What is the first-line treatment of excessive vomiting in pregnancy?
Clinical situation
This protocol addresses excessive vomiting in pregnancy as a first-line presentation. Initial management centres on practical, evidence-based dietary and lifestyle strategies applied early in the course of symptoms.
Approach overview
First-line management involves structured dietary and lifestyle modifications — including adjustments to meal timing, fluid intake habits, sleep, and identification of individual nausea triggers. The complete ordered regimen with all recommended measures is available via the link below.
References
- It is important to stay hydrated and try to have small meals regularly.
- Eating something before getting out of bed or before you get hungry is helpful.
- Avoid fatty and spicy foods.
- Have small sips of fluids throughout the day – icy poles, diluted juice, sports drinks, flat lemonade, smoothies, soups, broths, oral rehydration solution (ORS).
- Try and identify nausea triggers and avoid them (e.g. perfumes, smoke).
- Adequate sleep is important in the first trimester as the need for sleep increases.
- Getting outside for fresh air and exercise is good for relieving physical symptoms and also for improving mental health.
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