Hello everyone, I am Sun Yi and everyone calls me Jojo.
Today, I want to talk to you about nausea and vomiting in early pregnancy.
Nausea and vomiting are very common early pregnancy reactions.
My patient Xiaomei is a typical example. Just about 6 weeks after pregnancy, nausea and vomiting occurred, mainly retching in the early morning, but later the disease gradually worsened.
Apart from sleeping, the rest of the time is either vomiting or on the way to prepare to vomit. Frequent vomiting causes Xiaomei to be unable to eat normally, and even drinking saliva will cause her stomach to turn over rivers and seas, causing her to vomit sparsely.
This lasted for a week, she lost 5 kg of weight, and people also became sunken eyes, chapped lips, weak limbs, gaunt and weak. However, my mother said that nausea and vomiting in early pregnancy were normal, and she passed after enduring it.
She herself was worried that the medication was not good for the baby, so she never saw a doctor.
At last, he fainted at home and was taken to the hospital by 120. Jojo felt lucky for her here, because what many people did not know was that severe vomiting could kill the pregnant mother.
Why is early pregnancy nausea and vomiting?
After pregnancy, estrogen and progesterone obviously increase, and progesterone will relax the gastric cardia sphincter, and the acidic substances in the stomach will easily reflux, causing burning sensation in the lower esophagus and nausea and acid regurgitation. Especially in the morning after sleep, acid regurgitation and nausea will be more obvious.
At the same time of pregnancy, the taste buds of pregnant mothers are more sensitive, and it is easy to realize the taste that was not felt before, such as the appearance of strange taste in the mouth, aggravating nausea.
However, most pregnant mothers do not vomit seriously. If Xiaomei suffers from persistent severe vomiting, causing dehydration, weight loss, ketosis and even acidosis, we will call it hyperemesis gravidarum and need hospitalization at this time.
Less than 1% of pregnant mothers with nausea and vomiting will develop hyperemesis gravidarum.
This may be related to the increase of HCG, hyperthyroidism, or mental stress, anxiety, environmental stress, etc. after pregnancy.
But don’t underestimate the problem of hyperemesis gravidarum!
It will not only cause dehydration of pregnant mothers and electrolyte disturbance in body blood, but also lead to ketoacidosis. Extremely serious pregnant mothers will suffer from lethargy, blurred consciousness, acute encephalopathy delirium and even coma.
Long-term inability to eat and vomiting will cause a large loss of vitamin B1. Some pregnant mothers will suffer from nystagmus, visual impairment, stiffness, coma and even death. It is extremely frightening to think carefully!
Early pregnancy nausea and vomiting, how to do?
If it is only slight acid regurgitation and vomiting, general treatment and psychological support treatment shall be adopted.
First of all, we should keep a happy and relaxed mood. We should adopt the principle of eating less and eating more. We should not eat too much at each meal. We should rinse our mouth with warm salt water in the morning. We should not bend down or lie flat immediately after meals. We should walk and walk properly to avoid contact with the smell and food that induce vomiting.
If the pregnancy is severe, don’t be afraid of medical treatment. You need to actively seek medical treatment.
In addition to the general treatment support suggested by Jojo, intravenous fluid infusion therapy is also required.
The daily intravenous fluid infusion is about 3,000 mL, and the fluid delivered to the pregnant mother is mainly vitamin, sugar, electrolyte, etc. There is no need to worry about the adverse effects of the delivered fluid on the baby.
In addition, doctors will also use some anti-emetic drugs according to your specific condition, mostly vitamin B6 or vitamin B6-dosilamin compound preparations, and adjust the diet plan.
Most pregnant mothers, even hyperemesis gravidarum, after active and standardized treatment, their condition improved quickly. With the increase of gestational weeks, the symptoms of vomiting will naturally subside and the pregnancy outcome is generally good.