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Why does it make me sick when I'm pregnant and what should I do?

 
, medical expert
Last reviewed: 18.10.2021
 
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Nauseating at pregnancy is a typical complaint, made by almost every third woman who is waiting for the addition in the family. It is believed that nausea is a sign of toxicosis or auto-toxicity of the body. The very term "toxicosis" in Greek means poisoning (toxikon - poison), so this condition is not normal from the physiological point of view. In addition to nausea, toxicosis affects the work of the central nervous system, causes vascular dysfunction, disrupts normal metabolism. Typically, nausea appears in the first trimester and ideally should go by the 14th week, when the body begins to more adequately perceive its altered state. Nauseous during pregnancy usually in the morning, but also often unpleasant sensations chase a woman all day, and, both in the early stages of bearing a child, and in later semesters.

In obstetric-gynecological practice, toxicoses are divided into early, emerging in the first trimester, and late, which manifest themselves in the last two months of bearing a child. Early manifestations of intoxication of pregnant women are characterized by a feeling of nausea, often with vomiting, excessive salivation (ptakialism) and dermatosis may appear. Later symptoms of intoxication are more dangerous for the process of gestation and health of a woman, they manifest themselves in severe edema, up to the dropsy, the pathological state of the kidneys (nephropathy). If you feel sick during pregnancy in the first three months, the digestive system usually suffers, but later toxicosis can cause serious vascular disorders (eclampsia). 

Why does it make you sick during pregnancy?

Nauseous during pregnancy - early toxicosis. Symptoms of this phenomenon are very obvious - frequent attacks of nausea, accompanied by vomiting and increased salivation. The appetite decreases, the gustatory (taste) and olfactory preferences change drastically. Early manifestations of toxicosis from the point of view of medicine is the pathology of the neuroendocrine regulatory function caused by intoxication of the central nervous system. Also, nausea and vomiting can be triggered by previously acquired diseases of the gastrointestinal system, which worsen during the period of gestation. Exacerbation occurs as a result of swallowing permanently secreted saliva, which contains toxins. The acid-base balance of the stomach is disturbed, nausea, often vomiting, a new salivation, and the process repeats, spinning in a vicious circle. With the help of vomiting, the body tries to purify itself of toxins, but together with the rejected masses, proteins and enzymes, and electrolytes, are important and necessary substances. A woman in the early stages, experiencing nausea, often loses weight. Nauseous during pregnancy also due to the existing diseases of the digestive system, in these cases, nausea, the urge to vomit can be more intense, up to indomitable vomiting.

The severity of the condition of a pregnant woman who experiences nausea is divided into three categories, as well as methods and methods that help alleviate the symptoms of toxicosis. 

An easy degree of intoxication of a pregnant woman in the early stages of bearing a child. Inpatient care, when a woman is nauseous during pregnancy during the first trimester, is not required. Serious changes in the functioning of the nervous system do not occur, the activity of the cerebral cortex decreases slightly and the functions of the vegetative system are violated, however, blood pressure is usually normal, the blood composition also does not change. The treatment of nausea and vomiting during this period is to supervise the state of the central nervous system, therefore, physiotherapeutic procedures and some types of phytospores are effective. Since in the first trimester, medication is undesirable as well as in other periods, correct acupuncture, neck neck massage, herbs of special herbs are an excellent alternative to medical treatment. Also, a special diet is important, food intake should be fractional (every 2.5-3 hours), portions small. This crushing of food helps to reduce irritation of the gastric receptors. If a woman is sick at pregnancy more strongly than usual up to frequent vomiting, loss of a liquid and mineral substances can be filled up by means of still mineral water and small portions of salted sea fish (herring). Periodical unloading days are effective, when only cottage cheese (500-700 grams) with a small amount of sour cream or 1.5-2 liters of compote from dried fruits is included in the ration. Portions need to be divided so as to take food in equal amounts at least six times. Some experts recommend to completely abandon food with severe nausea in the first trimester, but there is no reliable statistical data on the benefits of this method. 

Medicamental treatment involves treatment in hospital settings. This variant of therapy is indicated in those cases when the toxicosis is recognized by doctors as an average degree of severity. Nauseous during pregnancy in these situations is quite strong, vomiting can intensify up to ten times a day. The appointment of drugs such as droperidol, etaperazine involves monitoring and surveillance by a doctor. In some cases, a woman is prescribed outpatient drug therapy, then sedatives and antihistamines are recommended in sparing dosages. Also effective are anti-emetics - cerucal, vogalen, metoclopramide, but all medications should be used only on the recommendation of the treating doctor. 

The severe degree of intoxication in the early periods is characterized by almost uncontrollable emetic urges, aversion to any products become total, a woman rapidly loses weight, hypotension develops. Toxicosis of this form is treated only in the hospital, since there is a danger of developing gestosis - a complex disorder of the functioning of internal organs and the cardiovascular system. This condition can be deadly both for the life of the mother and for the life of the unborn child because of the acute oxygen starvation of the body. Symptoms of gestosis manifest themselves clearly, in addition to nausea and vomiting, the woman's blood pressure rises sharply, she experiences constant dry mouth and thirst, and swells. Inpatient treatment is aimed at restoring the body's water balance and introducing the necessary amount of nutrients with the help of droppers. Also prescribed drugs that neutralize vomiting and gentle sedative therapy. 

When a woman is nauseous when pregnant at a later date, it can be a purely physiological response to food intake, not related to toxicosis. The uterus grows more and more, as it raises nearby internal organs, disrupting their natural position and functioning. However, persistent nausea, independent of food, may indicate more serious problems, such as hypertension HELLP. This syndrome is a threat to the life of the mother and child, the lethality is about 70%. The sooner the HELLP syndrome is diagnosed, the better the treatment will be and the outcome of the birth will be more favorable. The syndrome is characterized by its symptomatic triad, from which it originated: Hemolysis - hemolysis (loss of hemoglobin due to destruction of red blood cells), Elevated Liver enzymes - activation of liver enzymes, Low platelet count - thrombocytopenia (increased bleeding, sometimes indomitable). HELLP is characterized by persistent nausea and periodical vomiting in the late gestation period, typical pain in the abdominal area on the right, puffiness. The diagnosis is confirmed with the help of laboratory blood tests, which examine the composition of the blood, the state of the liver, the pancreas. If a dangerous syndrome is not confirmed, then symptomatic therapy is prescribed, reducing the feeling of nausea and a strict diet that excludes fatty, fried and salty foods. If all medical recommendations are followed, nausea goes away within two weeks, and when the uterus begins to descend, preparing for childbirth, unpleasant symptoms disappear altogether.

What should I do if I feel sick during pregnancy?

Nausea during pregnancy almost every third woman, however this does not mean that nausea can not be "defeated" or minimized. Recommendations for women who suffer from nausea are as follows: 

  • In the first three months you should make daily walks, moderate motor activity (but not physical exertion) will help the digestive system to adapt to the new state. 
  • In the mode of the day, you need to schedule half-hour rest periods every two hours, this will help the body to restore strength, in addition, at rest, digestion will work less aggressively. 
  • Develop a system of fractional nutrition - a meal every 2 hours in small portions. The diet should be varied, but excluding the sharp, fried, fatty foods. If the desire to eat "forbidden" food is great, and this is a typical "whim" of pregnant women, you can afford a small piece, but do not overeat. 
  • Start the day with a light breakfast, preferably in the position of reclining (you can in bed), this method helps the stomach to adapt more adaptively to the food that is rejected. 
  • It is desirable to give up the habit of drinking solid food. You can drink in between meals. 
  • When calling for vomiting, a small piece of ice is well helped, which must be gently resorbed. It is not necessary to abuse this method so as not to provoke a throat disease. 
  • A productive method is the reception of broths of herbs - mint or lemon balm. Drink broths need a course, without waiting for the onset of nausea, that is, daily for two weeks. In a half liter of boiling water, 2 teaspoons of dry grass are brewed, it is insisted 30 minutes, filtered. Drink the broth can be cooled to room temperature, 2-3 times a day for a quarter cup. The same action has the root of valerian, but it needs to be brewed more sparingly - 1 teaspoon to half a liter of boiling water, to insist 15 minutes to a weak concentration.

If you feel nauseous during pregnancy - it's actually an unpleasant, and sometimes painful, sensation, however, if nausea is not a symptom requiring medical attention, it goes away sooner or later. In any case, after the birth of the baby, the joy of motherhood overshadows all negative memories.

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