morning sickness in pregnant women
Morning sickness is a common thing for pregnant women. Most pregnant women experience morning sickness although there are also some women who do not experience it during pregnancy.
Are you one of the pregnant women who experience morning sickness?
If yes, then see an explanation of what morning sickness is, its causes,
symptoms, diagnosis, and how to deal with morning sickness.
What is morning sickness?
Morning sickness is a condition of nausea and vomiting that occurs during
pregnancy. In general, morning sickness occurs during the early trimester, from
the 6th to the 12th week of pregnancy.
Even though the name is 'morning sickness', this condition can
occur at any time other than in the morning. Generally, morning sickness will
decrease and disappear when your gestational age reaches the second trimester.
Pregnant women who are experiencing it need not worry because
morning sickness which is still normal will not harm your health and that of
the fetus. Many doctors say that women who experience morning sickness (normal)
are positive things.
The reason is, morning sickness means that your placenta is
developing properly. The thing to worry about is when you experience excess
morning sickness, which is too often nausea and vomiting, so that it makes your
body very weak.
If the condition of morning sickness is like that, then it can harm
you and the condition of the fetus. The medical term for this abnormal morning
sickness is hyperemesis gravidarum.
Pregnant women who experience severe morning sickness need to
consult a doctor immediately. This is because hyperemesis gravidarum can make
you dehydrated and lack nutrition, thereby affecting the growth and development
of the fetus.
Causes of morning sickness
The cause of morning sickness is still not known with certainty.
However, there are several things that play a role in causing morning sickness.
The following are some of the things that play a role in causing
morning sickness:
1. Changes in pregnancy hormones
During pregnancy, women experience several types of hormonal
changes. These hormones are known as pregnancy hormones, namely the hormone
estrogen, the hormone progesterone, and the hormone hCG (human chorionic
gonadotropin).
Estrogen and progesterone hormones in pregnant women will increase
up to 100 times. The increase in this hormone is suspected to have contributed
to the production of stomach acid which stimulates the appearance of nausea.
The presence of the hCG hormone, which is a sign of the appearance
of the embryo in the uterus, has a role in morning sickness. Changes in
pregnancy hormones also usually affect the sensitivity of the sense of smell of
pregnant women, so they can trigger nausea.
2. Physiological changes during pregnancy
In addition, physiological changes during
pregnancy also play a role. Several physiological changes during pregnancy such
as blood pressure, carbohydrate metabolism, and physical changes.
3. Health problems (in severe morning
sickness)
Health problems can exacerbate morning
sickness. Liver disease or thyroid problems are associated with the incidence
of hyperemesis gravidarum.
4. The body's response to protect the fetus
There is an opinion that says that morning
sickness is the body's response to protect the fetus from toxic substances.
Exposure to dangerous poisons can sneak into the body unnoticed.
Of course this can interfere with the growth
and development of your fetus. Moreover, the first trimester is a period of
pregnancy that is quite vulnerable for the growth and development of the fetus.
By feeling nausea and vomiting, the exposure to these toxic substances can be
wasted immediately. Your fetus and pregnancy are still in good condition.
The following are some of the risk factors for
morning sickness
• Using birth control pills
• History of nausea and vomiting due to
certain smells or tastes before pregnancy
• Experiencing migraines before pregnancy
• Mothers who are carrying twins
• History of morning sickness in previous
pregnancies
Symptoms of morning sickness
There are characteristics of morning sickness
that women who are pregnant need to know. Symptoms of morning sickness can vary
between pregnant women.
The following are some of the symptoms of
morning sickness:
• Nausea and vomiting especially in the morning
• Feeling nauseous every time you smell a
certain smell
• Change in urine color
• Change in urination habits (little,
infrequent, or even large)
• Frequent dizziness
• Feeling weak
• Heart beating fast
• Faint
When to see a doctor?
Immediately go to the nearest obstetrician or
midwife if you experience some of the characteristics of morning sickness
above. It is also important to make sure that the morning sickness you are
experiencing is normal or severe.
Diagnosis of morning sickness
Diagnosis of morning sickness is usually done
by knowing the characteristics or symptoms. If you still don't know if you are
pregnant or not, the doctor will check with a test pack.
An ultrasound examination (USG) is also
carried out to see if there are fetuses and their numbers in your uterus. If
the doctor suspects that your morning sickness is leading to hyperemesis
gravidarum, the doctor will do a urine test and blood test.
Morning sickness complications
Normal morning sickness usually doesn't cause
complications to the fetus or yourself. However, severe morning sickness
(hyperemesis gravidarum) often causes several complications if left untreated.
The following are some of the complications of
morning sickness that can be severe if left untreated:
• Little or rarely eats
• Often hungry
• Lack of nutritional intake
• Lack of fluids
• Hypokalemia
• Unbalanced electrolytes
• Urination disorders
• Weight loss
• Fetus at risk for LBW (low birth weight, ie
<2500 grams)
• Babies tend to have low immunity
How to deal with morning sickness
While normal morning sickness doesn't cause
complications, the symptoms can be overwhelming. Therefore, you need to do a
number of things to reduce the symptoms of morning sickness, so you don't
suffer too much.
Here are some ways to deal with normal morning
sickness:
• Increase fluid intake
• Consuming ginger (wedang, candy, and other
processed forms)
•Rest
• Regulating thoughts and emotions
• Consuming food according to the nutritional
adequacy of pregnant women
• Always have snacks ready if you suddenly
feel hungry
• Avoid nausea triggers (aroma, taste, etc.)
• Taking prenatal vitamins and supplements
• Using nausea relievers that are safe for
pregnant women (as prescribed by a doctor)
• Massage for pregnant women
If you experience severe morning sickness, you
can treat it by receiving medical treatment, namely hospitalization. You will
be given parenteral fluids (infusions) and some medicines to improve your
condition.
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