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Since 1993, Harvard-educated, Board Certified Obstetrician/Gynecologist, Dr Richard Kochenburger, has enthusiastically served the women's health needs of East Bay women.


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Tuesday, October 4, 2011

Managing excessive nausea in early pregnancy

Virtually all expectant women experience marked fatigue in the first trimester of pregnancy--I believe that it's nature's way of trying to make our Moms "slow down a bit and give themselves some TLC".  IN CONTRAST, only approximately 33% of women experience consider appreciable nausea; a fraction of these experience considerable vomiting. When vomiting is consistent and extreme, it's known as "Hyperemesis Gravidarum".
               What are ways to ameliorate nausea/vomiting in early pregnancy? Various dietary adjustments can be tried such as bland foods (toast, crackers, 7 UP, white rice, mashed potatoes) or ginger/ginger ale/ginger tea. I knew 1 pregnant Obstetrician who benefitted awhile from butter,salty mashed potatoes and another friend who did well with hot,spicy chili! Vitamin B6 taken several times per day (capsules, B-Natal, Preggie Pops) can help some women. Lemon water and/or Raspberry Leaf can help others. Treatment from a licensed accupuncturist is definately well proven. There is also a "nausea accupressure point" on the inner wrist--located 2 fingerbreaths down from the wrist crease.  There's a bunch of prescription medications we could try such as metoclopromide (Reglan), Compazine, Phenergan, Zofran etc.  The worst nausea and vomiting usually resolves by 11-13 weeks of pregnancy. Taking nitetime antacids (i.e. TUMs, Rolaids etc) can also neutralize nitetime stomach acid and lower morning nausea.
           Although a nuisance, pregnancy-associated nausea is usually a comforting sign that "all is well with the pregnancy"!

1 comment:

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