Nausea And Vomiting Pregnancy

They usually start at the 6th week of pregnancy; 90% of them are lost before the 16th week of pregnancy. They can rarely be seen throughout pregnancy. Nausea in the mornings can be along with vomiting, anorexia, and a higher sensitivity against certain odors. Hyperemesis gravidarum develops in 4/1000 of pregnant women. They are more frequent in the first pregnancy, multiple pregnancy, fat pregnant women, and those whose sociocultural level are high. It is considered that they depend on being over-high of pregnancy hormones, estrogen and HCG, (multiple pregnancy – molar (grape) pregnancy) or hypersensitivity to hormones. Estrogen hormone in the first 3 months strengthens the feeling of sense of smell; hypersensitivity against some odors emerges for that reason. Nausea and vomiting in pregnancy can be gotten under control by resting, diet changes, and medical support. Sometimes they can become as important as they impair daily activities.

ACTIONS TO BE TAKEN:

  • Rest.
  • Take food frequently and little by little (Toast, cracker, fried bread, and biscuit poor in adipose rich in carbon hydrate…).
  • Generally cold foods should be preferred.
  • Keep away from foods of which odor, taste are annoying.
  • Try to eat such as cracker, biscuit before getting out of the bed in the mornings.
  • Take fluids as snacks not during the meal.
  • Stress increases morning nauseas. We should stay away from stress.
  • Fat consumption should be reduced; fruit juice should not be drunk in the breakfast.
  • B6-rich yoghurt can be consumed. Ginger may reduce nausea.
  • If those below develop although you fulfill suggestions, call your doctor.
  • If there is blood in your vomit;
  • If abdominal pain, fever are present; if no intake of solid or fluid is present in the last 24 hours; if no urination is present for the last 8 hours, or urine is very dark;
  • If recurrent and unstoppable vomits are present; over-weakness and faintness are present;

HYPEREMESIS GRAVIDARUM:

It is the advanced form of nausea and vomiting in pregnancy. Complaints can extend up to the 20th week of pregnancy. Because of excessive nausea and vomiting, no adequate intake of fluid is realized, and rapid weight loss begins. By hospitalization, fluid-electrolyte imbalance is tried to be corrected. If the treatment is inadequate, further growth retardation may be encountered in babies.

DIAGNOSIS AND TREATMENT OF GESTATIONAL NAUSEA AND VOMITING:

Urine test is checked for diagnosis; in normal, color of urine should be light, its density should be 1020, and no ketone should be in urine. In the event that ketone is present in urine (this shows that the body begins to burn off residual fats because it does not receive adequate food. The body burns off carbon hydrates primarily), nausea-vomiting is very severe. If the person is unable to take adequate food, the condition is tried to be corrected with nausea-preventive tablet or suppository, B vitamin preparations, serum treatment.