1. بسم الله الرحمن الرحيم Al-najah university Nursing college Maternaty coarse Pregnancy Morning Sickness Prepared by : Belal Klaib Instructer name : Mahdia al kony Belal Klaib Belal Klaib

2. Goals: you will learn:: 1.Introduction of morning sickness. 2.Symptoms of morning sickness. 3. Causes of morning sickness. 4.Effects morning sickness on the Baby. 5.Define hyperemesis gravidarum. 6.Management of morning sickness.

3. Intdroduction Around half to two thirds of all pregnant women will experience morning sickness to some particularly in the first trimester. The symptoms include nausea and vomiting. Morning sickness begins around the fourth week of pregnancy and resolves by the 12th weekHowever, one in five women.. morning sickness into their second semester.

4. Morning sickness is typically at early in the day, but it can present at any point during the day or night. but it can present at any point during the day or night. In most cases, morning sickness doesn’t harm the In most cases, morning sickness doesn’t harm the woman or the unborn child. woman or the unborn child. However, severe morning sickness that includesweight loss and dehydration needs medical intervention. intervention.

5. Symptoms Symptoms of morning sickness can include :.Nausea.Loss of appetite.Vomiting.Psychological effects, such as depression and anxiety.

6. causes 1.High levels of hormones, including oestrogen.2.Fluctuations in blood pressure, particularly lowered blood pressure.3.Altered metabolism of carbohydrates.4. physical and chemical changes.

7. Effects on the baby Some women are concerned that the action of vomiting may threaten their unborn baby. Vomiting and cause localised aching and soreness, but the physical mechanics of vomiting won’t harm the baby. The fetus is perfectly cushioned inside its sac of amniotic fluid.

8. In fact, many studies have discovered that In fact, many studies have discovered that moderate morning sickness isassociated with a reduced risk of abortion. However, prolonged vomiting (such that it eventually leads to dehydration and (such that it eventually leads to dehydration and weight loss) can deprive the child of proper nutrition and increase the riskof the baby being underweight at birth.

9. Hyperemesis gravidarum Severe morning sickness is known as hyperemesis gravidarum (HG), and can affect around one in 1000 pregnant women. The symptoms of HG include repeated vomiting, weight loss and and can affect around one in 1000 pregnant women. The symptoms of HG include repeated vomiting, weight loss anddehydration. Treatment usually involves hospitalisation, and the administering of Intravenous liquids and nutrition. Intravenous liquids and nutrition.

10. The possible complications of untreated hyperemesis gravidarum include : The possible complications of untreated hyperemesis gravidarum include : 1.Electrolyte imbalances2.Extreme depression and anxiety3.Malnourishment of the fetus4.Excessive strain on vital organs, including the liver, heart, kidneys and brain.

11. Managing morning sickness 1.Eat a few dry crackers before getting out of bed in the Morning.2.Don’t try to eat anything that you suspect will make pregnant nauseous. pregnant nauseous. 3.Eat small meals regularly, since an empty stomach tend trigger nausea. 4.Limit or eliminate fatty and spicy foods.5.Choose high carbohydrate and high protein foods.6.Avoid cooking or preparing foods whenever possible.

12. 7.Drink plenty of fluids, preferably water. 8.Many studies have shown that ginger (zangbeel) can ease the symptoms. 9.Vitamin B6 supplements can be useful, but doses above 200mg per day can actually beharmful.10.Wear loose clothes that don’t constrict the abdomen.

13. Where to get help -doctor-Maternal and Child Health nurse.

14. Thanks