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Dealing With Morning Sickness

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Elaine Zwelling
By Elaine Zwelling R.N., Ph.D., L.C.C.E., F.A.C.C.E.
Elaine Zwelling, R.N., Ph.D., has been involved in maternal-newborn health care for 40 years. She has a bachelor's degree in nursing from Capital University and a master's degree in nursing and a Ph.D. in Family Relations and Human Development from Ohio State University. Dr. Zwelling brings to the Pampers Parenting Network her experience of helping expectant parents enjoy their pregnancy, plan and create a positive birth experience, and learn about parenting their newborn baby. She is certified by Lamaze International as a childbirth educator, is a Fellow in the American College of Childbirth Educators, and has taught childbirth classes for 25 years. Dr. Zwelling was the director and faculty for the Lamaze International Childbirth Educator Certification Program of Florida; in that role she prepared many nurses to become childbirth educators.

Dr. Zwelling was a Professor of Maternal-Newborn Nursing for 23 years at both Capital University and Ohio State University in Columbus, Ohio. At these institutions she taught undergraduate and graduate students and conducted research. For eight years she was a Senior Consultant with Phillips &; Fenwick, a women's health consulting firm in Santa Cruz, California, specializing in helping hospitals implement family-centered maternity care. Currently Dr. Zwelling is a Perinatal Nurse Consultant with the Hill-Rom Company. In this position, she provides comprehensive support and consultation to hospital maternity units to create quality care environments equipped with the appropriate equipment for labor and birth and provides clinical education for nursing staff.

Dr. Zwelling is the co-author of a maternal-newborn nursing textbook, Maternal-Newborn Nursing: Theory and Practice, and has published many professional journal articles related to maternal-newborn health care, family-centered maternity care, and childbirth education. Dr. Zwelling is a recognized speaker at professional conferences and teaches continuing education seminars for childbirth educators and perinatal nurses throughout the country.

Dr. Zwelling resides in Sarasota, Florida, and has a grown son, lovely daughter-in-law, and two grandchildren.

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Oh...that queasy feeling! Everything seems to bring it on, especially in the morning——smells, the sight of breakfast, even the thought of food. You may wonder: If this is what pregnancy is going to be like, who needs it? And why does such an exciting life event have to be accompanied by this constant nausea? Is something wrong?

  Morning Sickness: What's in a Name

  Prevention Strategies

  Coping With Nausea

  Taking the Long View





Morning Sickness: What's in a Name

Nausea , sometimes accompanied by vomiting, is a common symptom of early pregnancy. About 50 to 70 percent of pregnant women experience it in the first trimester. Not only is nausea normal, it's usually a sign that your pregnancy is healthy. 

The condition is called "morning sickness" because that's often the time when the symptoms are the worst. However, you can feel queasy and throw up any time of day when you're pregnant. It's believed that the symptoms are caused by the pregnancy hormone hCG, which is produced by the developing placenta and which helps to maintain the pregnancy. But other factors such as low blood sugar, increased stomach acid, stress, and fatigue can also contribute.

Prevention Strategies

Prevention is the best way to deal with morning sickness. Keep some plain crackers, rice cakes, or even a piece of chocolate at your bedside and eat something the moment you awaken, to raise your blood sugar before you get up. Instead of eating three large meals a day, eat five to six small meals to avoid an empty stomach and keep your blood sugar stable. Be sure your diet includes sufficient amounts of protein (meats, fish, eggs, cheese) and complex carbohydrates (fruits, vegetables, grains) to meet the requirements of your developing baby

Some nutrition experts recommend taking 75 to 100 milligrams of a vitamin B6 supplement to prevent nausea. Take your regular prenatal vitamin as well. Stay away from spicy or greasy foods, avoid becoming overheated and sweaty, and get adequate rest.

Coping With Nausea

When you're feeling nauseous, try the following:

    • Make yourself relax. Breathe slowly—in through the nose and out through the mouth——or try visual imagery, focusing on something pleasant.
 
    • Avoid the sight, smell, and taste of foods or other substances (such as tobacco smoke) that make you queasy.
 
    • Suck or chew ice chips, or suck on a freshly cut lemon.
 
    • If brushing your teeth makes you gag, try a mouthwash instead. Use it frequently to keep your mouth fresh.
 
    • Try a glass of milk or two calcium tablets to neutralize the acid in your stomach.
 
    • Apply a cold cloth or ice pack to your throat.
 
    • Try ginger, a natural remedy for nausea. Grate it on vegetables or other foods.
 
    • Drink chamomile or ginger tea.
 
    • Maintain your fluid intake, even if you don't feel like eating solids. It may help to not mix solids and fluids at the same meal.
 
    • Apply pressure with your thumbs on the bones at the base of your skull, at the back of your neck, just in from each ear; or apply ice to these areas.
 
    • Try using Sea-Bands, 1-inch elastic bands worn on the wrists. Each band contains a small button that puts pressure on a trigger point to relieve nausea. Sea-Bands are available at many pharmacies.
 



Taking the Long View

The good news is that for most women morning sickness ends by the fourth month of pregnancy, when hormone levels begin to decrease a bit. If your symptoms of nausea and vomiting are persistent (occurring more that once or twice each day), prevent you from eating or drinking altogether, or continue past your first trimester, report this to your health care provider. You might have a more serious problem called hyperemesis gravidarum, which requires treatment with oral or intravenous medication.

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Member comments

I was sick with my first child all 41 weeks. Not fun, but it kept my weight down. Now pregnant with ..

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