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简单说说早孕反应及应对 (网上资料)
作者:home99
发表时间:2009-11-27
更新时间:2009-11-27
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::: 栏目 :::
写给准妈妈1
宝宝护理与成长3
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休闲娱乐
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写给新妈妈
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准妈妈最常见的问题/孕期不适可能要属早孕反应了,只是每个人的情况可能会不同,对同一个妈妈,怀不同的宝宝反应可能也会有所不同。多数准妈妈大概在6~12周之间出现早孕反应,感到恶心呕吐、食欲不振,少数准妈妈可能整个孕期都没有反应,而有的可能会一直反应到宝宝出生,我是属于后者,虽然孕吐不算很严重,但一直没有食欲,所以特别羡慕孕期能吃或想吃美食的JMs。

关于早孕反应轻重与宝宝性别的关系,可能跟孕期饭食的好恶与宝宝性别的关系等众多“线索”一样,都是说法不一啊。不过对于同一个妈妈,通常是第一个宝宝的早孕反应较重,而对不同的妈妈,可能怀女宝的早孕反应重的比较多。

至于早孕反应的化解办法,似乎有很多建议,但对每个妈妈,可能需要不断尝试,我觉得恐怕只有减轻的办法,根除好象还做不到啊,好在对多数准妈妈来说,通常熬到12或16周就好了。最好的办法就是多尝试,尽量吃自己能吃的东西,少食多餐、多休息,以及适当运动等,此外这个阶段宝宝还很小,并不需要特别多的营养,只要准妈妈自己能适当吃些东西就可以,不必太担心会影响宝宝的生长发育。

将我在网上看到的早孕反应的有关资料稍加整理后贴出来,其中对妊娠剧吐我了解得比较少,所以较详细介绍在后面,包括一些食疗方,最后并附上有关英文资料对早孕反应的论述及应对,仅供准妈妈们参考啊!祝JMs好孕&好运!

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早孕反应

一、概念

在妊娠早期(停经六周左右),孕妇体内绒毛膜促性腺激素(HCG)增多,胃酸分泌减少及胃排空时间延长,导致头晕、乏力、食欲不振、喜酸食物或厌恶油腻、恶心、晨起呕吐等一系列反应,统称为早孕反应。这些症状一般不需特殊处理,妊娠12周后随着体内HCG水平的下降,症状多自然消失,食欲恢复正常。但要提醒孕妇的是,并非所有的呕吐都是早孕反应。

二、病因

妊娠剧吐的病因迄今未明可能主要与体内激素作用机制和精神状态的平衡失调有关。而激素的作用系指在妊娠早期当妊娠呕吐最严重时,体内HCG水平最高;双胎妊娠或水泡状胎块患者血内之HCG浓度明显增高而发生剧吐者也显著增加,均提示本症与HCG的关系密切。此外如肾上腺皮质功能低下则其皮质激素分泌不足,从而使体内水及糖类代谢紊乱,出现恶心呕吐等消化道症状而且应用ACTH或皮质激素治疗时,症状可明显改善,故亦认为肾上腺皮质功能降低也与妊娠剧吐有一定关系有认为维生素B6缺乏也可能是发病的原因之一。无论如何,精神因素对妊娠剧吐的发生有着较大的关系特别是孕妇对妊娠本身有恐惧心理,或有厌烦,以及受到民间封建迷信思想影响等等均可致呕吐加剧有严重痛经史者,发生妊娠剧吐的增多。

一般按呕吐之严重程度而分为三种

一晨吐:为妊娠早期最常见的一种情况,在清晨可有恶心及流涎或轻度呕吐,但尚不影响日常生活

二中度剧吐(moderate hyperemesis):为恶心呕吐加重,且不局限于晨间,但经药物对症治疗及饮食指导如吃流质或半流质及低脂饮食、适当休息,则症状多可缓解

三恶性呕吐(pernicious vomiting) :为持续恶心呕吐,导致酸中毒及电解质平衡失调,或肝功能异常而需住院治疗以控制代谢紊乱。唯此类型发病率不高,约为1:250~1:350需住院治疗。

由于呕吐加剧可导致脱水,血容量不足,血液浓缩细胞外液减少,电解质平衡失调,体重减低热量摄入不足,发生负氮平衡,血浆尿素氮及尿酸升高并因严重呕吐,使氢、钠钾等离子丢失,出现低血钾症、低氯血症代谢性碱中毒,但也可因长时间呕吐使肠道的碱性液丢失,从而出现代谢性酸中毒由于脂肪氧化不全,体内醋酮醋酸及β-羟丁酸增多,并经肾脏排出

由于脱水缺氧,肝功能可受累使SGPT、SGOT值升高严重者可出现黄疸,提示预后不良。在低血钾时心电图可示有P-R及QT间期延长和T波倒置,如心脏传导停止可致心跳骤停。

机体严重脱水血液浓缩,血管通透性增加,血浆蛋白被滤出而致蛋白尿及管型尿量随之减少。另由于持续呕吐、钠盐丢失尿量更为减少,尿比重可降低,乃是低盐综合征的表现进而导致肾脏继发性损害:肾小管退行性变,部分可有广泛性细胞坏死,则肾小管的正常排泌功能消失或减退终致血浆中非蛋白氮、尿酸、肌酐等浓度迅速增加随着肾功能受损,酸中毒出现,细胞内的钾离子较多地转移到细胞外出现高血钾症,表现为虚弱、感情淡漠肢体湿冷,心电图示T波高耸而基低较窄,P波消失及QRS波异常且增宽严重者可致心跳停搏。

重症妊娠剧吐患者常因病程长达数周以上,致严重营养缺乏,维生素C缺乏血管脆性增加,甚至视网膜出血。

三、持续时间

早孕反应是一种正常的生理现象,不必过分紧张。症状通常出现在停经6周以后,一般持续到怀孕3个月。每个人的情况都会有所不同,这和个人激素有关,有的人早孕反应时间比较长,直到16-18周才消失。

四、孕吐及其预防

孕吐的症状有轻有重,轻度的孕吐反应,对身体无大的影响,也不需特殊治疗,只要情绪稳定,适当休息,注意调节饮食即可。程度较严重的,可表现为剧烈而持续性的呕吐,进而发生全身困倦无力、消瘦、脱水、少尿甚至酸中毒等危重病症,无论对准妈妈还是胎儿,后果都是很严重的。

对这种严重的孕吐,如果情况危重,医生会暂时用药物控制症状。在漫长的怀胎过程,准妈妈要想科学、合理地减少孕吐,应该从以下三方面做起:

第一、保持心情轻松愉快。孕吐只不过是机体自我保护的一种本能反应,如果处理得当,是可以尽可能地减少的,对胎儿不会产生不利影响。

第二、合理调配饮食,孕妇的饮食应以富含营养、清淡可口、容易消化为原则。在口味方面,不必太忌讳,可以尽可能照顾孕妇的饮食习惯和爱好。酒类应绝对禁止。

第三、适量运动对减轻孕吐也有一定的帮助,孕妇千万不要因为恶心呕吐就整日卧床。

怀孕早期主要有恶心,呕吐,厌食,腰酸,乏力等症状。一般在怀孕后一个月内会恢复,也有的持续到4、5个月。

五、治疗

1、轻度妊娠呕吐者 一般不需特殊治疗。唯需了解患者对妊娠有无思想顾虑,注意其精神状态多予精神鼓励,并根据病人的喜好,给予易消化的食物分次进食,并应避免高脂肪的食品。另外由于烹饪时的气味易诱发和加剧呕吐,故患者在未恢复健康之前,尽可能避之

维生素B1B6、C以及小剂量镇静剂如鲁米那、三溴合剂等对于一般症状均有一定效果。

2、严重呕吐或伴有脱水、酮尿症者 均需住院治疗。在住院24小时内应予禁食静脉滴注5~10%葡萄糖液及林格氏溶液,补液量应在3000ml/24h, 但需根据病人体重酌情增减另需按化验所测血钾、钠情况,以决定补充电解质的剂量贫血较重或营养很差者,也可输血或静脉滴注必需氨基酸500ml/d, 连续数日以补充能量。

在治疗期间必须定时化验血清电解质及CO2-CP等以利观察治疗效果。一般在治疗24~48小时后,尿量多增加症状缓解。在此期间,医护人员对患者的关心安慰及鼓励是很重要的,同时应逐渐开始少量多次进流质饮食,而后可渐停静脉补液一般在入院后5~10天内多可明显好转。

少数病例经保守治疗无效时可试加用肾上腺皮质激素,氢化可的松200~300mg加入5%葡萄糖500ml内静脉缓滴,常可收到良好效果

3、经积极治疗仍无效者,如有下列情况,当予治疗性流产。① 持续黄疸;② 持续出现蛋白尿;③ 有多发性神经炎(Polyneuritis)及神经性体征者;④ 体温持续在38℃以上卧床情况下,心率在110bpm以上者;⑤ 伴有精神症状出现者。

以上均属行治疗性流产的指征。

在祖国医学中对于妊娠恶阻的患者采用和胃降逆的治则,处方:姜川连2g,淡吴萸2~3g,陈皮9g, 枳壳6g,砂仁3g黄芩9g,姜竹茹9g,可浓煎成100ml分多次口服, 亦有一定效果。

六、应对早孕反应的三大策略
早孕反应的难过程度不亲历者是不能体会的,所以,早孕女性要想尽招数来缓解这种不适,应对早孕反应的三大策略就是:

1、心理战胜:心情要保持轻松愉快;自学一些保健知识,以充分认识早孕反应,解除心理上的负担。丈夫的体贴,亲属,医务人员的关心能解除孕妇的思想顾虑,增强孕妇战胜妊娠反应的信心;另外还需要有一个舒适的环境,多可使症状减轻。

2、饮食对策:注意食物的形、色、味,多变换食物的大小,使其引起食欲。在能吃的时候,尽可能吃想吃的东西。要减少每次进食的量,少食多餐。多喝水,多吃些富含纤维素和维生素B1的食物可以防止便秘,以免便秘后加重早孕反应的症状。改善就餐环境可以转换情绪,激起孕妇的食欲。

3、适量活动:不能以为恶心呕吐就整日卧床休息,否则只能加重早孕反应,如活动太少,恶心、食欲不佳、倦怠等症状则更为严重,易生成恶性循环。适当参加一些轻缓的活动,如室外散步、做孕妇保健操等,都可改善心情,强健身体,减轻早孕反应。

★ 如何对付最可怕的早孕反应--孕吐
http://baby.sina.com.cn/yuntu/index.shtml

饮食疗法
其实孕早期(前三个月)胎儿生长缓慢,并不需要太多的营养。在口味上可以尽量选取自己想吃的东西,还要尽量减少每次进食的量,少食多餐。多喝水,多吃富含维生素的食物,可以防止便秘,因为便秘会加重早孕反应。

尽可能多地变换就餐环境,这样能激发食欲。为了减轻孕吐反应,多吃一些较干的食物,如烧饼、饼干、烤馒头片、面包片等。如果孕吐严重,多吃蔬菜、水果等偏碱性的食物,以防酸中毒。

妈妈们的孕吐小偏方
● 生姜:研究发现生姜可以帮助缓解孕吐症状。可以自己试试制作姜茶:切两片硬币大小的生姜,然后用开水浸泡5~10分钟。取出生姜,加入红糖, 蜂蜜或柠檬就可以了。
● 喝水:身体的代谢增加,大量的水除了可帮助代谢,还会降低血液中激素的浓度,以减轻身体的不适。
● 苹果:早起吃一个苹果,对缓解恶心和呕吐很有帮助,而且有助于保持肠道畅通,预防便秘。
● 黄瓜:黄瓜的清香会让你不舒服的感觉一扫而光。
● 蜂蜜:起床前,将一勺蜂蜜含在嘴里,可以帮助身体吸收一部分血糖,使血糖浓度不致过低,孕吐的次数就减少了。

最常用的10种抵制晨吐的方法
● 每天起床前先吃点饼干或面包
● 少食多餐
● 喝牛奶
● 大量喝水
● 喝碳酸饮料
● 食用刺激性小、不油腻的食物
● 充足的睡眠,多注意休息
● 避免接触炒菜的油烟
● 避免食用油炸和辛辣食物
● 含一块糖果
● 另外,将一只新鲜的柠檬放在枕边,早晨起床的时候闻闻它的清香,对抑制晨呕也有不错的效果哟!

七、应对早孕反应食物

妊娠早期约有半数以上的孕妇会发生挑食、偏食及轻度恶心、呕吐等现象,医学上称为早孕反应。早孕反应不是疾病,而是孕妇对妊娠暂时不能很快适应而出现的生理反应,一般从妊娠第6周开始,12周以后逐渐消失。我们可以通过饮食予以调理。

● 醋蛋汤
功效:此汤每日1次,连服3天,能有效缓解妊娠呕吐。
原料:鸡蛋2个,白糖30g,米醋100g。
制法:
1、 将鸡蛋磕入碗内,用筷子搅匀,加入白糖、米醋调匀,待用。
2、 锅置火上,加清水适量,用旺火煮沸,淋如调匀的鸡蛋液,煮沸即可。
特点:酸甜可口、开胃。

● 糖醋胡萝卜
功效:增进食欲,缓解孕妇妊娠呕吐,适合孕早期食用。
原料:胡萝卜250g,白糖25g,米醋13g,精盐、香油各适量。
制法:
1、 将胡萝卜去根、叶,洗净,用刀刮去皮,切成6cm长的细丝。
2、 将胡萝卜丝放小盆内,撒上精盐拌匀。
3、 把盐渍的萝卜丝用清水洗净,沥干水,放入碗内,加入白糖、醋、香油拌匀放入盘内即可。
特点:酸甜爽口,清淡。

八、早孕反应与胎儿性别

瑞典斯德哥尔摩卡洛林斯卡医学院的流行病学家们证实:妊娠前三个月发生严重早孕反应的妇女怀有女孩的几率大于男孩。科学家们对瑞典1987年至1995年间超过100万例的新生儿进行考察,男女大体各占50%,比例正常,但仅研究在妊娠前三个月由于重度眩晕和呕吐等早孕反应(面色苍白)而入院治疗的5900名孕妇时却发现,她们所生的婴儿中男女比例则为44%:56%,与对照组有明显差异。

科学家们尚无法说明其原因所在,但推测这与她们体内的HCG(由于妊娠而产生的绒毛膜促性腺激素)水平升高有关:在普通妊娠中,生下女婴的母亲这一激素的水平更高一些。

与此同时,科学家也忠告孕妇们切勿对此初步发现而有所“举动”,因为根据早孕反应来判断婴儿性别毕竟并不比掷硬币的方法高明多少。

九、早孕反应应该做哪些检查
根据病史临床表现及妇科检查进行诊断HCG测定可明确早孕诊断症状严重化验尿中有酮体则可诊断为妊娠剧吐注意与妊娠合并消化系统疾病鉴别。

What Is Hyperemesis Gravidarum?

HG is a debilitating and potentially life-threatening pregnancy disease marked by rapid weight loss, malnutrition, and dehydration due to unrelenting nausea and/or vomiting with potential adverse consequences for the newborn(s).

十、妊娠剧吐(Hyperemesis Gravidarum)

【简介】

孕妇在早孕时出现头晕、倦怠、择食、食欲不振、轻度恶心呕吐等症状,称早孕反应。早孕反应一般对生活与工作影响不大,不需特殊治疗,多在妊娠12周前后自然消失。少数孕妇早孕反应严重,恶心呕吐频繁,不能进食,影响身体健康,甚至威胁孕妇生命时,称妊娠剧吐。其临床表现差异很大,绝大多数患者经治疗后痊愈,极个别患者可因剧吐而死于某些并发症,如酸中毒、肝功能衰竭等。

妊娠剧吐归于中医学“恶阻”范畴。古代医籍中有关该病的记载最早见于汉代,《金匮要略》中即有用桂枝汤治疗该病的记载。隋代巢元方《诸病源候论》中据其临床表现始创“恶阻候”,“恶阻”一名从此沿用至今。

若仅见怀孕后恶心、嗜酸、择食或晨间偶有呕吐痰涎等,这是妊娠早期常有的反应,属正常情况,一般3月后可自行消失。

【病因病理】

一、中医病因病机

中医对妊娠剧吐的认识由来已久。早在隋代,巢元方在《诸病源候论·恶阻候》中已指出“妇人元本虚赢,血气不足,肾气又弱,兼当风饮冷太过”,致脾胃虚寒,“心下有痰水" 而致病。宋代严用和《济生方》中有“此由妇人本虚,平时喜怒不节”一说,认为本病可 由情志因素致病,与肝有关。后世医家在此基础上不断发展完善,逐渐形成了本病“木旺克土, 肝胆犯胃”理论。
一般认为,发生本病的主要机理是冲气上逆,胃失和降。盖因受孕之后,经血不泻,阴血下聚以养胎,冲气偏盛,易循气街沿阳明胃经上逆犯胃。而本病发生的关键取决于孕妇的体质因素以及脏腑功能的失调。若脾胃虚弱、肝胃不和、痰湿等致冲气上逆,胃失和降,则发为本病。

二、西医病因病理
妊娠剧吐的病因迄今未明,可能主要与体内激素作用机制和精神状态的平衡失调有关。临床所见提示本病与血中绒毛膜促性腺激素(HCG)水平增高关系密切。但症状的轻重,不一定和HCG成正比。肾上腺皮质功能降低、维生素B6缺乏也被认为可能是发病的原因。此外,精神因素对妊娠剧吐的发生有着较大的关系,精神紧张可加重病情。

【诊断】

一、诊断要点

(一) 病史
停经史,可有早期妊娠反应,多发生在妊娠3个月内。

(二) 症状和体征
妊娠6周左右出现剧烈恶心呕吐,头晕,厌食,甚则食入即吐,或恶闻食气,不食也吐甚则滴水不进,呕吐物为胆汁、清水或夹血丝。日久则出现脱水及代谢性酸中毒,表现为消瘦,体重下降,口唇燥裂,眼窝凹陷,皮肤失去弹性,尿量减少,呼吸深快,有醋酮味。严重者脉搏增快,体温升高,血压下降。当肝肾功能受到影响时,可出现黄疽和蛋白尿。甚则眼底出血,病人意识模糊或呈昏睡状态。

体格检查见精神萎靡消瘦,严重者可见血压下降,体温升高,黄疽,嗜睡和昏迷。妇科检查可见阴道壁及子宫颈变软,着色,子宫增大与停经月份相符,软,有饱胀感。

(三) 实验室检查
1.尿液检查。
(1) 尿妊娠试验:以明确是否妊娠。阳性提示妊娠。
(2) 尿分析:尿酮体阳性;尿比重增加;尿中可出现蛋白和管型。
(3) 24小时尿量:减少。

2.血液检查。
(1) 血分析:可见红细胞总数和血红蛋白升高,血细胞比容增高,提示血液浓缩。
(2) 血生化检查:钾、氯浓度降低;严重者可见肝肾受损表现,如谷丙转氨酶、血胆红素、尿素氮、肌酐等升高。

(四) B超检查
子宫增大如孕月

(五) 必要时要进行心电图检查以了解有无低血钾或高血钾及心肌情况;眼底检查以了解有无视网膜出血。
诊断时,应根据病史、临床表现及相关检查以明确是否妊娠,确定妊娠后,根据其临床表现,并通过鉴别诊断排除葡萄胎等疾病外,即可确诊。除根据临床表现外,可进行上述检查以辨别病情轻重。

【治疗】

本病证候有虚有实,虚者多因脾胃虚弱,实者多因肝胃不和,也有虚实夹杂者,如脾胃虚弱而痰湿内停。其辨证主要根据呕吐物的性状和患者的口感:口淡、呕吐清涎者,多为脾胃虚弱;口苦、呕吐酸水或苦水,多为肝胃不和;口中淡腻、呕吐痰涎,多为痰湿阻滞。若口干烦渴,干呕或呕吐血性物,多为气阴两伤。

对于本病的治疗,我中心以调气和中,降逆止呕为主,并让患者注意调饮食和情志,讲究服药方法。

(一) 西医药治疗
1、补液止吐:每日补液量至少维持3000m,给予5%—10%葡萄糖2000ml,5%葡萄糖盐水、林格氏液1000ml,或根据孕妇体质状况和液体丢失情况酌情加减。液体内可加10%氯化钾20ml、维生素C3g\维生素Be200mg。

2、纠正酸中毒:根据血二氧化碳结合力水平,予以静脉补充5%碳酸氢钠溶液。

3、适时终止妊娠:经过上述处理,病情无改善,并出现持续黄疽,体温在38度以上,心率超过120次/分,或眼底出血者,应考虑终止妊娠。

(二) 中医药治疗

1、脾胃虚弱:
孕后恶心呕吐,或食人即吐,呕吐清液或食物,体倦乏力,神疲思睡,舌质淡、苔薄白,脉细滑无力。
治法:健脾和胃,降逆止呕。方药:党参、白术、茯苓各15克,陈皮、苏梗各10克,砂仁(后下)、炙甘草各6克,生姜3片。
中成药:香砂六君子丸。

2、肝胃不和:
孕后恶心呕吐剧烈,不能进食,呕吐酸水或苦水,心烦口干、口苦,胸胁胀痛,舌质红、苔薄黄,脉弦滑。
治法:抑肝和胃,降逆止呕。
方药:苏叶、黄连、陈皮、竹茹各10克,白术、茯苓、白芍各15克,砂仁(后下)6克。
中成药:左金丸。

3、痰湿阻滞:孕后恶心呕吐痰涎,不思饮食,口淡黏腻,腹胀便溏,舌质淡、苔白腻,脉滑滑。
治法:化痰除湿,和胃止呕。
方药:陈皮、制半夏、藿香、佩兰各lO克,白术、茯苓、薏苡仁、扁豆各15克,炙甘草6克,生姜3片。
中成药:二陈丸。

4、气阴两虚:孕后呕吐剧烈,神疲乏力,形体消瘦,目眶下陷,口干咽燥,尿少便干,舌质红、苔薄黄而干或花剥,脉细数无力。
治法:益气养阴,和胃止呕。
方药:太子参、生地、麦冬、白术、沙参、茯苓、芦根各15克,五味子、陈皮各10克,砂仁(后下)6克,生姜3片。
中成药:生脉饮。

【预防】

1、保持情志的安定与舒畅。
2、居室尽量布置得清洁、安静、舒适。避免异味的刺激。呕吐后应立即清除呕吐物,以避免恶性刺激,并用温开水漱口,保持口腔清洁。
3、注意饮食卫生,饮食宜营养价值稍高且易消化为主。可采取少吃多餐的方法。
4、为防止脱水,应保持每天的液体摄入量,平时宜多吃一些西瓜、生梨、甘蔗等水果。
5、呕吐严重者,须卧床休息。
6、保持大便的通畅。
7、呕吐较剧者,可在食前口中含生姜1片,以达到暂时止呕的目的。

【避免误诊 】

妊娠呕吐,严重时粒米不下,食入即吐者,可导致脱水、酸中毒等,不可止于自疗应及时去医院就诊处理。
如出现高热、脉搏加快,皮肤、巩膜、小便发黄,呕吐苦水者,不可止于自疗应立即去医院作有关肝胆方面的检查。
妊娠期常可因胃炎、阑尾炎等引起呕吐,此时应注意有无上述病史、疼痛部位与性质,以资鉴别。

【自我治疗验方 饮食疗法】
自治疗法

1.成药自疗法
(1) 香砂养胃丸,每次6克,每日3次。用于脾胃虚弱型。
(2) 二陈丸,每次6克,每日3次。用于脾胃虚弱型。
(3) 左金丸,每次6克,每日3次。用于肝胃不和型。
(4) 孕妇清火丸,每次6克,每日3次。用于肝胃不和型。

2.验方自疗法
(1) 葫芦茶30克,水煎分3次服。
(2) 柚子片15克,水煎服,每日2次。
(3) 柿蒂30克、冰糖60克。煎水代茶,徐徐饮之。
(4) 橘皮15克、生姜10克、红糖20克,煎水代茶。

3.饮食自疗法
(1) 鲜姜汁1汤匙、甘蔗汁1杯,共调匀,加热温服。本方用治孕妇呕吐,饮食难下,具有健胃、下气、止呕之功效。
(2) 鲜姜200克、韭菜200克、白糖。将韭菜、生姜切碎,捣烂取汁,用白糖调匀饮汁。本方用治怀孕后恶心呕吐、不思饮食之症,具有温中止呕、行气和中的作用。
(3) 鲜姜15克、萝卜籽15克、柚皮15克。用水1碗,煮成半碗后服。本方用治妊娠呕吐,具有温中止呕的作用。
(4) 鲜姜5克、灶心土30克,水煎服。妊娠早期反复出现恶心、呕吐、头晕、厌食、甚至食入即吐者,称为妊娠恶阻,主要机理为胃失和降,冲脉之气上逆所致。
(5) 生姜12克、茯苓12克、半夏6克,水煎服。本方主治妊娠初期,恶心,呕吐者。
(6) 鲜姜30克、白糖30克。水煎服。本方主治妇女妊娠呕吐者。每日频频饮用,具有良好的止呕作用。
(7) 老姜9克,柚皮18克。姜切成片,和柚皮一起入锅,加1杯水煮,至半杯水的量,取出残渣,等凉后再食用。老姜有止呕作用,柚皮有抑制上逆的功能,故治疗孕吐,颇有功效。但本方稍有刺激性,不可过量服用。
(8) 甘蔗汁半杯,鲜姑汁1汤匙。将甘蔗剥去皮,捣烂绞取汁、鲜姜洗净捣碎取汁,然后将两种汁倒在一起,和匀稍温后饮服。有和胃止呕之功。
(9) 糯米汤:糯米120克,按常法熬汤饮,每天分四次温服,禁食硬、冷食物。具有益气、和中作用。
(10) 黄连1.5克、苏叶3克。将黄连、苏叶泡水代茶,频频饮服。功能清热和胃。
(11) 韭菜200克,鲜姜200克,白糖适量。将韭菜、生姜洗净切碎,捣烂取汁,用白糖调匀饮服。具有温中止呕之功。
(12) 鲜芹菜根10克,甘草15克,鸡蛋1枚,先把鲜芹菜根、甘草洗净熬汤,水沸后打入鸡蛋后趁热服。功能清热,降逆。
(13) 鸡蛋1只、白糖50克、米醋100克。加水适量同煮,熟后吃蛋喝汤。每日2次。
(14) 活鲤鱼1条。洗净隔水蒸熟,食之(不可放油盐等调)。
(15) 活鲤鱼1条、粳米100克,鱼洗净与粳米共煮粥,每日2次食之。
(16) 绿豆10克、扁豆15克、刀豆15克、生姜5克,煎水代茶。

●麦门冬粥
功效:安胎,降逆,止呕。
配料:鲜麦冬汁、鲜生地汁各50克,生姜10克,薏米15克,大米80克。
制作:将薏米、大米及生姜入锅,加水煮熟,再下麦冬汁、生地汁,调匀,煮成稀粥。用法:空腹食。每日2次。

●生姜乌梅饮
功效:和胃止呕,生津止渴,适用于肝胃不和之妊娠呕吐。
配料:乌梅肉、生姜各10克,红糖适量。
制作:将乌梅肉、生姜、红糖加水200克煎汤。用法:每次服100克,每日2次。

●姜汁牛奶
功效:益胃,降逆,止呕。
配料:鲜牛奶200克,生姜汁10克,白糖20克。
制作:将鲜牛奶、生姜汁、白糖混匀,煮沸后即可。用法:温热服,每日2次。

●砂仁蒸鲫鱼
功效:利湿止呕。
配料:鲜鲫鱼250克,砂仁5克。
制作:砂仁研成细末;鲜鲫鱼去鳞和内脏将酱油、盐、砂仁末搅匀,放入鲫鱼腹中,用淀粉封住刀口,放入盘中盖严,上笼蒸熟。用法:佐餐食。

●姜汁炒糯米
功效:补中益气。
配料:糯米250克,生姜汁3匙。
制作:炒锅放在文火上倒入糯米、生姜汁同炒、炒到糯米爆破,研成粉即成。用法:每次1汤匙,每日2次,开水调服。5—7次有效。

4.外治自疗法
(1) 按压内关穴(手臂内侧,腕上二寸,二筋之间)、足三里(外膝眼直下三寸,胫骨外缘一横指处),每次3-5分钟。
(2) 生姜30克、乌梅10克。共绞汁擦舌,1日数次。
(3) 丁香15克、半夏20克、生姜30克。前两味研末,生姜煎浓汁,共调成糊状,取适量敷脐部,每日1次,连用3-4日。
(4) 陈艾叶250克、苍术30克。揉碎后用细麻纸卷成条状(要卷紧),点燃后灸中脘穴(脐上四寸)、内关穴、足三里。灸时离皮肤一寸左右,至局部皮肤潮红为度。

5.其他自疗法
芫荽250克、苏叶6克、藿香6克、砂仁1.5克。在屋内熏蒸。。

妊娠剧吐药膳
妊娠剧吐,以中医的病因来分,有3种类型:脾胃虚弱、肝胃不和、气阴两虚。

(1) 脾胃虚弱型
恶心呕吐不食,口淡流涎,神疲思睡,苔白而润,脉滑无力,治宜健脾和胃,降逆止呕。药膳2则。
①山药炒肉片。
原料:鲜山药100克,生姜丝5克,瘦肉50克。
做法:将山药切片与肉片一起炒至将熟,然后加入姜丝,熟后即可服食。
功能:健脾和胃,温中止呕。山药健脾补气,瘦肉补气血,生姜温中止呕。
②砂仁粥。
原料:粳米150克,砂仁5克,白糖适量。
做法:将米人沙锅,加水500毫升煮,待米沸粥稠时,调入砂仁末,用文火稍煮沸粥稠即停火加白糖,每Et早晚温服。
功能:暖脾胃,助消化,补中气。凡脾胃虚弱,恶心呕吐,不思饮食者,可辅食此粥。

(2) 肝胃不和型
呕吐酸水或苦水,胸闷腹痛胀气,头胀头晕,烦渴口苦,苔薄黄,舌淡红。
药膳为紫苏姜橘饮。
原料:苏梗5克,生姜6克,大枣10枚,陈皮6克,红糖15克。
做法:上药煎水取汁当茶饮。
功能:健脾和胃,理气止呕。苏梗、陈皮宽中理气,行滞上呕;生姜温胃止呕;大枣、红糖健脾。凡胸腔满闷、恶心呕吐、不饮不食者,可做辅助治疗。

(3) 气阴两虚型
呕吐剧烈甚至吐出血样物,发热口渴,精神委靡,脉细数无力。适宜养阴益气、和胃止呕。
药膳为芦笋黄芪瘦肉汤。
原料:黄芪15克,鲜芦笋150克,瘦猪肉100克。
做法:将三味放人锅中,加水适量煎至肉熟,拌入作料即可,食肉饮汤。
功能:黄芪性温补中益气,芦笋甘淡性寒、清热生津、养阴除烦,瘦肉补气血健脾胃。

妊娠剧吐对策
1.主要症状呕吐与饮食无关,甚至吐出胆汁。孕妇表现口渴、口干、尿少等,严重者会发生抽搐、昏迷、语无伦次等精神症状。

2.防治要点妊娠剧吐除就医治疗外,应注意平时精神状态调整,家人多给予鼓励帮助,饮食以清淡易消化为宜,防止接触烹饪气味诱发和加剧呕吐,少食多餐,保证午间小睡,每日睡眠充足。

临床上常将妊娠剧吐分为轻症和重症两种。轻症者可有反复呕吐、厌食、挑食、软弱无力的症状,有时伴有失眠和便秘,但体温脉搏正常,体重减轻不明显;重症者呕吐频繁,不能进食、进水,全身乏力,明显消瘦,小便少并有酮体出现,伴有脱水和电解质紊乱等症状。脱水会引起血液浓缩导致脱水性尿量减少,尿中可出现蛋白、管型。由于不能进食,体内储存的脂肪便氧化供给人体热量,但脂肪氧化不完全会使血和尿中酮体增加,出现酸中毒。此外,饥饿和脱水会使肾功能受到损害。

要减轻妊娠呕吐的痛苦,孕妇应当保持精神愉快,情绪稳定。有调查表明,精神过度紧张、神经系统功能不稳定的妇女,容易发生妊娠呕吐。轻症妊娠呕吐应注意饮食调节,选择爱吃的食物,食物中应含有丰富的糖类和维生素,且容易消化吸收;少食多餐,每次进餐后宜静卧片刻,必要时可在医生指导下服用镇静止吐药。对于重症妊娠呕吐者,需要休息或住院治疗,必要时可采用输液疗法,以补充水分,增加营养,纠正脱水和酸中毒。呕吐停止后再进食,随着症状减轻,进食量再逐渐增加。

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Morning sickness
From Wikipedia, the free encyclopedia
http://en.wikipedia.org/wiki/Morning_sickness

Morning sickness, also called nausea gravidarum, nausea, vomiting of pregnancy (emesis gravidarum or NVP), or pregnancy sickness is a condition that affects more than half[1] of all pregnant women, as well as some women who use hormonal contraception or hormone replacement therapy. Usually, it is present in the early hours of the morning and reduces as the day progresses. The nausea can be mild or induce actual vomiting. In extreme cases, vomiting may be severe enough to cause dehydration, weight loss, alkalosis and hypokalemia. This extreme condition is known as hyperemesis gravidarum and occurs in about 1% of all pregnancies. Nausea and vomiting can be one of the first signs of pregnancy and usually begins around the 6th week of pregnancy (week 1 starting on the day the last period started). It can occur at any time of the day, and for most women it seems to stop around the 12th week of pregnancy.[2]

Causes
Proximate causes of pregnancy sickness include:
● An increase in the circulating level of the hormone estrogen. Estrogen levels may increase by up to a hundredfold during pregnancy.[3] However, there is no consistent evidence of differences in estrogen levels between women who experience sickness and those who don't.[4]
● Low blood sugar (hypoglycemia) due to the placenta draining energy from the mother, though studies have not confirmed this.[5]
● An increase in progesterone relaxes the muscles in the uterus, which prevents early childbirth, but may also relax the stomach and intestines, leading to excess stomach acids and gastroesophageal reflux disease.
● An increase in human chorionic gonadotropin.
● An increase in sensitivity to odors, which overstimulates normal nausea triggers.

Morning sickness as a defense mechanism
Morning sickness is currently understood as an evolved trait that protects the fetus against toxins ingested by the mother.[6] Many plants contain chemical toxins that serve as a deterrent to being eaten. Adult humans, like other animals, have defenses against plant toxins, including extensive arrays of detoxification enzymes manufactured by the liver and the surface tissues of various other organs. In the fetus, these defenses are not yet fully developed, and even small doses of plant toxins that have negligible effects on the adult can be harmful or lethal to the embryo.[7] Pregnancy sickness causes women to experience nausea when exposed to the smell or taste of foods that are likely to contain toxins injurious to the fetus, even though they may be harmless to her.

There is considerable evidence in support of this theory, including:[8]
● Morning sickness is very common among pregnant women, which argues in favor of it being a functional adaptation and against the idea that it is a pathology.
● Fetal vulnerability to toxins peaks at around 3 months, which is also the time of peak susceptibility to morning sickness.
● There is a good correlation between toxin concentrations in foods, and the tastes and odors that cause revulsion.
● Women who have no morning sickness are more likely to miscarry or to bear children with birth defects.

In addition to protecting the fetus, morning sickness may also protect the mother. Pregnant women's immune systems are suppressed during pregnancy, presumably to reduce the chances of rejecting tissues of their own offspring.[9] Because of this, animal products containing parasites and harmful bacteria can be especially dangerous to pregnant women. There is evidence that morning sickness is often triggered by animal products including meat and fish.[10]

If morning sickness is a defense mechanism against the ingestion of toxins, the prescribing of anti-nausea medication to pregnant women may have the undesired side effect of causing birth defects or miscarriages by encouraging harmful dietary choices.[8] On the other hand, many domestic vegetables have been purposely bred to have lower levels of toxins than in the distant past, and so the level of threat to the embryo may not be as high as it was when the defense mechanism first evolved.[11]

Other explanations
Many other non-scientific theories for morning sickness have been proposed in the past. Notably, according to psychologist Sigmund Freud, morning sickness is the result of the mother's loathing of her husband. The subconscious manifestation of this is a desire to abort the fetus through vomiting.[12] In general, such theories are not accepted by modern scientists; Steven Pinker, in "How the Mind Works" goes further, ridiculing the idea as the "barf-up-your-baby theory".[12]

Treatments
Treatments for morning sickness typically aim to lessen the symptoms of nausea, rather than attacking the root cause(s) of the nausea. Treatments include:
● Lemons, particularly the smelling of freshly cut lemons.
● Avoiding an empty stomach.
● Accommodating food cravings and aversions.
● Eating five or six small meals per day, rather than three large ones.
● Eating cabbage.[13]
● Trying the BRAT diet: bananas, rice, applesauce, toast and tea.[14]
● Ginger, in capsules, tea, ginger ale, or ginger snaps.[15]
● Eating dry crackers in the morning.
● Drinking liquids 30 to 45 minutes after eating solid food.
● If liquids are vomited, sucking ice cubes made from water or fruit juice.
● Vitamin B6 (either pyridoxine or pyridoxamine), often taken in combination with the antihistamine doxylamine (Diclectin).

A doctor may prescribe anti-nausea medications if the expectant mother suffers from dehydration or malnutrition as a result of her morning sickness, a condition known as hyperemesis gravidarum. In the US, Zofran (ondansetron) is the usual drug of choice, though the high cost is prohibitive for some women; in the UK, older drugs with which there is a greater experience of use in pregnancy are preferred, with first choice being promethazine otherwise as second choice metoclopramide, or prochlorperazine.[16]

Thalidomide
Further information: Thalidomide#History
Thalidomide was originally developed and prescribed as a cure for morning sickness in West Germany, but its use was discontinued when the drug's teratogenic properties came to light. The United States Food and Drug Administration never approved thalidomide for use as a cure for morning sickness.

References
● Morning Sickness: A Comprehensive Guide to the Causes and Treatments, Nicky Wesson, Vermilion (1997), ISBN 009181538X
● Morning Sickness - A Medical Dictionary, Bibliography, and Annotated Research Guide to Internet References, ICON Health Publications (2004), ISBN 0597840431

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Pregnancy - Morning Sickness

Morning Sickness During Pregnancy
Pregnancy and morning sickness come almost hand-in-hand. Approximately 85% - 95% (depending on whose study or article you read) pregnant moms suffer some degree of morning sickness during the first trimester. Like anything else in a pregnancy, morning sickness differs from pregnancy to pregnancy. Some moms have no trouble with it at all, while some suffer through their entire pregnancy with bouts of morning sickness. Some moms suffer 24-hour nausea, and others are so sick that they require hospitalization because of dehydration caused by continuous vomiting.

What is “Morning Sickness”?
Morning sickness (which is sometimes called “pregnancy sickness”) refers to pregnancy-related nausea and vomiting. While the most common time expecting Mom’s experience morning sickness is in the morning (most likely due to the fact that the stomach is empty at the time and more prone to being queasy), morning sickness can happen anytime during the day, sometimes striking without warning. It can last for a few minutes or for several hours – for some moms, it can last all day. Morning sickness may be simple (or extreme!) nausea, and can be (but is not always) accompanied by vomiting.

When does Morning Sickness start?
Morning sickness is usually occurs during the first 16 weeks of pregnancy, making its first appearance around the 4th - 6th week of pregnancy (this is when most Mom’s realize that what they are experiencing might not be a touch of the flu, but it might be time to take a pregnancy test). Symptoms end around the beginning of the second trimester for about half of pregnant moms who suffer from morning sickness. About half of pregnant mom’s who experience morning sickness in their pregnancy through parts of the second and third trimesters. A few unfortunate moms suffer from morning sickness through their entire pregnancy. It’s not uncommon for morning sickness to go away for the second trimester, and then make an encore appearance in the second half of the third trimester.

What Causes Morning Sickness?
There may be more than one specific cause of morning sickness. Common culprits that cause morning sickness include:

1. Hormones: It’s believed that increased levels of hormones is directly related to morning sickness. The specific hormones believed to cause morning sickness are:

● Estrogen. Estrogen levels can increase by up to a HUNDREDFOLD during pregnancy – that’s a lot of estrogen. Many scientist and doctors believe that this increase may be the cause of morning sickness for many women.
● Progesterone (a steroid hormone). During pregnancy, progesterone relaxes the muscles in the uterus. While this helps prevent early childbirth, it may also relax the stomach, leading to excess stomach acids, and cause morning sickness symptoms.
● Human Chorionic Gonadotropin (HcG). HcG is a hormone produced by the baby embryo soon after conception and later by the placenta. The presence of this hormone is believed by many to be the main cause of morning sickness.

2. Physiological changes which take place in early pregnancy, including the changes in the way the body metabolizes carbohydrates.

3. There is also research being done to see if morning sickness is the body’s way of letting mom know she needs to change her diet. Researchers and doctors believe that morning sickness may warn mom’s to eat bland diets during the first months of pregnancy as an evolutionary safety mechanism meant to keep women from eating foods that might be dangerous to the baby.

Check out the following Washington Post article for more information regarding toxins and morning sickness http://www.people.virginia.edu/~rjh9u/profet.html

4. Another cause of morning sickness can be Mom’s heightened sense of smell, and sensitivity to smells. This is a “which came first, the chicken or the egg” theory – does Mom suffer from morning sickness as a result of the sensitivity to smells, or is Mom sensitive to smells because of morning sickness?

What are morning sickness symptoms?
The symptoms of morning sickness are pretty basic, and range in severity from mom to mom and even pregnancy to pregnancy. You may be suffering from morning sickness if . . .
● You feel nauseated or queasy during the day
● You find yourself sensitive to smells

Are there any cures for morning sickness?
It’s one thing to know about morning sickness, it’s another thing to get rid of morning sickness. Morning sickness remedies have been around since women first started getting pregnant. Two of the most common cures for morning sickness are:

Saltine crackers are always recommended as a morning sickness cure – because most of the time, they work. The crackers are bland, and quickly absorb stomach acid which can cause the nauseated feeling experienced with morning sickness.

Ginger (in tea, candied or ginger ale form) has been used as a folk-remedy for centuries, and has now been scientifically proven to be an effective morning sickness remedy for many moms.

Why do some women suffer from morning sickness more than others?
Like everything else in a pregnancy, morning sickness is different from Mom to Mom, and no two moms have the exact same experiences. Some of the factors that could determine whether you experience morning sickness or not, or to the degree that you experience morning sickness include:

Your history:
● Is this your first pregnancy? If so, you may be more prone to morning sickness than those moms who are pregnant with their second or third child.
● If you had a sensitive stomach before pregnancy, you may be more likely to experience morning sickness during pregnancy.
● You had nausea and vomiting in a previous pregnancy.
● You have used the pill as a method of birth control and you experienced nausea as a side effect. This could indicate that your body is sensitive to estrogen.
● You suffer from motion sickness.
● You suffer from migraine headaches.

Your Genetic Background:
● If your grandmother, mother or sisters had severe morning sickness, chances are you will, too.

This pregnancy:
● Are you pregnant with twins or more? Moms of multiples report more nausea than moms of singletons.

Is there any risk associated with morning sickness?
The biggest risk of morning sickness is dehydration and malnutrition caused by the fact that you can’t eat, drink, or keep anything down. Visit our article The Risk of Morning Sickness for morning sickness risks and warning signs to look out for.

Contrary to a popular old wives tale, morning sickness does not increase the risk of miscarriage. As a matter of fact, several studies have shown that women who suffer morning sickness in pregnancy are less likely to suffer a miscarriage than those that do not experience morning sickness.

Should I Worry If Morning Sickness Doesn't Start for Me?
There are many, many pregnant women – and pregnancy graduates - who will say that you should count your blessings! While some people believe that morning sickness is a sign of a healthy pregnancy, not having morning does not mean that there is anything wrong with you, your baby or pregnancy. The vast majority women who experience no morning sickness symptoms carry to full term. Talk with your doctor about your concerns if you have any at all.

■ Foods for Morning Sickness
Morning sickness strikes most pregnant women during their first trimester, and many continue to suffer some degree of morning sickness or nausea through out their pregnancy.

Diet itself can go a long ways in helping to prevent and control morning sickness – and there are foods that can trigger morning sickness and queasiness as well.

Three main food “do’s” that you can do to help combat morning sickness are:

1. Eat complex carbohydrates, focusing on grains (rice, corn, wheat, oats, millet, barley). Complex carbohydrates act as time-release energy capsules, slowly releasing energy into your bloodstream and helping to keep you feel full. Breads, pasta and crackers are just a few of the foods that should help you combat morning sickness. Be careful of the ‘toppings’ though – pasta smothered in tomato, heavy cheese, or other sauces might actually act as a ‘trigger’ for nausea instead of helping combat it. The same holds true with crackers – you may want to stay with plain crackers (such as saltines, rye crips, or triskets) instead of eating crackers that are coated with cheese, seasoning and other flavorings.

2. Focus on chilled foods instead of hot foods. Chilled pasta salads, green salads, fruit salads, cold chicken (cooked, then chilled), sandwiches, etc., tend to be easier on the stomach than hot-out-of-the-oven foods.

3. Stay with comfort foods that make you feel better. Make a list of foods that help you feel better, and keep a second list of foods that trigger nausea (or heartburn, which is another common discomfort of pregnancy). The purpose of the list is to help you recognize potential “no-nos”, and keep in mind those foods that don’t trigger nausea and morning sickness. Don’t be surprised if the list changes as your pregnancy progresses.

Foods that may be just fine for some folks might cause problems for others. My ‘proven cure’ for morning sickness was cranberry juice and graham crackers – a combination that some of my pregnant friends couldn’t understand. Popcorn, which works for many pregnancy women, made any feelings of nauseau I was having take a turn for the worse. Foods that are known to be ‘tummy-friendly’ include:
● Applesauce (unsweetened seems to be the preferred type)
● Avocado
● Bagels
● Cereal
● Crackers, bread
● Fresh fruit – apples, bananas, pears, etc.
● Fresh or frozen berries
● Frozen yogurt
● Ginger (tea, sticks, snaps, etc.)
● Grapes (frozen grapes make a wonderful cooling treat during warm months)
● Lemon drops
● Oatmeal
● Potatoes (in any of your favorite forms - baked, boiled, mashed, chips)
● Pretzels
● Puddings
● Rice
● Rice cakes
● Sherbert
● Yogurt smoothies

Foods that May Trigger Morning Sickness or Nausea (again, your personal experience may vary). Many of these foods (marked with an asterisk) are also known to trigger headaches as well.

● Artificial Sweetners* (and foods made with them – such as Splenda or Nutrasweet)
● Cabbage
● Cauliflower
● Coffee and Sodas*
● Foods containing monosodium glutamate* (MSG)
● Fried foods (either deep fried or fried in oil)
● High-fat foods
● High Sugar foods*
● Onions and peppers
● Sauerkraut
● Sausages
● Tomato sauces

■ 12 Morning Sickness Preventive Steps
Preventing morning sickness from day-to-day has become the life-long (or pregnancy long) goal of more than one mom. Morning sickness (more accurately called pregnancy sickness because it can happen in the morning, afternoon, evening or during the night!) will affect the majority of pregnancies at any given time. Some Moms only suffer through morning sickness during the first trimester, some struggle with it during the final trimester, and some Moms will experience pregnancy sickness through most of the full nine months.

Tips to Prevent Morning Sickness
An ounce of prevention is worth a pound of cure. While there is no guaranty that you can prevent morning sickness all the time, there are several things that you can do that may limit the morning sickness you have - either the frequency or the severity morning sickness that you may suffer. Some women have found that they can avoid morning sickness symptoms altogether with these simple tips:

1. Try to prevent morning sickness before you start your day. If you start the day queasy, you most likely won't feel well the rest of the day. The best way to do this is take preventive measures before you even get out of bed.
● Keep some snacks on your bedside table. When you get up to go to the ladies room at night, you can nibble on a few crackers. This will help absorb stomach acid and help keep your blood sugar from getting to low.
● Before you get out of bed, nibble on a few more crackers - or
have your husband bring you some dry toast, granola, or other bland to munch on before you start the day. The same principal holds true: you need to get something in your stomach to bring your blood sugar up and absorb some of the stomach acid that may cause you to get queasy as soon as you are on your feet.
● Ease yourself into your day. Once you have nibbled in bed,
slowly get up, and nibble a little more in the kitchen. If your stomach will let you, try to take in a little protein (peanut or almond butter on toast, or maybe a little yogurt). Take it slow. Hurried and rushed movements on an empty stomach can cause morning sickness to make a sudden, dramatic, and unwanted appearance.

2.Instead of eating three meals a day, try to eat a snack or mini-meal every two hours or so throughout your day. As mentioned, low blood sugar can cause a queasy stomach, which is why many women experience morning sickness in the afternoons - several hours after they last ate.

3. Don't forget your bedtime snack! Dairy foods act as natural antacid foods and can neutralize stomach acids while you sleep (I personally recommend a Dairy Queen blizzard). Fruit and crackers, or other complex carbohydrates, will help keep your stomach from filling with nausea triggering acid.

4. Learn from Moms of Toddlers: Keep crackers, a baggie of Cheerios, or veggie sticks in your purse or at your desk to nibble on through out your day. There are now 'single serving packs' of crackers that you can buy at the store. I use to buy the Ritz crackers with peanut butter snack packs and keep some at home, in my purse, in the rig, and at my desk. Even if you can't sit down and eat a mini meal, the snacks will help keep your blood sugar up.

5. Eat morning sickness preventive foods. You're probably already watching your pregnancy diet, but preventing morning sickness is another reason to eat plenty of fruit-filled smoothers, and low-fat, high-carb foods. Some morning sickness preventive foods include:
● Avacodos
● Protein - meat and eggs are a great source of protein, as are nuts (raw or dry roasted are best, avoid the honey roasted nuts as the sugar can upset your stomach) and black beans or kidney beans
● Dairy products like cheese, milk and yogurt (watch the sugar content in the yogurt, as sugar can trigger a queasy stomach)
● Spread Peanut Butter or another Nut butter (like almond or cashew butter) on crackers, bread, apple slices or celery sticks
● Complex carbohydrates like whole-grain pasta, crackers, bread and brown rice

6. Avoid eating foods that can trigger morning sickness. This can vary from person to person, but some of the most common triggers are:
● Fried and greasy foods (like fried chicken, French fries, fish, etc.)
● Artificial sweeteners
● Caffeine - especially partnered with an artificial sweetener - can really trigger that dreadful morning sickness feeling!
● Sweets - while I am a strong proponent of chocolate in moderation, sugars - especially in large quantities - can cause a stomach to turn queasy in a matter of minutes. It's much better to have a bagel or plain scone than to indulge in a maple bar, glazed doughnut or iced scone. Cookies, cakes and pies are other foods to avoid. To satisfy my sweet tooth (which has never been easy!) I would buy a bag of Hershey kisses (or splurge and get a bag of miniature chocolate bars) and limit myself to one piece whenever a craving hit me.
● Watch the "hidden" sugars in juice, yogurts, puddings and other comfort foods as well.

7. Stay hydrated! Not only is drinking enough water essential to your baby's growth, it's one of the best ways to avoid morning sickness. While you should be drinking at least twice your normal water intake while you're pregnant, eating water-rich fruits and vegetables such as grapes, melons, apples, and celery, are a great way to prevent dehydration.

8. Avoid drinking large amounts of water or other beverages during a meal.

9. Take your prenatal vitamins with a meal, or before bed. This is especially true if you were prone to have an upset stomach while taking birth control pills.

10. Dress coolly - being overheated is a trigger for a queasy stomach in most everyone, especially in pregnant moms whose hormones are raging and whose body's thermostat can fluctuate in a matter of minutes! In the same token, avoid warm and crowded places if at all possible.

11. Avoid smells that trigger nausea. The sense of smell becomes highly tuned during pregnancy. Avoid strong odors that act as triggers for you. Some of the smells that are most likely to make a pregnant stomach queasy include (but of, course, are not limited to):
● Fumes from gasoline or solvents
● Cooking or food odors (especially fried cooking! I know that I
couldn't step into a Chinese restaurant because of the smell of the fried foods)
● Cigarette smoke
● Wet dogs


12. If cooking odors bother you, delegate cooking duties to your husband (you can remind him that he loves to bar-b-que!), or ask a friend or relative to help you out on days that your morning sickness makes even the idea of what to cook unbearable. Other tips:
● Pre-cook, freeze, and fill the freezer up with meals on the days that you do feel well enough to cook. Don't worry - there's no such thing as "overcooking", all those pre-made meals will come in handy once the baby is (or babies are) born!
● Microwave cooked meals have a fraction of the odors associated with them that foods prepared in the oven or on the stovetop do.
● Remember: There's nothing wrong with sandwiches, or even cold cereal and milk for dinner.

One of the most important things you can remember is that what works for someone else may - or may not - work for you. Don't get discouraged. If you try something, and it doesn't work, try something else. Visit our article on Morning Sickness Cures and Remedies for some more ideas on how to make yourself more comfortable during your pregnancy.

The MOST important thing you can remember is that this is only temporary.

■ Pregnancy - Morning Sickness Cures

Morning Sickness Cures
Pregnancy related nausea, or "morning sickness", is common among expecting women. There is nothing fun or enjoyable about being queasy and nauseated for a morning, an entire day, week, month - or in some cases - an entire pregnancy. While there are 12 Morning Sickness Preventative Steps, there are times where you just need to feel better.

Are there any pregnancy morning sickness cures?
Unfortunately, there is no magic blue pill (or any other color pill, for that matter) that will instantly cure you from a bout of morning sickness. As with anything else, what works for one person might not work for another. Also, since your body and hormones are constantly changing during pregnancy, don't be surprised if what worked one week doesn't have the same affect on your morning sickness the next. But don't give up hope - there are many things you can take and do for morning sickness nausea!

Home Remedies and Cures for Morning Sickness
Many pregnant moms want to know "what can I take for morning sickness nausea?" The following are real-life remedies and cures for morning sickness that worked with real women during their pregnancies. If you believe that you suffer from morning sickness that goes beyond the ordinary, we urge you to read our article about the Risk of Morning Sickness.

1. Make yourself eat, especially if your last meal or snack was over two hours ago. Two of the biggest culprits of the queasy stomach and nauseas morning sickness symptoms are low blood sugar and a stomach filled with acid. Eat bland foods - crackers and dry toast for instance, or acid-neutralizing dairy foods like milk, yogurt and ice cream. Many women report near-miraculous recovery once there is something in their stomach.

I suffered from 24-hour morning sickness for the first trimester - everything triggered waves of nausea. I found the best relief for me was graham crackers and cranberry juice. Knowing now what I wish I had known then, I probably wasn't eating enough for my twin pregnancy, which brought on the nausea, and then was afraid to eat anything because of the nausea symptoms.

2. Pay attention to your cravings. Many pregnant women have complained of severe morning sickness, but when they ate what they craved - which they were sure would worsen their symptoms (a hamburger, taco, or pizza, or Pop Tarts for instance), the nausea went away.

3. Get out in the fresh air. Take a walk, or simply go outside, sit on a bench, and breath in non-stale air. Caution, this may not work in areas where there is a high level of exhaust fumes or cigarette smoke (or other smells that can trigger nausea), high humidity, or high temperatures. However, if it's nice (or even cold) outside, having a breath of air helps clear the nausea.

4. Stay hydrated! There is no understating the importance of
staying hydrated and drinking enough water while you are pregnant. If water makes you gag (some women have an aversion to the chlorine and/or minerals found in tap water), the following tricks:
● Make a blender smoothie using ice and fruit or milk (or yogurt) and fruit. You can add some nuts or whey powder to get some additional protein in your diet, too!
● Try adding a splash or slice of lemon or lime to very cold water with ice.
● Have a cup of ginger or mint tea. Stay away from caffeinated teas, and be careful of herbal teas - there are some herbal teas that are fine when you're not pregnant, but may cause problems during your baby's development. Check with your care provider before venturing beyond mint and ginger herbal teas.
● Suck on ice chips. One of my co-workers couldn't stand drinking water, but she was able to eat ice chips all day long. Not just a little ice - she went through eight six-ounce cups of ice a day!

5. Non-caffeinated carbonated beverages - such as 7-UP, organic
Ginger Ale, and Sprite, to name a few - bring great relief nausea relief to many people, pregnant or not. Stay away from the diet versions of these drinks; artificial sweeteners can increase nausea, and aren't healthy for your baby's development.

6. If possible, try lying down in a dark, cool room with your eyes closed (the building I worked in had some great rooms in the basement for this type of break). A damp towel draped across your forehead provides additional relief. Sometimes the absence of visual distractions and bright lights helps to calm morning sickness symptoms.

7. Better yet, take a nap. Sometimes stress and being over-tired can trigger morning sickness, and a quick nap takes care of the situation. You're pregnant - you are building a baby, and you cannot do everything you use to do before you became pregnant. Sometimes women - especially moms - forget that and over-extend themselves, the results of which can be fatigue and the feelings of morning sickness.

8. One of the most popular morning sickness cures is ginger root.
Try Ginger in many forms - candied ginger, ginger ale, raw ginger (either on its own or in a glass of cold water or hot tea), and for some moms, pickled ginger, can help ease the symptoms of morning sickness. As with any supplement, be wary of taking ginger capsules until you speak with your care provider regarding safe dosages of ginger in your pregnancy diet.

9. Don't forget to try the remedies that work for you when you suffer from motion sickness or have the stomach flu, either as an adult or the comforting remedies from childhood. What worked then will most likely work now to give you morning sickness relief.

10. Pay attention to what happens during your day, and note when you experience your morning sickness. Your morning sickness could follow the Danish you have every morning at 10. Many moms didn't make the correlation between their usual routines and morning sickness. One of the number one culprits of this is taking prenatal vitamins and iron supplements on an empty stomach or too early in the day. If you find that your prenatal vitamins bring on bouts of morning sickness no matter when you take them, ask your care provider about prenatals with lower amounts of iron.

Other moms have found morning sickness relief by changing their brand of soap, shampoo, or perfume while they were pregnant, or asking their spouse to stop smoking or change colognes.

Over-the-Counter Morning Sickness Relief
There are different types of pregnancy-relief drops, pops, and chewing gum that offer relief for Moms. We offer Preggie Pops and Drops in our store, mainly because so many customers and friends have said, "you need to sell these - they really, really work!" Preggie Pops, and similar products, are an all-natural remedy for morning sickness made specifically for women searching for a drug-free relief from pregnancy and morning sickness.

There is also an acupressure band you can purchase, which is a soft cotton wristband for motion sickness that's available in drugstores. The band has a plastic button that pushes against an acupressure point on the underside of your wrist. It's a simple, inexpensive method that has given many people relief from seasickness and morning sickness.

A step up from the acupressure band - at a cost of roughly $75 and available by prescription - is a band that, instead of acting as acupressure, stimulates the underside of your wrist with a mild electric current. This works well for some pregnant moms.

While widely available, do not take over-the-counter antacids or other stomach soothers without first talking to your care provider. Maalox may have worked wonders for your friend's cousin's sister, but it may not be safe for you and your baby during your pregnancy.

Vitamin Supplements and Prescriptions as Morning Sickness Remedies
Many women have found morning sickness relief in taking Vitamin B6. Check with your provider before taking this - or any other supplement. Your care provider will know the recommended and SAFE dosage for you and your baby (which may be different than that of your friend or sister!)

If you have a constant battle with morning sickness, talk to your doctor about a prenatal anti-nausea medication. There are several available that can be prescribed that won't harm the development of your baby. Read our The Risks of Morning Sickness article for signs of severe morning sickness that you should report to your doctor.

Remember - your body is changing every day in response to your pregnancy. Just because a cure didn't work in the first few weeks doesn't mean that you shouldn't try it again in the second or third trimester. Also, while some morning sickness remedies seem to be acts of miraculous healings, others may lessen symptoms to aid in your comfort. The only true cure for morning sickness in pregnancy is to have that baby - but we'd like you to be as comfortable as possible between now and then!

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1   [hunhundundun 于 2011-05-13 16:28:08 提到] [FROM: 134.]
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