• Dr. Harsimranjeet Singh, ND

Tips to Reduce Nausea during Pregnancy

Tips to reduce nausea and vomiting of pregnancy

Nausea and vomiting of pregnancy (NVP) is a troublesome health issue that seems to be much more severe during the first trimester of pregnancy. It usually starts around week 4 - 9 of pregnancy and affects 90% of expecting mothers with varying severity. In most Women, the NVP will go away by week 16 of pregnancy, however, 1/3 of Mothers will have the nausea and vomiting beyond week 20 and even up until the delivery date.

A severe progression of the nausea and vomiting is a condition called hyperemesis gravidarum (HG). Women with HG will have severe vomiting which leads to weightless greater than 5% of her pre-pregnancy weight. It involves severe dehydration, electrolyte imbalances, and nutritional deficiencies. There are serious consequences for the health of both the Mother and baby with hyperemesis gravidarum.

Nausea can be reduced significantly with modifications in your diet and the supplementation of very safe supplements.

The following is recommended for Women experiencing nausea and/or vomiting during pregnancy:

1. It is important to stay hydrated, aim to drink at least 2 litres of water a day. Even though you may not hit this goal, do your best to drink plenty of water.

2. Eat frequent small meals throughout the day to prevent having an empty stomach

3. Avoid overeating: do not combine large amount of liquids with solid foods, avoid large meals and food with a very high fat content

4. Snack on high-protein foods, such as, nuts in-between meals

5. Replace your iron-containing prenatal supplement with a multi-vitamin that doesn't have iron or Vitamin A, and supplement with folic acid separately to help keep levels of Vitamin B9 up (this is important as it reduces the risk of neural tube defects in the baby)

6. Try snacking on simple carbs first thing in the morning (i.e. salt crackers)

7. Avoid eating foods with very strong odours, spices, or flavours

8. Try snacking on popsicles or ice chips to help reduce the strong metallic taste

Treatment with Vitamin B6 in safe doses has also been shown to help significantly reduce nausea and vomiting during pregnancy, and it has a very good safety profile when used in safe doses.


1. Ebrahimi, N. (2010). Optimal management of nausea and vomiting of pregnancy. International Journal of Womens Health, 241.

This article is in no way a replacement for medical advice or medical care, it is advised that anyone concerned about their Health should speak with their Naturopathic Doctor.

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