any OTC meds during pregnancy.) Some options include:

• #37 Vomiting and morning sickness – NHS

  https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/

  Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. […] Unfortunately, there’s no hard and fast treatment that will work for everyones morning sickness. Every pregnancy will be different. […] But there are some changes you can make to your diet and daily life to try to ease the symptoms. […] If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes: get plenty of rest (tiredness can make nausea worse), avoid foods or smells that make you feel sick, eat something like dry toast or a plain biscuit in the morning, eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta), eat cold foods rather than hot ones if the smell of hot meals makes you feel sick, drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting), eat foods or drinks containing ginger there’s some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy), try acupressure there’s some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm or by pressing with your fingers, may help relieve the symptoms.

• #38 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Morning Sickness Treatment […] From the foods you eat (and avoid) to lifestyle tweaks and medications, there are several strategies you can take to help treat morning sickness symptoms. […] Natural Morning Sickness Remedies […] Avoid nausea triggers. Odors, flickering lights, riding in the backseatwhatever sparks your nausea, avoid it! […] Consider aromatherapy. Smelling fresh lemon, orange, and mint has shown to tamp down nausea. In fact, one study of 100 pregnant people found those who inhaled lemon essential oil had significantly less intense nausea and vomiting than those who whiffed a placebo. […] Rest up! Learn how to sleep better during pregnancy. […] Keep the air flowing. Make sure youre always in well-ventilated rooms. If you cant crack a window, turn on a fan or go outside to get some fresh air.

• #39 Vomiting and morning sickness – NHS

  https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/

  Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. […] Unfortunately, there’s no hard and fast treatment that will work for everyones morning sickness. Every pregnancy will be different. […] But there are some changes you can make to your diet and daily life to try to ease the symptoms. […] If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes: get plenty of rest (tiredness can make nausea worse), avoid foods or smells that make you feel sick, eat something like dry toast or a plain biscuit in the morning, eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta), eat cold foods rather than hot ones if the smell of hot meals makes you feel sick, drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting), eat foods or drinks containing ginger there’s some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy), try acupressure there’s some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm or by pressing with your fingers, may help relieve the symptoms.

• #40 Morning sickness Information | Mount Sinai – New York

  https://www.mountsinai.org/health-library/symptoms/morning-sickness

  Acupressure wrist bands or acupuncture may help. You can find these bands in drug, health food, and travel and boating stores. If you are thinking about trying acupuncture, talk to your health care provider and look for an acupuncturist who is trained to work with pregnant women. […] Take your prenatal vitamins at night. Increase vitamin B6 in your diet by eating whole grains, nuts, seeds, and peas and beans (legumes). Talk to your provider about possibly taking vitamin B6 supplements. Doxylamine is another medicine that is sometimes prescribed and is known to be safe.

• #41 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Morning Sickness Treatment […] From the foods you eat (and avoid) to lifestyle tweaks and medications, there are several strategies you can take to help treat morning sickness symptoms. […] Natural Morning Sickness Remedies […] Avoid nausea triggers. Odors, flickering lights, riding in the backseatwhatever sparks your nausea, avoid it! […] Consider aromatherapy. Smelling fresh lemon, orange, and mint has shown to tamp down nausea. In fact, one study of 100 pregnant people found those who inhaled lemon essential oil had significantly less intense nausea and vomiting than those who whiffed a placebo. […] Rest up! Learn how to sleep better during pregnancy. […] Keep the air flowing. Make sure youre always in well-ventilated rooms. If you cant crack a window, turn on a fan or go outside to get some fresh air.

• #42 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Dont lie down after eating. Itll cause the gastric juices in your tummy to rise and make you feel ill. […] Try a motion-sickness band. These zero in on your P6 pressure point on the inside of your wrist thats thought to tamp down nausea. […] Foods to Eat for Morning Sickness […] Bland foods. Bananas, rice, applesauce, toast, and tea are all low in tummy-turning fat and easy to digest. […] Stay hydrated. Dehydration can make nausea worse. Aim for 8 to 12 cups of water a day during pregnancy. […] Include protein at every meal. Itll help stave off nauseaand increase your energy, according to research. Bonus: Adding a healthy, lean protein to each meal can keep you fuller longer and help prevent blood sugar levels from spiking. […] Stash a snack on your nightstand. Eat dry toast or crackers before you get out of bed in the morning, to avoid jostling your empty tummy.

• #43 14 Cures For Morning Sickness During Pregnancy – Mustela USA

  https://www.mustelausa.com/blogs/mustela-mag/14-cures-for-morning-sickness-during-pregnancy

  So when it comes to staying hydrated during your pregnancy, plain water is your best friend. […] Foods like ginger, fresh vegetables and fruits, soups, and healthy fats can give your body the nutrients it needs while fighting off the effects of nausea. […] Light exercise like walking is one of our favorite cures for morning sickness. […] Instead of taking your prenatal vitamin in the morning, we recommend taking it at night with dinner. […] Taking a B6 supplement is a good alternative if you want to avoid anti-nausea medications while you’re pregnant. […] Bland foods such as crackers, dry cereal, and pretzels are gentle on your stomach. […] Your body will tell you what’s working and what’s not. […] Sea-Band Wristbands are comfortable and all-natural elastic wristbands that have a plastic knob placed on the inside. This plastic knob is what puts pressure on the Nei Guan point in your wrist to gently restore balance to your body. […] While there’s no cure-all solution for morning sickness, the baby experts at Mustela have given you 14 effective treatments to choose from.

• #44 15 Simple Tips to Manage Morning Sickness in Early Pregnancy

  https://www.miracleshealth.com/blog/15-simple-tips-to-manage-morning-sickness-in-early-pregnancy

  Having a light snack before bedtime can help you avoid feeling nauseous when you wake up. […] Vitamin B6 is known to help reduce nausea during pregnancy. Some studies show that taking a small dose of Vitamin B6 can help ease morning sickness. […] Nausea is often started by stress, so practicing deep breathing exercises can help you calm down and ease morning sickness. […] Gentle physical activity, like a short walk or some light stretching, can help improve circulation and digestion, both of which may reduce nausea. […] Carrying snacks with you throughout the day can help prevent nausea from creeping up on you when you are out and about. […] If your morning sickness is severe, and you’re unable to keep food or liquids down, it’s important to consult with your doctor. […] Dealing with morning sickness while pregnant can be tough, but these simple and effective remedies offer relief for many moms-to-be.

• #45 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Morning Sickness Treatment […] From the foods you eat (and avoid) to lifestyle tweaks and medications, there are several strategies you can take to help treat morning sickness symptoms. […] Natural Morning Sickness Remedies […] Avoid nausea triggers. Odors, flickering lights, riding in the backseatwhatever sparks your nausea, avoid it! […] Consider aromatherapy. Smelling fresh lemon, orange, and mint has shown to tamp down nausea. In fact, one study of 100 pregnant people found those who inhaled lemon essential oil had significantly less intense nausea and vomiting than those who whiffed a placebo. […] Rest up! Learn how to sleep better during pregnancy. […] Keep the air flowing. Make sure youre always in well-ventilated rooms. If you cant crack a window, turn on a fan or go outside to get some fresh air.

• #46 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Although nausea and vomiting of pregnancy and hyperemesis gravidarum have been linked with a variety of psychological conditions, including depression and stress-related disorders, more recent data have not shown a definitive association. […] A variety of other nonpharmacologic therapies for nausea and vomiting of pregnancy are listed in Table 2. […] Vitamin B6 (10 to 25 mg every eight hours) is more effective than placebo in improving symptoms of nausea. […] Combination therapy with vitamin B6 and doxylamine (Unisom SleepTabs) reduces nausea and vomiting by 70%. […] Although there have been concerns about teratogenicity, a large meta-analysis showed that combination therapy with vitamin B6 and doxylamine is safe for use in the first trimester. […] Antihistamines decrease stimulation of the vomiting center by affecting the vestibular system.

• #47 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Although nausea and vomiting of pregnancy and hyperemesis gravidarum have been linked with a variety of psychological conditions, including depression and stress-related disorders, more recent data have not shown a definitive association. […] A variety of other nonpharmacologic therapies for nausea and vomiting of pregnancy are listed in Table 2. […] Vitamin B6 (10 to 25 mg every eight hours) is more effective than placebo in improving symptoms of nausea. […] Combination therapy with vitamin B6 and doxylamine (Unisom SleepTabs) reduces nausea and vomiting by 70%. […] Although there have been concerns about teratogenicity, a large meta-analysis showed that combination therapy with vitamin B6 and doxylamine is safe for use in the first trimester. […] Antihistamines decrease stimulation of the vomiting center by affecting the vestibular system.

• #48 Morning sickness: Treatments, prevention, and when it starts

  https://www.medicalnewstoday.com/articles/179633

  If morning sickness symptoms are still severe despite these home care techniques, a doctor may recommend a short course of an antinausea medication, also called an antiemetic, that is safe to use during pregnancy. […] Some studies suggest that ginger supplements help reduce nausea symptoms during pregnancy, with little risk of negative outcomes. However, clinical evidence to support the use of this remedy is lacking. […] The over-the-counter version of this combination of medications is called Unisom SleepTabs. It may help treat morning sickness during the first trimester. Trials have found the combination to be effective at reducing nausea and vomiting in up to 70% of participants. […] Diclegis is the brand-name version of a similar combination: doxylamine succinate and vitamin B6, in the form of pyridoxine hydrochloride. The Food and Drug Administration (FDA) has approved this product for use during pregnancy. One clinical trial found that Diclegis relieved nausea in 44% of participants with morning sickness. However, a 2018 analysis questioned the efficacy of the drug. Anyone interested in this treatment should discuss it with a doctor first. […] Various home care strategies can help, such as resting, avoiding pungent or spicy foods, and taking antinausea medications after checking with a doctor.

• #49 Optimal management of nausea and vomiting of pregnancy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2990891/

  Implementing uniform dietary changes can be quite challenging; consequently randomized controlled trials to investigate the effectiveness of dietary changes are lacking. […] In summary, it appears that ginger is a safe, effective, and inexpensive solution for treating NVP and should be considered as a first-line option for management of NVP symptoms, or as adjuvant with other forms of therapy. […] As the only drug approved for use in pregnancy, Diclectin should be used as first-line therapy for the treatment of NVP symptoms in women, as studies have shown a 70% decrease in nausea and vomiting with its use. […] Treatment with pharmacotherapy should follow the stepwise guide in Figure 1; the treatments outlined are listed in alphabetical order and it is the physicians decision to decide which order is most appropriate according to their patients condition. […] Health care providers should recognize NPV as a medical condition with significant potential to compromise womens wellbeing, even when symptoms are moderate, and should not hesitate to treat aggressively.

• #50 Pregnancy sickness (nausea and vomiting of pregnancy and hyperemesis gravidarum) | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pregnancy-sickness-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum/

  Nausea and vomiting of pregnancy is a common condition that settles by 20 weeks in 9 out of 10 pregnant women. […] Several different anti-sickness medicines are available that may help your symptoms. While some of these medicines may not be licensed for use in pregnancy, they are considered safe for you and your baby. […] Most women with nausea and vomiting of pregnancy will be able to manage their symptoms themselves. You could: eat small amounts of foods that are high in carbohydrate and low in fat, such as potato, rice and pasta, or foods that are easier to tolerate such as plain biscuits or crackers. […] If your symptoms do not settle or if they stop you doing your daily activities, see your GP. They can prescribe anti-sickness medication that is safe to take in pregnancy. […] There are several different types of anti-sickness medicines that you may be offered. An oral medication that is a slow-release combination of doxylamine and pyridoxine (vitamin B6) called Xonvea is the only licensed treatment of nausea and vomiting in pregnancy in the UK.

• #51

  https://www.mercy.net/service/prenatal-care/morning-sickness-medications/

  Morning sickness is a side effect of pregnancy that no woman likes to experience, yet up to 85% of women do at some point. […] With this being such a common issue in pregnancy, expectant mothers should know some of the new guidelines about the treatment of morning sickness with medication. […] There are some natural remedies that you can try to treat your nausea and vomiting during pregnancy, but many women do eventually opt to ask their doctors or midwives for medications for morning sickness during pregnancy to help them feel better. […] ACOG now states that this drug combination should be the first treatment for morning sickness in pregnancy, if other remedies haven’t worked (these include smaller frequent meals, bland meals, etc). […] Other medications do exist for treating morning sickness during pregnancy, and many women have tried or will try some combination of them.

• #52 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Diphenhydramine (Benadryl), meclizine (Antivert), and dimenhydrinate have been shown to be safe and more effective than placebo in reducing the symptoms of nausea and vomiting of pregnancy. […] Metoclopramide (Reglan) is often used alone and in combination with other agents, such as vitamin B6, for the treatment of nausea and vomiting of pregnancy. […] A study involving 40 women found that methylprednisolone is superior to promethazine in reducing symptoms of nausea and vomiting in patients with hyperemesis gravidarum. […] Fluid replacement is safe and effective in restoring volume and electrolytes in women who have hyperemesis gravidarum and are unable to tolerate oral intake. […] Patients who have refractory nausea and vomiting may require hospitalization. […] Administration of parenteral nutrition is associated with significant risk during pregnancy, including a 25% risk of line sepsis.

• #53 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Diphenhydramine (Benadryl), meclizine (Antivert), and dimenhydrinate have been shown to be safe and more effective than placebo in reducing the symptoms of nausea and vomiting of pregnancy. […] Metoclopramide (Reglan) is often used alone and in combination with other agents, such as vitamin B6, for the treatment of nausea and vomiting of pregnancy. […] A study involving 40 women found that methylprednisolone is superior to promethazine in reducing symptoms of nausea and vomiting in patients with hyperemesis gravidarum. […] Fluid replacement is safe and effective in restoring volume and electrolytes in women who have hyperemesis gravidarum and are unable to tolerate oral intake. […] Patients who have refractory nausea and vomiting may require hospitalization. […] Administration of parenteral nutrition is associated with significant risk during pregnancy, including a 25% risk of line sepsis.

• #54 6 Pregnancy-Safe Medications to Take for Nausea

  https://www.verywellhealth.com/nausea-medicine-for-pregnancy-8777216

  A prescription medication containing pyridoxine and doxylamine in one pill is also available. This medicine is usually used when non-drug treatments and OTC options are ineffective at treating your nausea and vomiting. […] Dopamine antagonists, such as Reglan (metoclopramide) and promethazine, target nausea caused by the chemoreceptor trigger zone (CTZ), a part of the brain that detects chemicals that can cause vomiting. […] Serotonin antagonists such as ondansetron are usually safe and do not risk congenital conditions during pregnancy. […] OTC products commonly include vitamin B6, antihistamines, and other combination products. If symptoms are severe, your healthcare provider may prescribe an antiemetic medication, such as Bonjesta, Diclegis, ondansetron, or Reglan.

• #55 Morning Sickness: Nausea and Vomiting of Pregnancy | ACOG

  https://www.acog.org/womens-health/faqs/morning-sickness-nausea-and-vomiting-of-pregnancy

  If diet and lifestyle changes dont help, or if you have severe nausea and vomiting of pregnancy, you might need medical treatment. […] Vitamin B6 is a safe, over-the-counter treatment that may be tried first for nausea and vomiting of pregnancy. […] A prescription drug that combines vitamin B6 and doxylamine is available. Both drugs, taken alone or together, have been found to be safe to take during pregnancy and have no harmful effects on the fetus. […] The decision to use ondansetron and other drugs during pregnancy is based on whether the benefits of these drugs outweigh their potential risks. […] If your nausea and vomiting are severe or if you have hyperemesis gravidarum, you might need to stay in the hospital until your symptoms are under control.

• #56 Pregnancy sickness (nausea and vomiting of pregnancy and hyperemesis gravidarum) | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pregnancy-sickness-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum/

  All the medications above are considered to be safe in pregnancy. […] Corticosteroids are successful in helping nausea and vomiting in many women where all other measures have not helped. Most women will be able to stop corticosteroids by 18-20 weeks but a few women will need to continue them at a low dose for the rest of the pregnancy. […] If hyperemesis gravidarum is not treated, it may cause more harm to the baby than any possible effects of a medicine recommended by your doctor.

• #57 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Diphenhydramine (Benadryl), meclizine (Antivert), and dimenhydrinate have been shown to be safe and more effective than placebo in reducing the symptoms of nausea and vomiting of pregnancy. […] Metoclopramide (Reglan) is often used alone and in combination with other agents, such as vitamin B6, for the treatment of nausea and vomiting of pregnancy. […] A study involving 40 women found that methylprednisolone is superior to promethazine in reducing symptoms of nausea and vomiting in patients with hyperemesis gravidarum. […] Fluid replacement is safe and effective in restoring volume and electrolytes in women who have hyperemesis gravidarum and are unable to tolerate oral intake. […] Patients who have refractory nausea and vomiting may require hospitalization. […] Administration of parenteral nutrition is associated with significant risk during pregnancy, including a 25% risk of line sepsis.

• #58 Nausea and Vomiting of Pregnancy | AAFP

  https://www.aafp.org/pubs/afp/issues/2014/0615/p965.html

  Diphenhydramine (Benadryl), meclizine (Antivert), and dimenhydrinate have been shown to be safe and more effective than placebo in reducing the symptoms of nausea and vomiting of pregnancy. […] Metoclopramide (Reglan) is often used alone and in combination with other agents, such as vitamin B6, for the treatment of nausea and vomiting of pregnancy. […] A study involving 40 women found that methylprednisolone is superior to promethazine in reducing symptoms of nausea and vomiting in patients with hyperemesis gravidarum. […] Fluid replacement is safe and effective in restoring volume and electrolytes in women who have hyperemesis gravidarum and are unable to tolerate oral intake. […] Patients who have refractory nausea and vomiting may require hospitalization. […] Administration of parenteral nutrition is associated with significant risk during pregnancy, including a 25% risk of line sepsis.

• #59 Pregnancy sickness (nausea and vomiting of pregnancy and hyperemesis gravidarum) | RCOG

  https://www.rcog.org.uk/for-the-public/browse-our-patient-information/pregnancy-sickness-nausea-and-vomiting-of-pregnancy-and-hyperemesis-gravidarum/

  All the medications above are considered to be safe in pregnancy. […] Corticosteroids are successful in helping nausea and vomiting in many women where all other measures have not helped. Most women will be able to stop corticosteroids by 18-20 weeks but a few women will need to continue them at a low dose for the rest of the pregnancy. […] If hyperemesis gravidarum is not treated, it may cause more harm to the baby than any possible effects of a medicine recommended by your doctor.

• #60 Morning sickness | Pregnancy Birth and Baby

  https://www.pregnancybirthbaby.org.au/dealing-with-morning-sickness

  Morning sickness is a feeling of nausea or actual vomiting (being sick) during pregnancy. […] Can morning sickness be prevented? […] Some people are more likely to have nausea during pregnancy than others. Morning sickness is hard to predict. […] Women who had morning sickness in a previous pregnancy are more likely to have it again. Some women who get travel sickness or migraines can also be more likely to have morning sickness.

• #61 Morning sickness | Pregnancy Birth and Baby

  https://www.pregnancybirthbaby.org.au/dealing-with-morning-sickness

  Morning sickness is a feeling of nausea or actual vomiting (being sick) during pregnancy. […] Can morning sickness be prevented? […] Some people are more likely to have nausea during pregnancy than others. Morning sickness is hard to predict. […] Women who had morning sickness in a previous pregnancy are more likely to have it again. Some women who get travel sickness or migraines can also be more likely to have morning sickness.

• #62 Researchers identify key cause of pregnancy sickness and a potential way to prevent it

  https://keck.usc.edu/news/researchers-identify-key-cause-of-pregnancy-sickness-and-a-potential-way-to-prevent-it/

  A new USC and University of Cambridge study finds that a hormone produced by the fetus – and a mother’s sensitivity to the hormone – are the cause behind nausea and vomiting of pregnancy, which, in its more extreme form can put the mother and fetus at risk. […] The findings, which appear today in Nature, suggest that pre-pregnancy exposure to the hormone might mitigate symptoms in some women. […] Lowering GDF15 is one way to potentially address pregnancy sickness—and the present study provides the first human evidence that it is likely safe to do so. Another way to reduce symptoms involves exposing women to GDF15 prior to pregnancy, to “prime” or prepare them for elevated levels of the hormone once they become pregnant. […] “This study provides strong evidence that one or both of those methods will be effective in preventing or treating HG,” Fejzo said.

• #63 Hyperemesis Gravidarum: Causes, Symptoms & Treatment

  https://my.clevelandclinic.org/health/diseases/12232-hyperemesis-gravidarum

  Hyperemesis gravidarum is sometimes called severe morning sickness. […] Morning sickness is extremely common during pregnancy up to 80% of people report experiencing it. […] Treatment depends on the severity of your symptoms. Be sure to discuss all your treatment options with your pregnancy care provider. […] No, you cant prevent hyperemesis gravidarum. Knowing if youre at risk is the best thing you can do to prepare yourself. […] The best thing you can do for hyperemesis gravidarum is to get treatment from your provider. Only your provider can treat the severe symptoms of HG like dehydration.

• #64 Morning sickness | March of Dimes

  https://www.marchofdimes.org/find-support/topics/pregnancy/morning-sickness

  Morning sickness usually starts at about 6 weeks of pregnancy and goes away in the second trimester. […] If you have morning sickness, tell your health care provider. […] Mild morning sickness doesnt harm you or your baby. […] If you have hyperemesis gravidarum, your provider may treat you with medicine to help relieve your nausea and vomiting. […] Yes. Heres what you can do to help you feel better and even prevent morning sickness: […] Talk to your provider before trying any of these: […] Even if its legal where you live for either personal or medical use, its not safe to use marijuana to treat morning sickness. […] Yes. If you cant relieve morning sickness on your own or if you have severe nausea and vomiting of pregnancy, your provider may treat you with these medicines: […] Talk to your provider before you take any medicine during pregnancy, even medicine to help treat morning sickness.

• #65 Morning sickness: MedlinePlus Medical EncyclopediaLock

  https://medlineplus.gov/ency/patientinstructions/000604.htm

  Do not take any medicines for morning sickness without talking with your provider first. […] Your provider may not advise medicines to prevent nausea unless your vomiting is severe and will not stop. […] In severe cases, you may be admitted to the hospital, where you will receive fluids through an IV (into your vein).

• #66 Preventing Nausea and Vomiting Related to Pregnancy

  https://www.uspharmacist.com/article/preventing-nausea-and-vomiting-related-to-pregnancy

  Additionally, pharmacists should advise patients to always consult their primary healthcare provider before taking any medication, including OTC drugs, to ensure appropriateness. […] Patients should also be counseled to seek immediate medical care if they experience severe nausea and vomiting, lose weight during pregnancy, and exhibit signs of dehydration in order to rule out other medical issues that may cause or exacerbate nausea and vomiting.

• #67 Patient education: Nausea and vomiting of pregnancy (Beyond the Basics) – UpToDate

  https://www.uptodate.com/contents/nausea-and-vomiting-of-pregnancy-beyond-the-basics

  Consuming ginger containing foods can be helpful managing mild nausea and vomiting. […] Medications that reduce nausea and vomiting are effective in many individuals. Some individuals will need more than one medication to have effective symptom relief. […] Vitamin B6 and doxylamine – Over-the-counter vitamin B6 supplements can reduce symptoms of mild to moderate nausea but do not usually help with vomiting. […] Antihistamines, such as diphenhydramine (Benadryl), can sometimes help relieve pregnancy-related nausea and vomiting. […] Most individuals with pregnancy-related nausea and vomiting recover completely without any complications.

• #68 Severe vomiting in pregnancy – NHS

  https://www.nhs.uk/pregnancy/related-conditions/complications/severe-vomiting/

  There are medicines that can be used in pregnancy, including the first 12 weeks, to help improve the symptoms of HG. These include anti-sickness (anti-emetic) drugs, steroids, or a combination of these. […] If your nausea and vomiting cannot be controlled, you may need to be admitted to hospital. This is so doctors can assess your condition and give you the right treatment to protect the health of you and your baby. […] The charity Pregnancy Sickness Support has information and tips on coping with nausea and vomiting, including HG. […] If you have had HG before, it’s likely you will get it again in another pregnancy. […] If you decide on another pregnancy, it can help to plan ahead, such as arranging child care so you can get plenty of rest.

• #69 Morning Sickness: When It Starts, Treatment & Prevention

  https://my.clevelandclinic.org/health/diseases/16566-morning-sickness-nausea-and-vomiting-of-pregnancy

  Morning sickness can be managed through various diet and lifestyle changes. […] Making small changes to your diet and lifestyle can go a long way in decreasing nausea. […] There are a few things you can do to feel better. […] Eating a diet high in protein, whole grains, vegetables and fruit is beneficial for you and for the fetus. […] Your healthcare provider may recommend taking vitamin B6 (also called pyridoxine) and doxylamine. […] Your obstetrician can prescribe medications to prevent nausea (also called antiemetics). […] Seeking care for morning sickness early in pregnancy can help prevent it from becoming more severe.

• #70 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Hyperemesis Gravidarum Treatment […] If youve been diagnosed with hyperemesis gravidarum and youve already tried home interventionsand a combo of vitamin B6 and doxylamineyour healthcare provider may move onto medications such as Dramamine, Benadryl, or Reglan. And if youre dehydrated, IV fluids and vitamins may be in order. […] When to Call Your Doctor About Morning Sickness […] If your morning sickness interferes with your everyday life, do not hesitate to reach out to your doc or midwife for guidance and relief. And definitely call your healthcare provider if […] Youve vomited blood or anything that resembles coffee grounds. […] Youve vomited more than three times a day or you cannot keep food or liquid down. […] Youve lost a lot of weight. […] Your urine is dark and concentrated. […] You pee very infrequently. […] Home remedies have not helped your morning sickness. […] Morning sickness continues beyond 4 months of pregnancy.

• #71 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Hyperemesis Gravidarum Treatment […] If youve been diagnosed with hyperemesis gravidarum and youve already tried home interventionsand a combo of vitamin B6 and doxylamineyour healthcare provider may move onto medications such as Dramamine, Benadryl, or Reglan. And if youre dehydrated, IV fluids and vitamins may be in order. […] When to Call Your Doctor About Morning Sickness […] If your morning sickness interferes with your everyday life, do not hesitate to reach out to your doc or midwife for guidance and relief. And definitely call your healthcare provider if […] Youve vomited blood or anything that resembles coffee grounds. […] Youve vomited more than three times a day or you cannot keep food or liquid down. […] Youve lost a lot of weight. […] Your urine is dark and concentrated. […] You pee very infrequently. […] Home remedies have not helped your morning sickness. […] Morning sickness continues beyond 4 months of pregnancy.

• #72 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Hyperemesis Gravidarum Treatment […] If youve been diagnosed with hyperemesis gravidarum and youve already tried home interventionsand a combo of vitamin B6 and doxylamineyour healthcare provider may move onto medications such as Dramamine, Benadryl, or Reglan. And if youre dehydrated, IV fluids and vitamins may be in order. […] When to Call Your Doctor About Morning Sickness […] If your morning sickness interferes with your everyday life, do not hesitate to reach out to your doc or midwife for guidance and relief. And definitely call your healthcare provider if […] Youve vomited blood or anything that resembles coffee grounds. […] Youve vomited more than three times a day or you cannot keep food or liquid down. […] Youve lost a lot of weight. […] Your urine is dark and concentrated. […] You pee very infrequently. […] Home remedies have not helped your morning sickness. […] Morning sickness continues beyond 4 months of pregnancy.

• #73 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Hyperemesis Gravidarum Treatment […] If youve been diagnosed with hyperemesis gravidarum and youve already tried home interventionsand a combo of vitamin B6 and doxylamineyour healthcare provider may move onto medications such as Dramamine, Benadryl, or Reglan. And if youre dehydrated, IV fluids and vitamins may be in order. […] When to Call Your Doctor About Morning Sickness […] If your morning sickness interferes with your everyday life, do not hesitate to reach out to your doc or midwife for guidance and relief. And definitely call your healthcare provider if […] Youve vomited blood or anything that resembles coffee grounds. […] Youve vomited more than three times a day or you cannot keep food or liquid down. […] Youve lost a lot of weight. […] Your urine is dark and concentrated. […] You pee very infrequently. […] Home remedies have not helped your morning sickness. […] Morning sickness continues beyond 4 months of pregnancy.

• #74 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Hyperemesis Gravidarum Treatment […] If youve been diagnosed with hyperemesis gravidarum and youve already tried home interventionsand a combo of vitamin B6 and doxylamineyour healthcare provider may move onto medications such as Dramamine, Benadryl, or Reglan. And if youre dehydrated, IV fluids and vitamins may be in order. […] When to Call Your Doctor About Morning Sickness […] If your morning sickness interferes with your everyday life, do not hesitate to reach out to your doc or midwife for guidance and relief. And definitely call your healthcare provider if […] Youve vomited blood or anything that resembles coffee grounds. […] Youve vomited more than three times a day or you cannot keep food or liquid down. […] Youve lost a lot of weight. […] Your urine is dark and concentrated. […] You pee very infrequently. […] Home remedies have not helped your morning sickness. […] Morning sickness continues beyond 4 months of pregnancy.

• #75 Morning Sickness: Treatment, Causes, and Prevention – Happiest Baby

  https://www.happiestbaby.com/blogs/pregnancy/morning-sickness

  Hyperemesis Gravidarum Treatment […] If youve been diagnosed with hyperemesis gravidarum and youve already tried home interventionsand a combo of vitamin B6 and doxylamineyour healthcare provider may move onto medications such as Dramamine, Benadryl, or Reglan. And if youre dehydrated, IV fluids and vitamins may be in order. […] When to Call Your Doctor About Morning Sickness […] If your morning sickness interferes with your everyday life, do not hesitate to reach out to your doc or midwife for guidance and relief. And definitely call your healthcare provider if […] Youve vomited blood or anything that resembles coffee grounds. […] Youve vomited more than three times a day or you cannot keep food or liquid down. […] Youve lost a lot of weight. […] Your urine is dark and concentrated. […] You pee very infrequently. […] Home remedies have not helped your morning sickness. […] Morning sickness continues beyond 4 months of pregnancy.

• #76 Morning Sickness | Bonjesta®

  https://bonjesta.com/morning-sickness

  Choose drinks that are cold, clear, carbonated or sour (e.g. ginger ale, lemonade, sports drinks) and consumed through a straw. […] Some women find lemon or mint tea soothing and easier to tolerate. […] Small volumes of electrolyte replacement sports drinks can be used to replace both fluids and electrolytes. […] Talk to your doctor about your individual symptoms and ask if Bonjesta may be right for you. Taking Bonjesta daily as prescribed will help control your morning sickness symptoms. […] If you’re suffering from morning sickness, timely treatment is essential, as it could prevent your symptoms from getting worse. […] Delaying treatment may lead to weight loss and dehydration, which may require hospitalization. […] Talk to your healthcare provider as soon as possible about any morning sickness symptoms you’re experiencing. He or she will suggest diet and lifestyle changes to help manage your symptoms.

• #77 Morning sickness – Wikipedia

  https://en.wikipedia.org/wiki/Morning_sickness

  Taking prenatal vitamins before pregnancy may decrease the risk.[3] […] Specific treatment other than a bland diet may not be required for mild cases.[2][6][3] […] If treatment is used the combination of doxylamine and pyridoxine is recommended initially.[3][4] […] There is limited evidence that ginger may be useful.[3][7] […] For severe cases that have not improved with other measures methylprednisolone may be tried.[3] […] Tube feeding may be required in women who are losing weight.[3]

• #78 Optimal management of nausea and vomiting of pregnancy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2990891/

  Nausea and vomiting of pregnancy (NVP) is a common medical condition in pregnancy with significant physical and psychological morbidity. Optimal management of NVP begins with nonpharmacological approaches, use of ginger, acupressure, vitamin B6, and dietary adjustments. The positive impact of these noninvasive, inexpensive and safe methods has been demonstrated. […] To reduce symptoms and subsequent suffering, as soon as NVP commences, women and their health care providers should intervene with the appropriate treatment to prevent HG from occurring. […] A number of nonpharmacological and pharmacotherapy approaches have been proposed, investigated and recommended for the treatment of NVP. We will address the safety and effectiveness of each treatment in this review. […] The Motherisk NVP line at Torontos Hospital for Sick Children has been counseling women on the management of NVP for more than 15 years. We have developed the following dietary guidelines, which have been followed by many clinicians.

• #79 Vomiting and morning sickness – NHS

  https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/

  Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. […] Unfortunately, there’s no hard and fast treatment that will work for everyones morning sickness. Every pregnancy will be different. […] But there are some changes you can make to your diet and daily life to try to ease the symptoms. […] If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes: get plenty of rest (tiredness can make nausea worse), avoid foods or smells that make you feel sick, eat something like dry toast or a plain biscuit in the morning, eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta), eat cold foods rather than hot ones if the smell of hot meals makes you feel sick, drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting), eat foods or drinks containing ginger there’s some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy), try acupressure there’s some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm or by pressing with your fingers, may help relieve the symptoms.

• #80 Morning sickness – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/morning-sickness/diagnosis-treatment/drc-20375260

  Treatments for morning sickness include vitamin B-6 supplements (pyridoxine), ginger and drugs such as doxylamine (Unisom). Continuing symptoms might require prescription anti-nausea medications. […] Extra fluids and prescription medicine are recommended for moderate to severe morning sickness. […] To help relieve morning sickness: Choose foods carefully. Select foods that are high in protein, low in fat and easy to digest. Avoid greasy, spicy and fatty foods. Bland foods, such as bananas, rice, applesauce and toast may be easy to digest. Salty foods might be helpful, as are foods that contain ginger such as ginger lollipops. […] Drink plenty of fluids. Sip water, real ginger ale or ginger tea. Try to drink 6 to 8 cups of fluids without caffeine each day. […] Check with your health care provider before using any herbal remedies or alternative treatments to relieve morning sickness.

• #81 Optimal management of nausea and vomiting of pregnancy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2990891/

  Implementing uniform dietary changes can be quite challenging; consequently randomized controlled trials to investigate the effectiveness of dietary changes are lacking. […] In summary, it appears that ginger is a safe, effective, and inexpensive solution for treating NVP and should be considered as a first-line option for management of NVP symptoms, or as adjuvant with other forms of therapy. […] As the only drug approved for use in pregnancy, Diclectin should be used as first-line therapy for the treatment of NVP symptoms in women, as studies have shown a 70% decrease in nausea and vomiting with its use. […] Treatment with pharmacotherapy should follow the stepwise guide in Figure 1; the treatments outlined are listed in alphabetical order and it is the physicians decision to decide which order is most appropriate according to their patients condition. […] Health care providers should recognize NPV as a medical condition with significant potential to compromise womens wellbeing, even when symptoms are moderate, and should not hesitate to treat aggressively.

• #82 Morning Sickness: Nausea and Vomiting of Pregnancy | ACOG

  https://www.acog.org/womens-health/faqs/morning-sickness-nausea-and-vomiting-of-pregnancy

  Nausea and vomiting of pregnancy is a common condition. […] There are safe treatment options that can make you feel better and keep your symptoms from getting worse. […] You should talk with your obstetrician-gynecologist (ob-gyn) or other obstetric care provider if nausea and vomiting of pregnancy affects your life and causes you concern. […] Hyperemesis gravidarum is the term for the most severe form of nausea and vomiting of pregnancy. […] Women with hyperemesis gravidarum need treatment, sometimes in a hospital, to stop the vomiting and restore body fluids. […] Because hyperemesis gravidarum is difficult to treat and can cause health problems, experts recommend early treatment so that it does not become severe. […] Yes, take a prenatal vitamin. Studies show that taking a vitamin supplement before and during pregnancy reduces the risk of having severe nausea and vomiting of pregnancy.

• #83 Vomiting and morning sickness – NHS

  https://www.nhs.uk/pregnancy/related-conditions/common-symptoms/vomiting-and-morning-sickness/

  Nausea and vomiting in pregnancy, often known as morning sickness, is very common in early pregnancy. […] Unfortunately, there’s no hard and fast treatment that will work for everyones morning sickness. Every pregnancy will be different. […] But there are some changes you can make to your diet and daily life to try to ease the symptoms. […] If your morning sickness is not too bad, your GP or midwife will initially recommend you try some lifestyle changes: get plenty of rest (tiredness can make nausea worse), avoid foods or smells that make you feel sick, eat something like dry toast or a plain biscuit in the morning, eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta), eat cold foods rather than hot ones if the smell of hot meals makes you feel sick, drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting), eat foods or drinks containing ginger there’s some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy), try acupressure there’s some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm or by pressing with your fingers, may help relieve the symptoms.

• #84 Optimal management of nausea and vomiting of pregnancy

  https://pmc.ncbi.nlm.nih.gov/articles/PMC2990891/

  Nausea and vomiting of pregnancy (NVP) is a common medical condition in pregnancy with significant physical and psychological morbidity. Optimal management of NVP begins with nonpharmacological approaches, use of ginger, acupressure, vitamin B6, and dietary adjustments. The positive impact of these noninvasive, inexpensive and safe methods has been demonstrated. […] To reduce symptoms and subsequent suffering, as soon as NVP commences, women and their health care providers should intervene with the appropriate treatment to prevent HG from occurring. […] A number of nonpharmacological and pharmacotherapy approaches have been proposed, investigated and recommended for the treatment of NVP. We will address the safety and effectiveness of each treatment in this review. […] The Motherisk NVP line at Torontos Hospital for Sick Children has been counseling women on the management of NVP for more than 15 years. We have developed the following dietary guidelines, which have been followed by many clinicians.

• #85 Nausea and Vomiting of Pregnancy | ACOG

  https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/01/nausea-and-vomiting-of-pregnancy

  Nausea and vomiting of pregnancy is a common condition that affects the health of a pregnant woman and her fetus. […] Treatment in the early stages may prevent more serious complications, including hospitalization. […] Safe and effective treatments are available for more severe cases, and mild cases of nausea and vomiting of pregnancy may be resolved with lifestyle and dietary changes. […] Obstetricians and other obstetric care providers should counsel patients and document such discussions accordingly. […] Thiamine, intravenously, 100 mg with the initial rehydration fluid and 100 mg daily for the next 23 days (followed by intravenous multivitamins), is recommended for women who require intravenous hydration and have vomited for more than 3 weeks to prevent a rare but serious maternal complication, Wernicke encephalopathy.

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