When to call your midwife or GP
Call your midwife or GP immediately if you're vomiting and:
- have very dark-coloured urine or have not had a pee in more than 8 hours
- are unable to keep food or fluids down for 24 hours
- feel severely weak, dizzy or faint when standing up
- have tummy (abdominal) pain
- have pain or blood when you pee
- have lost weight
These can be signs of dehydration or a urine infection.
Treatments for morning sickness
Unfortunately, there's no hard and fast treatment that will work for every woman's morning sickness. Every pregnancy will be different.
But there are some changes you can make to your diet and daily life to try to ease the symptoms.
If these don't work for you or you're having more severe symptoms, your doctor or midwife might recommend medication.
Things you can try yourself
If your morning sickness isn't too bad, your GP or midwife will initially recommend you try some lifestyle changes:
- get plenty of rest (tiredness can make nausea worse)
- avoid foods or smells that make you feel sick
- eat something like dry toast or a plain biscuit before you get out of bed
- eat small, frequent meals of plain foods that are high in carbohydrate and low in fat (such as bread, rice, crackers and pasta)
- eat cold foods rather than hot ones if the smell of hot meals makes you feel sick
- drink plenty of fluids, such as water (sipping them little and often may help prevent vomiting)
- eat foods or drinks containing ginger – there's some evidence ginger may help reduce nausea and vomiting (check with your pharmacist before taking ginger supplements during pregnancy)
- try acupressure – there's some evidence that putting pressure on your wrist, using a special band or bracelet on your forearm, may help relieve the symptoms
If your nausea and vomiting is severe and doesn't improve after trying the above lifestyle changes, your GP may recommend a short-term course of an anti-sickness medicine, called an antiemetic, that's safe to use in pregnancy.
Often this will be a type of antihistamine, which are usually used to treat allergies but also work as medicines to stop sickness (antiemetic).
Antiemetics will usually be given as tablets for you to swallow.
But if you can't keep these down, your doctor may suggest an injection or a type of medicine that's inserted into your bottom (suppository).
See your GP if you'd like to talk about getting anti-sickness medication.
Risk factors for morning sickness
It's thought hormonal changes in the first 12 weeks of pregnancy are probably one of the causes of morning sickness.
But you may be more at risk of it if:
- you're having twins or triplets
- you had severe nausea and vomiting in a previous pregnancy
- you tend to get motion sickness (for example, car sick)
- you have a history of migraine headaches
- morning sickness runs in the family
- you used to feel sick when taking contraceptives containing oestrogen
- it's your first pregnancy
- you're obese (your BMI is 30 or more)
- you're experiencing stress
Visit the pregnancy sickness support site for tips for you and your partner on dealing with morning sickness.