Morning sickness

DEFINITION

Morning sickness is nausea that occurs during pregnancy. The name is a misnomer, however, since morning sickness can strike at any time of the day or night.

Morning sickness affects a large proportion of pregnant women. It is most common during the first trimester, but for some women morning sickness lingers throughout pregnancy. Treatment isn’t usually needed — although various home remedies, such as snacking throughout the day and sipping ginger ale, often help relieve nausea.

Rarely, morning sickness is so severe that it’s classified as hyperemesis gravidarum. This type of morning sickness may require hospitalization and treatment with intravenous (IV) fluids and medications.

CAUSES

What causes morning sickness isn’t clear, but the hormonal changes of pregnancy are thought to play a role. Rarely, severe or persistent nausea or vomiting may be caused by a medical condition unrelated to pregnancy — such as thyroid or liver disease.

SYMPTOMS

Morning sickness is characterized by nausea with or without vomiting. It is most common during the first trimester, sometimes beginning as early as two weeks after conception.

When to see a doctor

Contact your pregnancy care provider if:

  • The nausea or vomiting is severe
  • You pass only a small amount of urine or it’s dark in color
  • You can’t keep down liquids
  • You feel dizzy or faint when you stand up
  • Your heart races
  • You vomit blood