Vomiting in pregnant women in the third trimester. Vomiting throughout pregnancy

For women, the third trimester of pregnancy serves as a kind of test, as the body has to endure heavy loads. But at the same time, this is also a joyful period. The most difficult, first trimester, when all the main organs of the unborn child are being formed, is already behind us, and the danger of premature termination of pregnancy is always great. Even a common cold or overwork can cause a miscarriage. But even minor health disorders in the final trimester also pose a threat.

The fetus has already acquired the required shape and only continues to grow, gaining weight and size for the most important event - birth. But he is not yet so strong and therefore any disturbances in the mother’s body can harm him. To prevent this from happening, a pregnant woman needs to take special care of herself during this trimester. Listen to your body and if any suspicious symptoms appear that are not typical for this time, immediately contact a specialist.

Nausea and other problems

In this trimester, as the baby grows, the woman experiences even more significant pressure on various organs. As the abdomen expands, posture becomes disrupted. Her back pain may increase, since as the fetus and abdomen grow, weight is transferred to the pelvic area and legs. This condition can be very tiring. But you need to be able to control yourself.

Here are some specific complications of the third trimester:

  • Incontinence. As a result of the pressure of the uterus on the bladder, a frequent and sudden urge to urinate may occur, and the woman will begin to visit the toilet more often than before. Almost half of expectant mothers suffer from incontinence.
  • Heartburn. This problem also affects almost 50 percent of pregnant women. As a result of the circulation of hormones through the body of the expectant mother, the muscles covering the upper abdomen, which in normal condition, as a rule, do not allow digestive acids to enter the esophagus, are in a relaxed state, and as a result, the juices rise unhindered.
  • Nausea. One of the reasons for its occurrence can be called the fact that a woman’s uterus, occupying the main part of the abdominal cavity, pushes the stomach upward. It can occur as a result of normal overeating.

It should be noted that nausea can often be a symptom of other causes, including conditions that pose a danger to both the expectant mother and the baby. It’s worth looking at this in a little more detail. In general, in any situation you should definitely consult a doctor who will prescribe an examination.

Nausea of ​​a physiological nature and food regulation

If the doctor does not see signs of illness, you should remember that in the third trimester a woman usually feels worse in the evenings, in contrast to the early stages, when morning sickness is typical.

This is understandable if we remember that the main reason for the appearance of toxicosis in the first half is an attempt to reject the embryo.

In the 3rd trimester, this occurs due to the enormous size of the uterus, which puts pressure on the stomach and disrupts normal digestion.

A woman vomits when digested food is released back from the stomach, which occurs due to pressure from below.

This process can be regulated in the third trimester by applying simple rules of healthy eating: do not eat in large portions, switch to small meals often and little by little.

Nausea is minimized if the stomach and other internal organs, compressed from below, are not subjected to increased stress.

Nausea in the third semester

The presence of frequent nausea in pregnant women is unlikely to surprise anyone. However, in most cases, this condition is usually observed in the first months. It is another matter when a woman carrying a child experiences nausea in the third semester. There may be completely different reasons:

  • Preeclampsia. It is a rather serious condition, which in some cases can provoke not only serious disturbances in the development of the fetus, but also lead to death. For the pregnant woman herself, gestosis, first of all, poses a danger because it can cause premature birth, as well as other complications during the birth itself.
  • Liver dysfunction. Among other things, nausea in a woman during this period can serve as a symptom of liver failure. This pathology can develop just in the last stages of pregnancy.
  • Pancreatic diseases. Nausea may also occur in this case. Ultrasound examination may indicate inflammation of this organ. As with disorders of the biliary tract, a pregnant woman may be recommended to induce premature labor in order to avoid severe consequences for the fetus from intoxication.
  • Medicines. Nausea is often a sign of drug poisoning. The cause must be determined during examination.
  • Intestinal infections. With such disorders, a pregnant woman may suffer from nausea and diarrhea, as well as a rise in temperature and vomiting. In this case, the main danger is not only intoxication of the body, but also dehydration. With this course of the disease, you should not delay a visit to a specialist for examination.
  • Dysfunctions of the digestive tract. This reason can be considered one of the most harmless. It occurs as a result of the growth of the uterus, which begins to put pressure on the intestinal and stomach areas. When a pregnant woman eats a lot and often, recurring nausea occurs, although the period of characteristic toxicosis of pregnant women has passed.

It often happens that none of the pathologies was confirmed after a medical examination, and both the pregnant woman and her baby are absolutely healthy. In such a situation, all that remains is to endure these unpleasant sensations and perceive them as harmless and temporary phenomena.

Signs of approaching labor

In the third trimester, when the process of resolution and the birth of the baby approaches every week, the urge and discomfort experienced may be symptoms of impending labor.

In late pregnancy, these may include false contractions, abdominal prolapse and mucus discharge, which in the last weeks of the final trimester are sometimes accompanied by specific nausea.

Often the cause of unpleasant sensations is the baby’s activity, which disrupts the mother’s usual sensations and can move his arms and legs, affecting the digestive organs.

In the last weeks of carrying a baby, a pregnant woman should be especially attentive to her condition and treat her body with extreme care.

A healthy diet, proper diet and some means of relieving the body’s nausea reaction will help her more easily overcome the negative state and wait for a successful resolution of the burden.

The main thing during this period is to constantly visit the doctor to monitor the possibility of complications.

Associated symptoms

If, after an examination and assessment of test results, the doctor does not find any reason for concern, then the woman should simply endure this condition for some time during this period of pregnancy. However, when, along with the fact that nausea bothers you in the morning and after meals, other symptoms are present, you need to go to a specialist again for an appointment:

  • pain in the right hypochondrium, pressing heartburn, bitter taste in the mouth;
  • frequent diarrhea;
  • high body temperature;
  • swelling of the face and limbs;
  • high blood pressure;
  • convulsive states, dizziness with loss of consciousness.

Usually in such cases, the pregnant woman is taken under special control and placed in a hospital until the onset of labor. Here she undergoes a more thorough examination, and constant medical supervision is carried out over her and the fetus. If indicated, induction of labor may be prescribed.

Treatment of vomiting during pregnancy

When carrying a fetus, uncontrollable bouts of vomiting require diagnosis, and the expectant mother needs hospitalization. Treatment depends on the nature of the pathology and the severity of toxicosis:

  • First degree. The condition is satisfactory, the number of attacks is no more than 5-6 times per day. There are no additional symptoms. A woman loses weight by 2-3 kg/week.
  • Second degree. Vomiting occurs 6 to 10 times a day. The pulse quickens, the acetone in the urine rises, the body temperature reaches 37.5 degrees, but does not fall. A woman loses 3 kg or more in a week.
  • Third degree. Vomiting is indomitable - up to 25 times a day. The pulse quickens, the urine contains a high concentration of acetone. The patient does not orient herself in space, is drowsy, and complains of bouts of cold sweat. Weight loss – up to 8 kg/week.

For grade 2 toxicosis, drug treatment is necessary. When carrying a fetus, folic acid, preparations with vitamin B6, antiemetics (Osetron, Metoclopramide), sorbents (Polysorb, activated carbon), medications for the liver (Hofitol) are prescribed. It is important not to overload the stomach, eat small portions, and maintain a fluid regime.

Pregnant women with grade 3 toxicosis are urgently hospitalized. Antiemetic drugs and nutrients are administered intravenously, and vitamin B is administered intramuscularly. When acetone in the urine stabilizes, symptomatic treatment is carried out. It is important to adhere to a therapeutic diet and maintain a water regime.

Nausea with vomiting

As already noted, the manifestation of toxicosis in most cases signals the beginning of gestation, and such a phenomenon as nausea accompanied by vomiting in the third trimester is a deviation from the norm. However, morning sickness on an empty stomach, accompanied by vomiting up to five times during the day in the first trimester, does not cause much concern among specialists. It’s another matter when in a pregnant woman this happens at a later date and in quantities up to ten times, or even much more. And all this is accompanied by malaise, weight loss, hypotension and other disorders.

In this case, the patient needs to go to the hospital to undergo a full examination. After all, persistence of vomiting in the third trimester may indicate:

  • for any abnormalities in fetal development.
  • liver and gallbladder diseases;
  • development of hepatitis;
  • hypertension.

To exclude such violations, it is necessary to conduct laboratory and ultrasound studies. Although tests and ultrasound cannot always show any abnormalities in the pregnant woman’s body. This may be caused by other reasons:

  • The large size of the uterus, the growth of the fetus, resulting in compression of nearby organs.
  • When the liver is pinched, a pregnant woman experiences heartburn and stomach pain. When the diaphragm is touched, a condition such as shortness of breath appears.
  • Nausea can occur from an overdose of vitamins.

The presence of blood in the vomit should cause particular concern. This may indicate possible disorders in the gastrointestinal tract and duodenum. It can also be caused by small bleeding wounds on the esophagus as a result of frequent vomiting.

The presence of cholecystitis or pancreatitis in the third trimester can also cause nausea and vomiting. In the first case, this is characterized by aching pain in the area of ​​the right hypochondrium with a return to the back. Pancreatitis is characterized by constant or spasmodic pain that affects the upper abdomen or hypochondrium area. They often lead to such radical consequences as shock or vascular collapse. An increase in temperature, bloating, headaches, and confusion are also observed.

The presence of duodenogastric reflux in a pregnant woman may be indicated by yellow or green vomit. The reason for this is the release of bile into the stomach from the duodenum.

Symptoms of toxicosis

In the early stages

If the mother begins to feel sick frequently, it is necessary to inform the specialist about this at the next scheduled appointment. The doctor will assess the degree of toxicosis and the need for hospitalization.

  • If nausea and vomiting reactions do not bother you more than 5 times a day, then you should not specifically contact a gynecologist with this problem.
  • If nausea and vomiting reactions occur 10 times or more often, accompanied by dizziness and hyperthermia, diarrhea and apathy, then contacting an obstetrician-gynecologist should be done immediately.
  • If, during pregnancy, a patient unexpectedly develops diarrhea, hyperthermia and general weakness in addition to nausea and usual ailments, then such symptoms indicate intoxication. Such conditions can harm the baby and require immediate medical attention.
  • Also a suspicious symptom is the sudden disappearance of nausea, because such a sign may indicate fetal fading. When the baby stops developing, pregnancy hormones are not synthesized, so they no longer affect the body. Hence the absence of nausea, headaches and other ailments. This condition requires special attention at 7-10 weeks, since at this time you should feel quite sick.
  • If nausea and vomiting after eating are accompanied by spotting and dizziness in the first trimester, then there is a high probability that the woman has an ectopic pregnancy with ectopic implantation of the fertilized egg. In this situation, emergency assistance from specialists is needed.
  • If nausea symptoms are accompanied by hyperthermic reactions with readings of 38-39°C and diarrhea, then this sometimes indicates infectious processes in the patient’s body. To avoid adverse consequences, it is necessary to cure the pathology as soon as possible.
  • If the symptoms of nausea and vomiting are supplemented by the presence of bloody impurities in the vomit, then such manifestations may indicate gastric diseases. Therapy is also necessary here, otherwise the baby will not have enough incoming substances and minerals, since the digestive processes are seriously impaired.

Any suspicious symptoms accompanying toxicosis require mandatory medical intervention. This is necessary to avoid serious complications.

Treatment

Depending on the cause that caused the manifestation of late toxicosis, therapeutic therapy is prescribed. Only a specialist determines which medications a pregnant woman should take or perform other measures. You cannot self-medicate.

Treatment of rotavirus and other intestinal infections is carried out only in hospital settings. To restore the water-salt balance in a pregnant woman, it is necessary to inject appropriate medications intravenously. In case of serious illness, the use of antibiotics is not excluded. In this case, the drug must be selected in such a way that it is as safe as possible for the fetus. Although the presence of nausea and accompanying diarrhea and vomiting in itself is not a direct threat to the baby’s life, the fetus is experiencing a lack of nutrients, which negatively affects its development, and the expectant mother needs medicinal assistance.

Preeclampsia and arterial hypertension also negatively affect the water-salt balance. Moreover, such conditions pose a great danger, so a woman during this period of pregnancy should be under constant medical supervision. She needs appropriate therapy to support the normal course of pregnancy. In a critical situation, the issue of calling an artificial birth is decided.

No less problematic and dangerous are dysfunctions of the kidneys and pancreas. In the presence of renal failure, diseases of the pancreas or biliary tract during this period, treatment is extremely difficult. The whole difficulty lies in the fact that the expectant mother cannot be prescribed any effective medications. Basically, treatment involves the patient following the desired diet, daily routine, and taking vitamins. If the situation remains the same, more serious measures will be taken after childbirth.

Whatever the cause, nausea in the third trimester of pregnancy always gives a woman nervous overload and anxiety, which is why experts recommend taking sedatives and relaxing procedures - therapeutic exercises and massage.

Causes of vomiting in pregnant women

An unpleasant symptom has physiological and pathological causes. In the first case, these are the following factors:

  • changes in hormonal levels;
  • psycho-emotional stress;
  • genetic factor;
  • mechanical effect of the fetus on the organs of the digestive tract.

Physiological causes are temporary and disappear on their own without drug therapy. Pathological factors that require urgent consultation with a specialist:

  • infectious processes of the digestive tract;
  • intestinal obstruction;
  • intracranial hypertension;
  • intoxication (poisoning) of the body;
  • disorders of the vestibular apparatus;
  • diseases of the liver, pancreas, cardiovascular system, gall bladder;
  • diseases with symptoms of intoxication (sinusitis, pneumonia, tonsillitis);
  • disorders of the central nervous system.

In the early stages

Vomiting in pregnant women in the 1st trimester occurs no more than 5 times a day. The symptom begins to bother you from 4-5 weeks, and stops before the 13th week of gestation. The expectant mother's weight decreases slightly, and her overall health is satisfactory. Several hypotheses why vomiting occurs during early pregnancy:

  • Hormonal levels change radically: the concentration of progesterone and hCG increases.
  • The fetus grows, irritates the receptors of the uterine walls, and excites the subcortical structures of the brain.
  • Vomiting during pregnancy is characteristic only of suspicious, impressionable women.
  • When the fertilized egg is formed, the female body produces antibodies that provoke toxicosis.

In the second trimester

Normally, in the second trimester of pregnancy, the symptoms of toxicosis disappear, and overall health improves.

An increase in vomiting attacks from 13 obstetric weeks indicates pathology. Additional diagnostics are required.

Possible reasons:

  • exacerbation of chronic diseases of the digestive tract (cholecystitis, pancreatitis, gastritis, gastric ulcer, duodenal ulcer);
  • food poisoning;
  • hormonal imbalances (endocrine system pathologies);
  • arterial hypertension.

Vomiting in the second trimester of pregnancy is a consequence of systematic overeating by the expectant mother, accompanied by heartburn, nausea and a feeling of heaviness in the stomach. Often occurs when the fetus is active and begins to kick.

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In the later stages

Gestosis is a dangerous condition; there is a high probability of premature birth and intrauterine pathologies. Possible causes of gagging in the third trimester of pregnancy:

  • infectious processes of the digestive tract;
  • calcium deficiency, vitamin deficiency;
  • parasitic infestation activity;
  • hidden colds and infectious diseases;
  • decreased liver function;
  • food poisoning;
  • damage to the nervous system;
  • pneumonia;
  • frozen pregnancy (fetal death).

Folk remedies

Experiencing a condition such as nausea, every pregnant woman wants to help herself get rid of the debilitating symptoms. Popular folk recipes help improve well-being:

  • Mint. A well-known medicinal plant helps a pregnant woman cope with the extremely unfavorable consequences of late toxicosis. Proper preparation of the folk recipe - mint-based tea - helps calm the nerves, normalize the digestive processes, and reduce salivation. Mint can also be used in another way - simply rub its leaves and smell them. You can also suck on mint lozenges.
  • Rice. This product helps to get rid of nausea in different trimesters of pregnancy, including the third. Rice porridge is prepared and consumed. When you get up in the morning, eat a few tablespoons of salted rice on an empty stomach.
  • Juices. Citrus fruits are mainly used, since oranges and grapefruits contain many vitamins and can stimulate the functioning of the digestive organs. In addition, citrus juices help the body get rid of toxins. If you don't have a juicer, it won't hurt if the pregnant woman eats some fruit.
  • Rosehip and rowan. A prepared decoction of the fruits of these plants will be useful if the patient suffers from vitamin deficiency or arterial hypertension; both plants help strengthen blood vessels and normalize blood circulation.
  • Honey. It helps against nausea if you drink a glass of warm water mixed with honey in the morning.
  • Cabbage. You can eat some leaves or chew the stalk of this plant or carrots.
  • Crackers. Sometimes it will be useful to eat a small amount of homemade crackers. You should not get carried away with them, so as not to cause constipation, which will be quite difficult to treat during pregnancy.
  • Morse. Among drinks, an excellent remedy for nausea is fresh cranberry juice. You are allowed to add a little sugar to it. A good solution would be to drink water with lemon and ginger.
  • Orange. The peels of this fruit have an excellent effect; you can make candied fruits or an infusion of water from them.
  • Apple. The fruit itself and products made from it help not only against nausea, but also provide vital harmony in the female body. You can eat either a fresh apple or a dried, soaked, baked one – your fantasies are truly limitless!
  • Berry. It is not difficult to purchase them in the summer. If you can get raspberries, blueberries or lingonberries during the cold season, these berries will help with nausea.

There are other folk remedies that are useful for getting rid of nausea, but these will be quite sufficient if they are prepared correctly and precautions are taken. After all, any folk remedy can bring not only benefits, but also serious harm if it is contraindicated for a pregnant woman. Therefore, before using this or that folk recipe, it is advisable to obtain the approval of the treating doctor.

Why do pregnant women feel sick in the third trimester?

Typically, toxic conditions bother patients in the first months of pregnancy, when the body is just getting used to a new, unusual position.
But sometimes patients are bothered by nausea in the third trimester of pregnancy. This condition can have various causes, including excess food, although at times its provoking factor is gestosis.

Therefore, you must definitely consult a doctor and undergo an examination to eliminate dangerous consequences.

It is necessary to eat often, portions should be small

At this stage of gestation, mommy shows miracles of endurance. There are not many reasons why you might feel sick right now. They are mainly associated with poisoning from poor-quality food, gestosis, problems with the kidneys, gallstones or pancreas.

But ailments do not always indicate the development of serious problems with the baby, mother or pregnancy; sometimes this is a completely natural reaction of an individual nature.

Mommy will have to take care in these last weeks, lie down more often with her legs raised up in order to relieve hyperedema and excess stress.

You also need to spend more time in the fresh air; if possible, it is better to live somewhere in the country, where the environment is clean.

Changes in the baby

The baby has already formed, all its systems are functioning, therefore, when born in the early to mid-third trimester, they already have every chance of survival, subject to proper care.

During these last three months, the baby undergoes active growth and accumulation of subcutaneous fatty tissue, which will help the baby after birth by promoting normal thermoregulation.

Around the middle of the third stage of gestation, the baby is located head down in the uterus and lives in this position until delivery. That is why the nature of his movements changes during this period.

Ultrasound data

At approximately 32-34 weeks, the mother will be sent for the last, third ultrasound examination, during which the doctor will assess the mother’s readiness for the birth process, the degree of development of the baby, its internal structures and systems. The preliminary date of delivery is also clarified.

The fetal presentation must be clarified; if the baby lies with its butt towards the exit, then surgical delivery by cesarean may well be necessary.

Placental maturity is also assessed, and possible defects of the baby are examined. If the need arises, the doctor can prescribe a premature birth or schedule a cesarean date.

Mommy's feelings

The third stage of gestation is the last stage of pregnancy, during this period a lot of things change. If in the second trimester everything proceeded more or less calmly, now mommy is experiencing serious body changes.

  • During these months, mommy may feel a pronounced state of fatigue, because weight is gained quite actively, walking becomes more difficult and problems arise with night rest due to insomnia, which occurs due to an uncomfortable body position.
  • The uterus puts unbearable pressure on the urinary tract, you constantly want to urinate, and its pressure on the gastric tissue causes unpleasant heartburn. The uterus also puts pressure on the diaphragm, significantly complicating the patient’s breathing and causing shortness of breath.
  • The muscular-ligamentous apparatus is stretched, which is accompanied by painful symptoms in the back and abdomen. The last trimester requires incredible stamina from a woman.
  • The diet should be varied, nutritious and balanced (about 3000 kcal), according to the rules of healthy eating.
  • An individual solution is necessary for sexual intimacy. Sometimes sex during this period is not contraindicated, but for some it is prohibited until childbirth. Sexual contact at the end of pregnancy can trigger the onset of labor.
  • Also, mommy periodically experiences training contractions, which many mistakenly perceive as the beginning of labor. This is how the uterus prepares for childbirth; such contractions are irregular, which distinguishes them from true contractions.

Towards the end of the trimester, there will be a noticeable drooping of the tummy, which will be an incredible relief for mommy in terms of breathing, since the pressure on the diaphragm will stop.

Also, by the end of the third trimester, vaginal discharge will appear in the form of a pinkish or colorless smear. This is how the cervical plug comes off, blocking the entrance to the uterine body, preventing the penetration of pathogenic microorganisms.

If copious watery discharge appears, this indicates the rupture of water and the approach of labor.

The best way to quench your thirst is with plain water.

Nausea and vomiting reactions at the last stage of pregnancy cannot be considered as a common occurrence. Nausea in the 3rd trimester of pregnancy often indicates the development of quite serious pathological conditions.

Biliary pathologies, hepatitis, hypertensive conditions - all this is fraught with premature birth. The condition of the liver is important; if it suddenly suffers due to pregnancy, it will be better if the birth occurs earlier.

If the occurrence of vomiting is in no way related to food poisoning, then this can have an extremely negative impact on the condition of the liver.

Nausea and vomiting during pregnancy in the last trimester occurs in mothers who eat foods that are too sour, spicy or too fatty, which themselves are difficult to digest.

Therefore, the occurrence of mild nausea is considered quite normal in such a situation. But if it lasts more than two days and is accompanied by severe vomiting, then you need to urgently run to the doctor.

Then you can avoid dehydration.

Causes

The last trimester of pregnancy is considered one of the most important and dangerous. The fetus is fully formed and at this stage it is simply growing, improving, preparing for life outside the mother’s body.

But the baby also continues to react sensitively to any changes in the mother’s well-being.

Therefore, experts recommend that mothers from the 7-month gestation period take care, listen as carefully as possible to their own body, and if unusual and threatening signs appear, consult a specialist.

  1. Liver dysfunction. In this situation, nausea reactions are considered a characteristic sign of liver failure, which often develops in the last months of gestation.
  2. Sometimes the appearance of nausea indicates intoxication of a pregnant woman with iron-containing drugs or other medications.
  3. Preeclampsia. It is considered a rather dangerous condition that can lead to dangerous deviations in fetal development, including its death. For the patient herself, such a condition threatens premature delivery, various kinds of difficulties during labor, etc.
  4. Pathological lesions of the bile ducts or pancreas. When these organic structures become inflamed in the third trimester of gestation, obstetricians advise stimulating labor to protect the baby from intoxication.
  5. The development of intestinal infections also provokes nausea, which is accompanied by severe diarrhea, vomiting and hyperthermic conditions. The main danger in this situation is intoxication and dehydration, so medical intervention is necessary.

Failures of digestive functions are considered the most peaceful factors in the development of nausea syndrome in the last trimester of gestation. The uterus is growing rapidly and puts a lot of pressure on the gastrointestinal structures.

If mommy eats often and in large quantities, then nausea will become her constant companion in the later stages, although the time for toxic ailments has long passed.

Sometimes it happens that the examination does not reveal any pathologies; mother and baby are absolutely healthy. In this situation, you just need to come to terms with it and treat nausea as a temporary phenomenon, unpleasant, but not dangerous.

You should tell your doctor about any changes in your health.

If pathological signs of nausea do not accompany it, then you should take it calmly.

If the nausea reactions are not entirely innocent in nature, then the woman will also exhibit other symptomatic manifestations.

In general, nausea may be accompanied by vomiting after eating or upon waking, heartburn and pain in the right hypochondrium, as well as a bitter taste in the mouth.

In addition, nausea in the last trimester of gestation may be accompanied by hypertensive signs, hyperedema of the face and extremities, recurrent diarrhea or hyperthermia. Sometimes accompanying manifestations boil down to convulsions, unconsciousness or frequent dizziness.

Most likely, if such signs are present, the woman will be hospitalized under medical supervision until delivery occurs. She will be examined and the condition of the fetus and mother will be constantly monitored.

Therapy for gestational conditions is prescribed in accordance with the provoking factors and the severity of the pregnant woman’s condition. The doctor always chooses the treatment tactics.

If rotavirus and other intestinal infections develop, the patient is placed for inpatient treatment.

All medications are selected for patients taking into account their condition, individual characteristics and safety for the baby.

  • Nausea itself and the accompanying vomiting with diarrhea are not dangerous for the mother, and they do not pose any threat to the baby.
  • However, in the presence of such conditions, the child does not receive the necessary nutrition, oxygen and vitamins, which negatively affects his development and growth.
  • That is why in such conditions it is extremely important to get the necessary help from specialists.
  • The state of late toxicosis and hypertension in the last months of gestation provoke the development of dehydration and disturbances in the water-salt balance.
  • These conditions during pregnancy are extremely dangerous, so the mother should be under the supervision of an obstetrician-gynecologist. She is prescribed supportive treatment, and if her condition is severe, premature birth is induced.
  • If, in late gestational stages, nausea occurs against the background of pathological disorders in renal, biliary or pancreatic activity, then serious difficulties may arise with the treatment of such conditions, since most medications are prohibited from being taken during pregnancy.
  • Typically, treatment involves a strict diet, a gentle daily routine, and vitamin therapy with complex medications. This is necessary to support the patient, and after the baby is born, serious treatment will be prescribed, if necessary.

Prevention

The greatest danger for the expectant mother is gestosis, otherwise this condition is called a late form of toxicosis, which is formed as a result of hypoxia. Of the many symptoms characteristic of this type of toxicosis, only one may appear, for example, swelling or increased blood pressure. To make a diagnosis, the patient undergoes a urine test: if there is protein in the urine, we can talk about the presence of gestosis. It can occur in a pregnant woman if she is obese or has kidney problems.

If you do not take the first signs of gestosis seriously, this can result in a rather disastrous outcome. As a result of the lack of treatment, the patient’s urine composition will change, the process of removing salts will be disrupted, and serious disruptions in cerebral circulation will occur. Intracranial pressure will increase, which in turn will lead to the appearance of convulsions, and this is already a reason for the development of fetal hypoxia. And as a result, the death of the fetus or the death of the expectant mother. Even with a favorable outcome for the pregnant woman, her health will be undermined.

Below are simple preventive measures that, if followed, will help a pregnant woman alleviate her condition:

  • You need to limit yourself in gaining weight. It is highly undesirable to indulge in cookies and buns around the clock. For a pregnant woman, it will be normal to gain no more than fifteen kilograms during this period.
  • Under no circumstances should you strive to lose weight or go on a diet for this purpose, as this can harm the child.
  • Eat more vegetables and fruits, less fatty and fried foods. It is necessary to limit the consumption of salty foods. They, like canned food, contribute to fluid retention in the body, which is fraught with edema.
  • Check for swelling. To do this, you just need to press it on your shin with some finger. If there is a dent after pressing, it means that not everything is going well. In this case, you need to see a doctor.
  • Try to drink more fluid, even if there is swelling - you need to drink at least one and a half liters per day. In such cases, weak diuretic decoctions prepared from lingonberry or horsetail leaves help. You can drink weak tea, natural juice, or dried fruit compote would be an excellent drink.
  • It is necessary to rest more, alternating with movements. Avoid nervous breakdowns, they affect the child’s health. A walk in the fresh air will undoubtedly be beneficial.
  • Be sure to monitor your blood pressure. Normally it should be 120/70. Otherwise, an inpatient placement may be offered.

To avoid morning sickness, experts advise having a snack in bed before breakfast. Ginger tea, decoctions of calendula, valerian, sauerkraut, essential tangerine and lemon oils are considered excellent remedies for nausea.

Symptoms

Nausea during pregnancy is divided into three stages:

  • When attacks of nausea are accompanied by vomiting no more than five times a day and only after eating;
  • When vomiting occurs after eating or on an empty stomach no more than ten times in 24 hours;
  • When constant attacks of nausea are accompanied by uncontrolled vomiting in any trimester, leading to dehydration, the release of toxins by the body, a drop in blood pressure and an increase in temperature. Prolonged stay in such a state has a destructive effect on the functioning of the kidneys, and therefore requires immediate hospitalization.

The first symptom of nausea during pregnancy is that saliva begins to be produced intensely, drooling occurs, sometimes accompanied by an unpleasant metallic taste in the mouth. With regular attacks, more than a liter of fluid is lost per day, and leads to the loss of protein and mineral salts.

In addition, nausea in the early and late stages is accompanied by:

  • increased fatigue, drowsiness due to loss of strength;
  • increased irritability, which can be caused by any minor situation;
  • depression, depression;
  • lack of appetite and, as a result, severe weight loss;
  • dulling of taste;
  • development of dermatoses;
  • muscle spasms leading to asthmatic attacks.

Early

If you feel sick during pregnancy in the early stages, this indicates the onset of early toxicosis, which occurs due to a restructuring of the activity of the body as a whole. The immune system is always designed to protect itself, so it begins to get rid of the tumor in every possible way and begins to irritate the vomiting center.

A growing embryo fights for the right to exist, trying to stay in the uterine cavity. The conflict disappears by 16 weeks, the body adapts. When in the early stages nausea reaches the third stage, the pregnant woman is sent to the pathology department for observation and treatment. If the measures taken and the medicine taken are not effective, then the pregnancy is terminated due to a threat to the mother’s life.

In the second trimester

During this period, nausea occurs during pregnancy in exceptional cases. There is no regular manifestation of the condition. On the contrary, appetite normalizes and weight gain occurs. Sleep becomes healthy, a surge of energy is felt. During this period, the baby is still small and the uterus does not put pressure on the internal organs, so there is no reaction of food being released into the esophagus.

If during the second trimester severe nausea begins to appear, this indicates the accumulation of toxic substances in the body, an increase in the content of acetone in the blood. Drug treatment helps to cope with this: droppers, drugs in tablets and other forms.

In the third trimester

When you feel very sick during pregnancy in the third trimester, it is difficult to get rid of the unpleasant sensations due to an objective factor: the pressure of the uterus on the internal organs, including the stomach and liver.

Stool retention occurs. Chemicals accumulate in the body. These substances act on the liver, which is therefore in cramped conditions. The organ sends signals to the brain and salivation begins to be produced, causing unpleasant consequences.

At the same time, the constant pressure of the uterus on the stomach leads to the release of gastric juice into the esophagus. This is facilitated by: sharp bends, eating, drinking water. At this time, the presence of signs of lightheadedness poses a threat not only to the mother, but also to the child, causing a decrease in oxygen in the blood. When the manifestation of the condition is prolonged, gestosis of varying degrees of severity may develop.

The condition is accompanied by:

  • increased blood pressure, appearance of spots before the eyes;
  • attacks of dizziness, noise, pain in the head;
  • thirst, accompanied by swelling and weight gain;
  • arrhythmia and pain in the hypochondrium.

Nausea in later stages can be episodic or long-lasting. Lead to serious consequences for the health of the expectant mother and fetus. Therefore, it is worth paying attention to all symptoms, especially if you belong to a risk group.

This group includes:

  • women giving birth after 35 years;
  • women who have Rh conflict with their child;
  • chronic diseases of the stomach, liver, kidneys, and endocrine system were observed;
  • heart diseases.

We have found out why nausea occurs during pregnancy in the early, middle and late stages; all that remains is to consider ways to deal with this condition. The main task of the expectant mother is to restore the functioning of the body so that the baby receives the required amount of oxygen and nutrients.

If you experience signs of nausea, you should:

  • take regular walks in any weather suitable for this;
  • systematically ventilate the room;
  • activity time should be replaced by systemic periods of sleep and rest;
  • do a general set of therapeutic exercises;
  • observe 5-6 meals a day;
  • take a knee-elbow position (on all fours) several times a day, preferably after meals;
  • sleep on the left side with the body raised high to prevent gastric juice from entering the esophagus;
  • do not rise abruptly from a lying or sitting position;
  • avoid hunger that causes drooling;
  • Do not use tea, coffee, or carbonated drinks that delay the absorption of liquid.

Safe treatments

During pregnancy, many drugs are contraindicated. Therefore, it is quite difficult to fight the causes of diarrhea. Regardless of the nature of the appearance of intestinal disorders, a thorough examination should be carried out. If an infection is detected, a pregnant woman must be hospitalized in the appropriate department of a medical institution.

Therapy should be pathogenetic, i.e., aimed at restoring body function and digestion. Therefore, the treatment regimen is aimed at restoring fluid balance and combating symptoms of intoxication. The appearance of diarrhea in later stages is dangerous due to the threat of dehydration and loss of salts. When important microelements are washed out, there is a risk of complications for mother and baby.

To treat diarrhea of ​​any origin, it is recommended to drink a lot. In addition to regular water, it is useful to use saline solutions:

  1. Regidron - the powder contains 3.5 g of sodium chloride. In addition, the medicine contains sodium citrate and glucose.
  2. Humana - the drug includes fennel extract. It also contains banana.

If the appearance of diarrhea is associated with food poisoning, but the symptoms are mild, the doctor may prescribe a sorbent to the pregnant woman. Thanks to the use of such a medicine, it is possible to remove toxic substances from the digestive system. During pregnancy, the following sorbents are usually prescribed:

  1. Smecta is a selective substance. It is used at any stage of pregnancy.
  2. Activated carbon is considered a clinically proven safe drug.

Medicines in this category are harmless to a pregnant woman and child. They do not enter the systemic bloodstream and do not produce toxic effects on the body.

Medications


Loperamide is allowed in the 3rd trimester of pregnancy.
In more complex cases, the use of drugs that differ in composition and principle of action is indicated:

  1. Loperamide, Imodium. These products are sold without a doctor's prescription. Initially, it is recommended to take 2 Loperamide tablets. After defecation, you need to take 1 tablet. You should take 8 tablets per day. The medicine successfully copes with diarrhea and helps avoid relapses.
  2. Lommotil, Diphenoxylate. These medications are powerful. However, they have many side effects. Usually doctors prescribe 2 tablets 4 times a day. After which the volume is reduced to 2 tablets per day.

This treatment regimen is used when the female body independently regulates the frequency of diarrhea. If the required effect is not achieved within 2 days, treatment is stopped.

During pregnancy, it is prohibited to take bismuth subsalicylate. If diarrhea is neurogenic, treatment should be aimed at improving the condition of the nervous system. In this case, the woman is prescribed plant-based sedatives. If necessary, psychotherapy is carried out.

Antidiarrheal drugs are prohibited for infectious or bacterial diarrhea.

Folk recipes

In addition to standard therapy, effective folk remedies are used. However, before using any home recipe, a woman should consult a doctor. Good results are obtained by using such natural remedies as:

  1. Starch solution. To prepare a remedy, you need to take 1 small spoon of potato starch and mix with half a glass of clean water. You need to drink the composition in one gulp and refuse food for a day.
  2. Blueberry jelly. This is an excellent product that helps relieve diarrhea. To prepare the drink, you need to take 200 g of berries, add a little sugar and cook for a quarter of an hour. Then add 4 large spoons of starch and cook for another 2 minutes. The cooled drink should be drunk three times a day.
  3. Infusion of blackberry leaves. To prepare it, take 1 large spoon of crushed raw materials and mix with a glass of boiling water. Leave and strain. To cope with diarrhea, it is correct to take 1 tablespoon of the product three times a day.
  4. Pomegranate infusion. Take 1 large spoon of chopped pomegranate peel and mix with 1 cup of boiling water. Leave for 24 hours and drink several sips throughout the day.

Nausea in the second or third trimester of pregnancy: a completely different matter!

In fact, the second trimester of pregnancy is considered the golden time - early toxicosis recedes, the stomach has not yet increased so much as to tire you, you feel the baby’s first movements and enjoy life. It is the activity of the baby and the growing belly that can cause episodic nausea in the second half of pregnancy - the uterus puts pressure on the liver and stomach, you feel a little discomfort.

However, if you have swelling, your weight has begun to increase sharply, and your urine test results have worsened - we are talking about late gestosis, a dangerous complication of pregnancy that requires immediate medical intervention! Therefore, be sure to tell your doctor if you experience nausea, even if you do not experience significant discomfort from it.

Happy pregnancy and easy birth!

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