Morning sickness – as it’s often called – can be one of the earliest signs of pregnancy. For many, nausea often starts around the sixth week and peaks around the eighth to twelfth week. Fortunately, most women experience an improvement in the second trimester, but some will have nausea throughout their pregnancy. The exact cause of nausea during pregnancy is not entirely clear, but hormonal changes, particularly increased levels of a hormone called human chorionic gonadotropin (hCG), are thought to be a significant factor. These hormonal shifts can affect the gastrointestinal system, which may lead to nausea and vomiting.
Here is what to know about managing nausea during pregnancy.
When Does Nausea Occur?
Despite its name, morning sickness isn’t limited to just mornings. It can strike any time of day or night. Morning sickness got its name, however, because many women find that it tends to be worse in the morning with an empty stomach after fasting overnight. For some women, symptoms will ease after the first trimester, while others may continue to experience nausea throughout their pregnancy. It varies from woman to woman and even pregnancy to pregnancy.
How Long Does The Nausea Last?
While nausea can be a frustrating and uncomfortable experience, rest assured that it’s usually temporary, and there are ways to ease the queasiness. Nausea during pregnancy tends to occur predominantly during the first trimester and usually subsides by the second trimester.
What Are Some Practical Tips and Natural Remedies to Combat Nausea?
Consider the following tips to manage nausea.
- Smaller meals can make a big difference – Instead of three large meals, opt for smaller and more frequent meals throughout the day. An empty stomach can worsen nausea, so snacking on healthy options keeps your blood sugar stable and your tummy happy.
- Bland is best (for now) – Avoid spicy, greasy, or overly processed foods for the moment. Instead, stick to bland foods like crackers, toast, rice, and bananas, especially when nausea is at its worst.
- Ginger might help -Ginger is a tried-and-true natural remedy for nausea. Sip on ginger tea, chew ginger candies, or add fresh ginger to your meals to reap its calming benefits.
- Stay well hydrated – Drink plenty of water. Dehydration can make nausea worse. Be sure to drink plenty of fluids throughout the day, especially water. If plain water isn’t appealing, try sparkling water, herbal teas, or clear broths. In particular, tea with natural grated ginger may help.
- Other ways to keep hydrated—In general, fluids tend to be better tolerated if they are cold, clear, and carbonated. Ginger ale, lemonade, and popsicles are great options to keep you hydrated and reduce stomach irritation. .
- Try an Acupressure wristband – These bands work by applying pressure to specific points on the wrist. They may not be effective for everyone, but they are certainly worth a try.
- Listen to your body – Pay close attention to the foods and smells that trigger your nausea and do your best to avoid them until the queasiness subsides.
- Take your prenatal vitamins with a snack – If your prenatal vitamin contains iron, try taking it at bedtime.
- Get some fresh air and rest – Feeling tired or stuffy can exacerbate nausea. Take short walks in fresh air, open windows for ventilation, and prioritize getting enough rest.
Are There Any Medications That Treat Morning Sickness?
Yes! If home remedies have been exhausted without relief, then there are medications that can help alleviate nausea. Over-the-counter options include Vitamin B6 (Pyridoxine 25mg) and Unisom (Doxylamine 10mg). Vitamin B6 up to three times a day can help improve nausea. Pairing your nighttime Vitamin B6 dose with a Unisom tablet has been shown to help as well. Doxylamine can make you tired, so best not to take this during the daytime. Both medications have a good safety profile with minimal side effects. For those with more severe nausea, there are also prescription medications, and we can help guide you through those options, if necessary.
When Should I Get Some Extra Help Or Speak To Your Doctor?
While nausea and morning sickness are common, if they become excessive or disruptive in your daily life, don’t hesitate to speak with one of our providers. This is especially true if any of the following applies to you:
- Your nausea does not improve, despite trying the remedies listed above
- Your vomit contains blood or looks like coffee grounds – this requires urgent and immediate attention
- You vomit more than three times per day, or you cannot keep any food or liquid down
- Your urine appears to be concentrated and dark
- You have excessive weight loss
We can help you manage the effects of nausea and explore other treatment options where necessary.
The most important thing is to be gentle with yourself, seek help when needed, and know that this challenging phase will pass.







