I feel sick!

Nausea is common in the first trimester. It usually settles by 12 to 14 weeks. While the term "morning sickness" is used the nausea is often not confined to the morning. It varies considerably from one person to another. Some pregnant women have none, while others have considerable.

It is thought due to hormone changes in pregnancy and so is often worse with twins. With nausea is sometimes vomiting. Again the severity and frequency of vomiting varies considerably. Sometimes it will return in advanced pregnancy, because of the uterine size, but at this stage heartburn is more common.

What can be done?

Nausea can be reduced by adjusting your diet. Small frequent meals are usually better. You may find a more bland diet more appealing. Avoid having rich, fatty foods and spicy foods. Avoid foods if their taste, smell or appearance is not suitable to you. Vitamin B6 supplements or ginger can help. While tolerance of food at this early stage is not essential, it is important that you are at least tolerating fluids. You should let me know if this is not the case. Occasionally prescription medications are required.

Occasionally hospitalisation is needed because of extreme vomiting (called hyperemesis gravidarum) that can lead to dehydration.

Supplements can make nausea worse. If so avoid supplements while nauseated and take supplements with food.