Motion sickness, characterized by nausea, vomiting, and dizziness, is common during pregnancy. Often intensified by hormonal shifts, it can occur at any time of day or night, despite its common association with “morning sickness.” While generally not harmful to the developing baby, its symptoms can significantly impact a pregnant individual’s comfort and daily life. Fortunately, several approaches exist to help manage these challenging symptoms.
Natural Remedies and Lifestyle Adjustments
Managing motion sickness during pregnancy often begins with simple, non-medicinal strategies that can provide significant relief. Adjusting eating habits is a primary step, focusing on small, frequent meals throughout the day rather than large ones. Opting for bland, easily digestible foods like crackers, toast, bananas, rice, or applesauce can help settle the stomach. Avoiding greasy, spicy, or strong-smelling foods can prevent triggering nausea. Staying well-hydrated by sipping water, clear sodas, or ginger ale throughout the day is also beneficial, as dehydration can worsen nausea.
Acupressure wristbands, such as Sea-Bands, offer a non-invasive option by applying pressure to specific points on the wrist, which some individuals find helpful in alleviating nausea and vomiting. Ginger, in its various forms like candies, lozenges, or tea, has long been recognized for its soothing effects on an upset stomach.
Environmental adjustments also play a role in reducing motion sickness. Ensuring good ventilation and getting fresh air, particularly when traveling, can help alleviate symptoms. Focusing on a fixed point on the horizon or a distant object, rather than looking at moving scenery, can help synchronize sensory input and reduce disorientation. Choosing strategic seating positions, such as the front seat of a car or over the wing in an airplane, can minimize perceived motion.
Over-the-Counter Options
When lifestyle adjustments are not sufficient, certain over-the-counter (OTC) options may be considered. Vitamin B6, also known as pyridoxine, is frequently recommended for pregnancy-related nausea and vomiting. It is believed to help regulate brain chemicals that influence queasiness and digestion. Typical dosages range from 10 to 25 milligrams, taken three times daily, though total daily intake should not exceed 40 mg without medical guidance.
Antihistamines are another category of OTC medications that can help with motion sickness. Dimenhydrinate, commonly found in products like Dramamine, and diphenhydramine, the active ingredient in Benadryl, are often used. These medications can mitigate nausea and are considered safe for occasional use during pregnancy. However, they can cause drowsiness, dizziness, or fatigue, which might be more pronounced during pregnancy.
Another antihistamine, doxylamine, often found in sleep aids, is also effective for pregnancy-related nausea, particularly when combined with vitamin B6. This combination is frequently recommended by medical bodies for managing morning sickness. It is important to adhere to recommended dosages and be aware of potential side effects, such as increased sleepiness.
Prescription Treatments
For severe or persistent motion sickness that does not respond to natural remedies or over-the-counter options, a healthcare provider may consider prescribing stronger medications. These prescription treatments, known as antiemetics, are reserved for more challenging cases, such as hyperemesis gravidarum, a severe form of pregnancy sickness. They work by targeting specific pathways in the brain to reduce nausea and vomiting.
Commonly prescribed antiemetics include medications like promethazine, metoclopramide, and ondansetron. These are considered safe for use in pregnancy when medically indicated, though they are not first-line treatments. A doctor will carefully assess the benefits of symptom relief against any potential risks, discussing these with the pregnant individual. Such medications require a prescription and ongoing medical supervision to ensure appropriate dosage and to monitor for any side effects.
When to Seek Medical Advice
While motion sickness during pregnancy is common, certain symptoms warrant immediate medical attention. It is important to contact a healthcare provider if experiencing severe or persistent vomiting that prevents keeping down food or fluids for 24 hours. Signs of dehydration, such as significantly reduced urination, dark-colored urine, dizziness, or fainting, also indicate a need for prompt medical evaluation.
Concerns should also be raised if there is significant weight loss during pregnancy, or if motion sickness symptoms worsen despite trying various remedies. Any questions about side effects from current medications, or potential interactions with other supplements, should be discussed with a doctor. Always consult a healthcare provider before starting any new medication or supplement during pregnancy, as they can provide personalized guidance for the health of both mother and baby.