Monday, July 14, 2008

Articles on Pregnancy Sickness

Hi Mae!

 

sharing these articles i found in baby fit. dunno if nakakabasa ka pa nyan but just in case...hope this helps :) in my case kse, i get a lot of comfort from pregnancy books and reading online. di naman kse 24/7 nakatutok OB.

 

hope your ultrasound turns out okay!

 

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Pregnancy Sickness

Symptoms, Triggers and Food Options for Morning Sickness
-- By Becky Hand, Licensed and Registered Dietician

Although it is most often called morning sickness, a more appropriate term is "pregnancy sickness," as it can occur morning, noon or night. If you experience it, you're not alone. 50-90% of moms-to-be are affected by nausea and vomiting during pregnancy. The condition is annoying, unpleasant and unpredictable for most. However, it can be a serious and life-threatening condition for those who end up requiring hospitalization due to dehydration and malnutrition.

Current theories suggest that pregnancy sickness is related to an increase in various hormones that are present during pregnancy. The three main hormone suspects are: progesterone, human chorionic gonadotropin, and estrogen.

Pregnancy sickness usually subsides and the symptoms lessen by the end of the first trimester. However, for some moms-to-be the symptoms can remain until the baby is delivered. Symptoms can include:

·                                 Nausea, queasiness, vomiting

·                                 Possible headaches

·                                 Dizziness

·                                 Heightened sense of smell

·                                 Irritability

·                                 Increased salivation

·                                 Dry mouth

·                                 Motion sickness

·                                 Parched, dry, cracked lips

·                                 Shivering and chills

It is important to try and identify the symptoms you have and locate the triggers of these pregnancy sickness symptoms. Then by alternating your schedule, routine or environment, you can avoid or eliminate them. For example, some of these triggers may bring about a pregnancy sickness response:

·                                 Fatigue

·                                 Being suddenly awakened by the alarm clock

·                                 Morning breath of your bed partner

·                                 Bed movement caused by your partner

·                                 An empty stomach

·                                 Certain smells (either food or non-food)

·                                 An airtight room with little ventilation

·                                 Certain foods

Try to get the nausea under control and then return to your normal, healthy eating plan. What "sounds" good to eat? Does it help to settle your stomach? For some, this might be cheddar cheese and Granny Smith apples; but for others it might be potato chips and lemonade. Remember to include a beverage to help rehydrate the body. The minerals sodium, potassium, and magnesium are critical for muscle contraction and stomach emptying. Many have found relief with:

·                                 Lemons (to lick or smell)

·                                 Tart lemonade

·                                 Salted potato chips, pretzels, tortilla chips

·                                 Saltine crackers

·                                 Fresh watermelon

·                                 Dill pickles

·                                 Tart Granny Smith apples

·                                 Tangy ginger ale

·                                 Frozen grapes

·                                 Mashed or baked potatoes

·                                 Water with a lime twist

·                                 Gatorade

·                                 Ginger tea

Do not hesitate to discuss the topic of pregnancy sickness with your health care provider. Ask for a referral to a Registered Dietitian who has experience in dealing with the nutritional care and management of pregnancy sickness. If your pregnancy sickness is severe and consistently prevents you from eating, drinking or keeping down nutrients, talk to your doctor about Hyperemesis Gravidarum. Check out this web site for additional help and support: www.morningsickness.net/.

 

 

Menus for Morning Sickness

What to Eat When You Are Feeling Nauseous
-- By Karen Gardner, Parenting Writer

According to the Mayo Clinic, over 70% of all expectant mothers experience nausea and vomiting during the first trimester of their pregnancy. That’s the bad news; the good news is that there are some foods that have been proven to have a soothing effect on nausea, making those early childbearing days more tolerable.

Ginger
A recent report in the Journal of Obstetrics and Gynecology has confirmed that ginger can help manage morning sickness in the first four months of pregnancy. This is something Dr. Susan Lanni has known all along. Dr. Lanni, an assistant professor of maternal fetal medicine at Virginia Commonwealth University Medical Center recommends a variety of non-pharmaceutical solutions for her obstetrical clients, and ginger is among them.

“Ginger is absorbed into the G. I. tract, and it works quite well on low-grade nausea,” says Lanni. “You can get ginger in a million different forms. Women can put a slice of fresh ginger between their cheek and gum and chew on it throughout the day or they can nibble on small pieces of crystallized ginger. They can also go to a Chinese food store and get a container of pickled ginger, which is moist and has a very stomach soothing effect.”

Women suffering with morning sickness might consider starting their day with cold or hot cereal topped with crystallized ginger slices, whole-wheat toast topped with ginger jam, or a cup of tea made from steeped fresh ginger slices, honey and lemon.

Nausea Breaking Foods
“I tell my patients they can eat anything that doesn’t have a skull and crossbones on it,” says Miriam Erick, a perinatal dietician at Brigham and Women’s Hospital. “It would be great if I could get them to eat something really healthy, but a lot of times they just need nausea breaking foods, something to break the cycle.” Erick, author of Managing Morning Sickness: A Survival Guide for Pregnant Women, considers morning sickness a very individual condition with different phases.

“When she feels fine, a woman might ask for something completely different than she would when her nausea is worse,” says Erick. “Therefore, the pickier a woman can be at that point in time, the more you are looking at the solution as opposed to something that isn’t going to work or something I think she should eat.”

To help women identify what foods relieve their individual nausea, Erick came up with a list of adjectives to describe foods and the sensations they create. The list includes salty, sour, bitter, sweet, crunchy, fruity, wet, dry, hot, cold, bland, mushy, earthy, spicy, and fizzy. When a woman is asked what she wants in terms of the list, her answer is typically the food that will break that particular cycle of nausea.

Mother Approved
As every woman’s morning sickness is different, so are the foods that relieve it. Listed here are some foods that go outside the cracker box, and have reportedly brought comfort to nauseous moms-to-be.

·                                 Potato Chips

·                                 Lemons

·                                 Lemonade

·                                 Gelatin

·                                 Watermelon

·                                 Raspberry tea

·                                 Ginger snaps

·                                 Avocado

·                                 Popsicles

·                                 Graham crackers

·                                 Yogurt

·                                 Peppermint

·                                 Baked potatoes

·                                 Rice Cakes


Resources

·                                 Managing Morning Sickness: A Survival Guide for Pregnant Women by Miriam Erick

·                                 Take Two Crackers and Call Me in the Morning by Miriam Erick

·                                 The Morning Sickness Companion by Elizabeth Kaledin

·                                 The Mother of All Pregnancy Books: The Ultimate Guide to Conception, Birth, and Everything in Between by Ann Douglas

·                                  

More Than Morning Sickness

What is Hyperemesis Gravidarum?
-- By Tanya Jolliffe, Nutritionist

About half of all pregnant women experience morning sickness. For the vast majority of women, morning sickness isn't a serious condition, and it doesn’t pose risk to their babies. However, a severe and serious form of pregnancy sickness, known as Hyperemesis Gravidarum, can pose health risks to both mother and baby.

Hyperemesis gravidarum (HG) is frequently described as consistent nausea and vomiting during pregnancy that prevents the woman from eating food and drinking fluids. This severe nausea and violent vomiting prevent the body from retaining and utilizing food and fluid. Some common concerns associated with untreated hyperemesis include:

·                                 rapid loss of weight (sometimes more than 10% of pre-pregnancy weight)

·                                 dehydration

·                                 critical nutrient deficiencies in early pregnancy

·                                 metabolic imbalances, including ketosis

·                                 inability to participate in previous levels of activity, including daily living

How Do I know if I have typical morning sickness or hyperemesis gravidarum?

BabyFit Member, DeCole, experienced this condition during her second pregnancy.  "I was losing weight at a rapid pace and not enjoying any part of life," DeCole recounts. "I was not able to keep down water, ice chips, or anything they recommend to ease morning sickness. My job was suffering, my family was suffering, and no one knew what to do to help me." DeCole informed her doctor of her "severe morning sickness" during a routine checkup.

Morning sickness affects most women in the early weeks of pregnancy. HG symptoms are no different. The following symptoms are common in early pregnancy and are generally associated with morning sickness:

·                                 Food aversions

·                                 Increased sense of smell

·                                 Sensitive gag reflex

·                                 Excessive salivation

·                                 Difficulty sleeping

·                                 Vomiting of mucus in addition to foods/fluids

·                                 Constipation

Hyperemesis symptoms, however, generally begin between weeks 4 – 6 of pregnancy and lessen by the end of the first trimester. It is not uncommon for symptoms to last as long as 21 weeks before a woman experiences some improvement. A small number of women may even experience some symptoms throughout their entire pregnancies. The cause of hyperemesis is not fully understood and while there are various theories, most professionals believe it is a complex complication of pregnancy, caused by a variety of factors.

Contact your physician immediately for an evaluation if you experience several of the morning sickness symptoms (bulleted list above) in combination with several of these hyperemesis gravidarum symptoms:

·                                 Dry, furry tongue

·                                 Excessive thirst

·                                 Loss of skin elasticity

·                                 Pale, waxy, dry skin

·                                 Headache

·                                 Extreme fatigue

·                                 Secondary anxiety, depression

·                                 Intolerance to motion, noise, light

·                                 Vomiting blood

·                                 Body odor due to rapid weight loss & ketosis

·                                 Fainting or dizziness

·                                 Rapid heart rate

·                                 Confusion

·                                 Rapid weight loss (2 or more pounds/week) due to excessive nausea and vomiting.

Morning sickness CAN progress to hyperemesis as your pregnancy progresses. So just because your physician diagnosed you with morning sickness at 8 weeks, it doesn't mean you won't develop something more serious at 10 weeks of pregnancy or later. If you are concerned, CALL your Doctor’s office and speak with a nurse. It is always better to be safe rather than sorry and suffering.

If you are diagnosed with hyperemesis gravidarum, your physician can develop a treatment and care plan to promote a healthy outcome for you and baby. Early diagnosis and intervention are important in preventing complications related to excessive vomiting, such as gastric ulcers, esophageal bleeding, malnutrition, and poor fetal development.

What treatment could I expect if I have hyperemesis gravidarum?

During her appointment, DeCole's doctor asked her a series of questions before diagnosing her with hyperemesis gravidarum. Together they worked out a treatment plan that involved medication and daily IV's.

Every woman and pregnancy is different and so is every treatment plan. The following is a general guide that many physicians follow when treating hyperemesis gravidarum patients:

·                                 Admission to an inpatient medical facility: Room assignments can have major effects on treatment outcome. A private room is recommended to maximize treatment by limiting noise, light, odors and stimulation from others. Fatigue worsens HG, so sleep is the most important treatment.

·                                 A full assessment of general metabolic and hormonal status: This requires frequent blood monitoring.

·                                 Ultrasounds: This can rule out gastrointestinal, gall bladder, or pancreatic disorders.

·                                 Close monitoring of food/liquid intake (and output)

·                                 Urine testing for presence of ketones

·                                 Careful re-hydration through IV's: Until a woman can tolerate foods by mouth (with little or no urine ketones), she can utilize a variety of IV options to receive food, fluids, and vitamins.

·                                 Antiemetic prescriptions: These medicines are prescribed to prevent nausea and vomiting.

·                                 A multidisciplinary approach: Other professionals such as physical therapists, registered dietitians and other medical specialties such as gastroenterologists are typically included in the care of a woman being treated for HG.

·                                 A woman who receives aggressive treatment at the onset of severe symptoms can prevent life-threatening complications and have a healthy pregnancy outcome. Post-pregnancy care is also important because it helps mom return to her pre-pregnancy states of physical and psychological health, preparing her for healthy future pregnancies that may occur.

DeCole worried about her baby's health as a result of her condition. "Would she be okay, is she getting the nutrients that babies need? Was I harming her in anyway? I was assured the baby was getting nutrients and that she was perfectly healthy." At about week 25 DeCole started eating more and gaining weight.

How can my family and friends help?

"I was shocked at how little research had been done on hyperemesis gravidarum, said DeCole. "So many people do not understand what this is like and I got very little sympathy. It is a real disorder that they are trying to figure out why it happens."

Many times the family and friends of woman suffering from HG feel extremely helpless and frustrated because they don't know how to help. Sometimes in their frustration, they may remark that things would get better if you tried harder and weren't so sensitive.

It is normal for those around you to feel helpless and even hopeless in their inability to "make it better" for you. Encourage them to visit  http://www.hyperemesis.org/family/faqs.php to learn how they can support you during this difficult time in your pregnancy.

DeCole tries to use her experience to help other women. "BabyFit and Hyperemesis.org have become very important to me because of the support I found from other Moms while I was going through this difficult season in my life. I can only hope that I can offer that support to someone who may need it now. You guys are important to me and together we do make a difference!"

4 comments:

mae punsalan said...

thanks faye! hihihi... my gusss! di ko na alam gagawin ko to alleviate my morning sickness. LOL... i am counting the days till i finish first trime. Gusto ko ng kumain para naman mabigyan ng proper nutrition baby ko. LOL.. muah!

Faye Pachoco-Paras said...

haha nagulat kse ako me term pa pla tawag dun pag malala na. try mo mga home remedies na nire recommend nila. hope kht isa me mag work! :D

mae punsalan said...

i tried potato chips before.. nagka UTI ako! LOOOOOOOOOOLLLL!! Kaya ngayon oat meal na lang the whole day.

Faye Pachoco-Paras said...

hahaha. di bale healthier naman oatmeal. grabe ako din before UTI din nung first trime. dami tuloy meds. :(

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