Perhaps the most challenging part of early pregnancy for many women is nausea and vomiting. Mild nausea and vomiting is a normal part of pregnancy. It usually starts around the sixth week of pregnancy and eases up by the 12th week. For some women it persists throughout pregnancy. While it can be very unpleasant, the good news is that mild nausea and vomiting is not harmful to you or your unborn child. There are many ways of easing your nausea and vomiting. Here are a few tips for managing nausea and vomiting that many women find helpful:
For persistent nausea and vomiting, try vitamin B6 (pyridoxine), 25 mg three times daily, or Diclectin, a specific medication for pregnancy, which is a combination of vitamin B6 (pyridoxine) and doxylamine that your health care provider can prescribe for you. It has been safely used for decades and is approved by Health Canada for use in pregnancy. There is no evidence that cannabis helps relieve nausea and vomiting in pregnancy, but there is evidence that cannabis use during pregnancy can lead to poor outcomes and harmful long-term effects on your child’s development.
It is not normal to have nausea and vomiting so severe that you are missing meals, having trouble getting through normal activities, or are losing weight. If this is the case, see your health care provider. There are other treatments that they can offer. Other safe and approved medications include dimenhydrinate (Gravol), metoclopramide, and phenothiazines. If none of the available treatments help, it is important to consider other potential medical causes. If you are using cannabis during your pregnancy, inform your health care provider, as long-term cannabis use can cause periods of repeated and severe vomiting, which may mimic the symptoms of severe morning sickness.