Lifestyle Changes

• Eat small frequent meals, avoiding periods of time when your stomach is completely empty and avoiding an overly full stomach
• Eat bland foods, often spicy, fatty, and strong-smelling foods can make nausea worse
• Sip small amounts of fluids at a time and try cold, clear, carbonated or sour liquids. It can also help to separate drinking from eating
• Suck on cold popsicles or smoothies
• Try to have protein with every snack or meal
• Eat something right before you go to sleep and before you get out of bed in the morning
• Try prenatal gummies instead of pills, or replace prenatal vitamins with a folic acid supplement
• Brushing your teeth can trigger nausea, try waiting a few hours after eating to brush
• Aromatherapy with lemon or mint essential oils
• Have someone else do the cooking

Foods, Supplements and Over the Counter Medications

• Peppermint Tea
• Seabands or other acupressure at the P6 (neiguan point)
• Ginger (1 gram per day)
  • There are many ways to take ginger, including 250mg of a ginger supplement 4x per day, ½ tsp of grated ginger in 1 cup of tea 4x per day, or crystallized ginger candy
• Vitamin B6 supplement: up to 100mg per day (either 25mg 3-4x per day or 50mg 2x per day)
• Doxylamine (Unisom): ½ (12.5mg) of the tablets (not the capsules or melts) once a day at bedtime, or twice a day (but can cause drowsiness)

If you are having excessive saliva (spit) production, you can try:

• Spitting it out instead of swallowing it (carry a spitting cup)
• Chewing on gum (especially cinnamon flavor)
• Sucking on hard candies (sour may be helpful)
• Rinse with mouthwash frequently
• Place a towel under your face at night or when you are resting, lie down on your side
• Use soft cloths to wipe your face
• Stay hydrated!

If these “natural” remedies aren’t working, talk with your midwife about prescription medications, which can be safe and effective!

**We do not recommend marijuana as a treatment for nausea and vomiting in pregnancy**