How moms-to-be can handle morning sickness

This article has been updated with information from JAMA October 4, 2016

Treatments for Nausea and Vomiting During Pregnancy


Morning sickness– 70% of pregnant women experience it.

 Still, we don’t understand a lot about it.


A review in the Clinical Evidence Handbook, published by the BMJ Publishing Group and reported in American Family Physician (Volume 92, Number 6) summarizes what doctors know about this baffling condition.

  • Nausea and vomiting of pregnancy doesn’t just happen in the morning, but can occur all through the day.
  • It typically begins at 4-7 weeks’ gestation and stops by 16 weeks.
  • The cause is unknown, but may be related to increased levels of a hormone called human chorionic gonadotropin, HCG.  Pregnancy tests are based on measuring urine or blood levels of HCG.
  • About 1 in 200, or less than 1% of pregnant women develop severe nausea and vomiting called hyperemesis gravidarum. This can lead to dehydration and weight loss, and may require treatment in a hospital.

Catherine, Duchess of Cambridge (aka Princess Kate of England) suffered severe nausea and vomiting with her first pregnancy.

Women who experience pregnancy related nausea and vomiting look for relief. Since it is difficult to study drugs in pregnant women due to risk to the baby, few treatments are proven to work or not. But here is what we know from limited information.

Likely to be beneficial are  acupressure , ginger and pyridoxine (vitamin B6), all available without prescription.

Prescription meds shown to help are the anti-nausea drugs metoclopramide, prochlorperazine,  promethazine, ondansetron and hydroxyzine.

Most women can manage nausea by

eating small meals of bland foods, 

avoiding spicy foods, and

 avoiding strong or offensive odors.


Nausea of pregnancy is uncomfortable, inconvenient and sometimes dangerous. Anticipating the joy of holding your new baby helps make it bearable. And speaking of holding babies…

Dr. Aletha and grandbaby
Here I am holding my first grandchild




man with baby
My husband holding our second grandchild










Here are some affiliate links to books about pregnancy, childbirth and parenthood you may find helpful.

(Affiliate links provide a commission to this blog at no extra cost to you; thank you)

Having a baby A to Z for mom and dad- some books to consider

In a previous post I shared  books about pregnancy and childbirth aimed at women. Now I offer one that addresses the challenges of fatherhood,


In a previous post I shared  books about pregnancy and childbirth aimed at women. Now I offer one that addresses the challenges of fatherhood, appropriately called The Expectant Father. If that’s you, congratulations; maybe this book will answer questions or confirm what you already know.


If you know someone else who is expecting, consider this as a gift.  I’m including the links to the previous books. Happy reading.


The links are affiliates from which this blog can earn a commission; thank you for using.

     The Expectant Father                                                   The Expectant Father 

By Armin Brott and Jennifer Ash 


“This information-packed, month-by-month guide incorporates the expertise of top practitioners in their fields, from obstetricians and birth-class instructors to psychologists and sociologists. It also draws from Brott’s own experience as a father of three and from the real-world experiences of the thousands of dads he’s interviewed.

With the humor of New Yorker cartoons and Brott’s gentle approach, The Expectant Father serves as a friendly and readable companion for dads-to-be seeking confidence, guidance, and joy!”



Taking Charge of your Fertility

The Definitive Guide to Natural Birth Control, Pregnancy Achievement, and Reproductive Health

by Toni Weschler

Taking Charge of your Fertility

This new edition for the twentieth anniversary of the groundbreaking national bestseller provides all the information you need to monitor your menstrual cycle–along with updated information on the latest reproductive technologies.

Are you unhappy with your current method of birth control? Or demoralized by your quest to have a baby? Do you experience confusing signs and symptoms at various times in your cycle?

This invaluable resource provides the answers to your questions while giving you amazing insights into your body. Taking Charge of Your Fertility has helped literally hundreds of thousands of women avoid pregnancy naturally, maximize their chances of getting pregnant, or simply gain better control of their gynecological and sexual health.

Toni Weschler thoroughly explains the empowering Fertility Awareness Method (FAM), which in only a couple of minutes a day allows you to:

Enjoy highly effective and scientifically proven birth control without chemicals or devices

Maximize your chances of conception before you see a doctor or resort to invasive high-tech options

Expedite your fertility treatment by quickly identifying impediments to pregnancy achievement

Gain control and a true understanding of your gynecological and sexual health


Common Sense Pregnancy

Navigating A Healthy Pregnancy & Birth for Mother & Baby

by Jeanne Faulkner

Common Sense Pregnancy

“JEANNE FAULKNER has worked in women’s health for 30 years, first in doctor’s offices, free clinics, and classrooms and then as a registered nurse, specializing in obstetrics, labor and delivery, and neonatal care. She began her career as a journalist in 2002 and currently writes the weekly column Ask the Labor Nurse for

She contributes articles about health, medicine, food, parenting, travel, and lifestyle issues to such publications as Fit Pregnancy, Pregnancy, Shape, Better Homes & Gardens, and the Huffington Post and Oregonian newspapers. She’s also the senior writer/editor for Every Mother Counts, a global maternal health advocacy organization founded by Christy Turlington Burns”–


Free Babsy Board Books!

I appreciate all of you who follow this blog; there are numerous other blogs to choose from so I am honored you chose to spend some time here. A special welcome to all my new followers from this past month.

                              Dr. Aletha