Nausea and vomiting or Hyperemesis Gravidarum in Pregnancy

Hi, I am Dr Tripti Raheja. I am working as consultant obstetrics and Gynaecology in Max Hospital Pitampura.

This video will provide information regarding nausea and vomiting of pregnancy and hyperemesis gravidarum which is a severe form of this condition.

Nausea and vomiting during pregnancy are a very common symptom of pregnancy. Most pregnant women experience it to some degree. Usually it starts very early in pregnancy around 5 to 7 weeks of pregnancy. It settles down by 12 to 14 weeks of pregnancy. In some women it may continue till 20 weeks of pregnancy and occasionally may last until the end of pregnancy. Usually it is most severe in the morning, so, that is why it is called as morning sickness. Though it can happen at any time, day or night. It is more severe if you are carrying more than one baby.

Nausea and vomiting of pregnancy can become so serious sometimes. It can lead to significant weight loss and dehydration. Features of dehydration are feeling very thirsty, feeling drowsy feeling and or change of colour of urine from bright yellow to dark yellow. This condition is called hyperemesis gravidarum. Women with hyperemesis gravidarum may require and should go to hospital. There is no evidence that it can cause any harm to your baby rather if you have vomiting during your pregnancy then there is a less chance of miscarriage. However, in some women who have hyperemesis gravidarum or who have severe vomiting persistently for a long time may have baby there that are lower than expected birth rate.

You can deal with nausea and vomiting of pregnancy by simply doing;

• Diet changes, proper diet is necessary in order to overcome this problem.
• You should take small frequent meals at regular interval.
• You should increase carbohydrate intake your diet and decrease the intake of food. 
• You should avoid food or smell that can Trigger your symptoms.
• You can take medicines also with the help of your doctor. These medicines are safe during pregnancy.

In some cases where the vomiting is very severe, persistent leading to dehydration or leading to normality in the blood test patient may require admission to the hospital and treatment by IV Fluids.

If you want to consult me for that you can connect me with Lybrate. You can book an online consultation, you can check, you can do video call or you can fix up an appointment with my clinic person.