Morning sickness is probably caused by pregnancy hormones. The levels of hCG (human chorionic gonadotropin) hormone in your body rises quickly during the first few weeks of pregnancy. Show
Pregnancy sickness is often at its worst when you first wake up, which is why it’s called morning sickness. However, feeling sick or being sick (vomiting) can happen at any time of day during pregnancy. Morning sickness is usually worse during the first 12 weeks (first trimester). It usually clears up by weeks 16 to 20 of your pregnancy, although it can go on for longer for some people. Morning sickness does not put your baby at any increased risk. Some people worry because they don’t have morning sickness. They may think that their pregnancy is somehow not strong enough or that they are more likely to miscarry. This is not true. Pregnancy symptoms are different for everyone. Not everyone will feel sick or vomit.
How can I manage morning sickness?Unfortunately, there is no magic cure for morning sickness. But there are some things that many people have found helpful. You could try:
What should I do if I get morning sickness at work?Having morning sickness during work hours can be challenging, especially if you’re not ready to tell anyone about your pregnancy. Some people decide to tell their employer about their pregnancy earlier than planned because symptoms like morning sickness may be too difficult to hide. Although this may not have been when you wanted to share the news, it does mean that your employer can now help you. All employers must do a risk assessment with you to see if your job poses any risks to you or your baby. If there are any risks, they must make reasonable adjustments to remove them. This can include changing your work hours. For example, you could ask about working slightly different hours to avoid times when you feel worse. Or you could ask about working from home on days when the morning sickness is bad. Once your employer knows you’re pregnant, you’re protected against unfavourable treatment because of pregnancy-related discrimination. Your employer must record any pregnancy-related sickness separately so that it isn’t used against you in any disciplinary, redundancy or dismissal decisions. Find out more about pregnancy and work. Hyperemesis gravidarumSometimes, pregnancy sickness is severe. You may be sick several times a day and be unable to keep food or drink down. This is known as hyperemesis gravidarum (HG) and often needs hospital treatment. HG is thought to affect around 1 to 3 in every 100 pregnancies. Causes of hyperemesis gravidarumNo one knows exactly what causes HG, although some experts believe it’s due to pregnancy hormones. There is some evidence that you are more likely to experience HG if:
Symptoms of hyperemesis gravidarumHG causes extreme nausea and sickness and weight loss. You may also be dehydrated, which can cause:
You may also have low blood pressure (hypotension) when standing. Symptoms include:
Some pregnant people have also experienced:
If you’re being sick a lot or can’t keep your food or drink down, tell your midwife, doctor or contact your local maternity unit as soon as possible. They can make sure you get the right treatment so you don’t get dehydrated. Treating hyperemesis gravidarumThere are several medicines that are safe to use in pregnancy, including anti-sickness drugs (anti-emetics), vitamins B6 and B12, steroids or a combination of these. Do not take any medication for HG without speaking to a midwife or doctor first. You may need to go into hospital for treatment if your sickness is severe and it can’t be controlled. Your doctor will assess your condition and work out the best way to manage it for you and your baby. If needed, they can give you fluid and medicines directly into a vein (intravenously) to help you stay hydrated. Hyperemesis gravidarum and blood clotsBecause HG can cause dehydration, there's also an increased risk of having a blood clot (deep vein thrombosis), although this is rare. There is treatment to prevent blood clots if you are dehydrated and are not able to move around. Will hyperemesis gravidarum harm my baby?It’s unlikely that having HG will harm your baby if you receive the right treatment. However, if it causes you to lose weight during pregnancy, there is an increased risk that your baby may be born smaller than expected (have a low birthweight). Manage symptoms of hyperemesis gravidarumHaving HG can affect you both physically and emotionally. You may feel that it takes away any enjoyment of being pregnant, when you expected to feel happy. Having severe sickness can be exhausting and hard to cope with. You may feel isolated if you have to stay at home, or anxious about how long you will feel bad for. These feelings can make it hard to manage your mental health and could lead to more serious issues such as anxiety and depression. Talk to your midwife or doctor if you are struggling to cope with either your symptoms or your feelings. They will understand and won’t judge you. Pregnancy can be a very emotional experience and mental health difficulties are very common during pregnancy. Your healthcare professional will talk to you about how you feel so they help you find the right treatment and support. More information and support
What causes morning nausea in early pregnancy?Around half to two-thirds of all pregnant women will experience morning sickness. Possible causes include high levels of hormones, blood pressure fluctuations and changes in carbohydrate metabolism. Severe morning sickness, called hyperemesis gravidarum, may require hospitalisation.
How can I stop morning sickness in early pregnancy?To help relieve morning sickness:. Choose foods carefully. Select foods that are high in protein, low in fat and easy to digest. ... . Snack often. ... . Drink plenty of fluids. ... . Pay attention to nausea triggers. ... . Take care with prenatal vitamins. ... . Rinse your mouth after vomiting.. |