Pregnancy sickness

Pregnancy and Sickness: Understanding the Challenges and Coping Strategies

Pregnancy is often described as a time of great joy and anticipation, but for many women, it can also be a time of physical discomfort. Morning sickness, which is typically associated with early pregnancy, affects many expectant mothers, and while it's usually temporary, it can be tough to handle. If you're going through this, you're not alone. Let’s explore pregnancy-related sickness, why it happens, and ways to cope with it, including how hypnobirthing techniques, like those offered by Calm Births, can support your journey.

What is Morning Sickness?

Despite the name, morning sickness doesn’t just happen in the morning—it can occur at any time of day and even last all day for some women. Morning sickness refers to nausea and vomiting that typically occurs in the first trimester of pregnancy. It is believed to be linked to hormonal changes that occur during pregnancy, particularly the increase in human chorionic gonadotropin (hCG) and oestrogen levels.

While the exact cause isn't fully understood, several factors contribute to morning sickness, such as:

• Hormonal fluctuations: As pregnancy hormones surge, they can upset the stomach, leading to nausea.

• Increased sensitivity to smells: Pregnant women often experience heightened senses of smell, which can trigger nausea when exposed to certain odors.

• Changes in metabolism: The body is working harder to support a growing foetus, and this can affect digestion and cause stomach discomfort.

How Long Does Morning Sickness Last?

For most women, morning sickness peaks around the 9th week of pregnancy and gradually subsides by the 12th to 14th week. However, some women may experience it for a shorter period, while others may find it lasts longer, extending into the second trimester. A small number of women may even experience severe nausea and vomiting throughout their entire pregnancy, a condition known as hyperemesis gravidarum, which may require medical intervention.

Beyond Morning Sickness: Other Types of Pregnancy Sickness

While morning sickness is the most common form of pregnancy-related nausea and vomiting, other issues may arise during pregnancy that can also make women feel unwell:

• Heartburn and indigestion: As the uterus expands, it presses against the stomach, which can cause acid reflux and discomfort.

• Fatigue: Early pregnancy can leave you feeling exhausted, as your body adjusts to the changes required to support a growing baby.

• Headaches: Hormonal changes, dehydration, and stress can contribute to headaches during pregnancy.

• Dizziness: As blood volume increases, blood pressure can fluctuate, causing feelings of lightheadedness or dizziness.

Coping Strategies for Pregnancy Sickness

While pregnancy sickness can feel overwhelming, there are several ways to ease the discomfort and make it more manageable.

1. Eat Small, Frequent Meals

Instead of having three large meals, try eating small meals throughout the day. This can help keep blood sugar levels stable and prevent nausea. Focus on bland, easy-to-digest foods such as crackers, toast, or rice. Avoiding overly spicy or greasy foods can also help keep nausea at bay.

2. Stay Hydrated

Dehydration can worsen nausea and vomiting, so it’s important to drink plenty of water. Sipping on fluids throughout the day can be easier on your stomach than drinking large amounts at once. You might also try ginger tea or electrolyte drinks to stay hydrated and reduce nausea.

3. Get Fresh Air

Sometimes, a little fresh air is all it takes to alleviate nausea. A short walk outside or simply sitting by an open window can help. Some women find that a gentle breeze or being in nature can provide comfort during bouts of sickness.

4. Rest and Relax

Fatigue is a common side effect of pregnancy, and exhaustion can exacerbate nausea. Make sure to take naps and prioritize rest. Stress can also make symptoms worse, so try relaxation techniques like deep breathing or meditation to calm your mind and body.

One way to address stress is through hypnobirthing. This practice focuses on using relaxation and visualization techniques to promote calm and reduce anxiety during pregnancy and childbirth. Calm Births Hypnobirthing offers courses designed to guide you through pregnancy, helping you manage both physical discomfort and emotional stress. By learning to stay calm and centered, you can reduce the impact of pregnancy sickness on your overall experience.

5. Avoid Triggers

Certain smells, foods, or environments may trigger nausea. If you know there are specific things that set off your symptoms, try to avoid them as much as possible. This may involve asking others to avoid strong perfumes or cooking smells around you or adjusting your environment to make it more comfortable.

6. Consider Ginger and Vitamin B6

Some studies suggest that ginger may help alleviate nausea, so incorporating ginger tea, ginger chews, or ginger ale into your routine might provide some relief. Vitamin B6 supplements are another option that some pregnant women find helpful for managing morning sickness. Always check with your midwife before taking any supplements.

7. Seek Medical Help If Necessary

In some cases, morning sickness can become severe or even progress into hyperemesis gravidarum, a condition characterized by excessive vomiting and dehydration. If you find that you're unable to keep food or liquids down or are losing weight, it’s essential to contact your healthcare provider immediately. They may recommend prescription medication or other treatments to help manage your symptoms.

When to Call Your Doctor

While morning sickness is common and usually not a cause for concern, there are times when you should reach out to your doctor or midwife:

• Severe dehydration: If you’re unable to drink fluids or keep food down, or if you notice signs of dehydration (dry mouth, dark urine, dizziness), seek medical attention right away.

• Hyperemesis gravidarum: If vomiting is persistent, severe, and accompanied by weight loss, this may require medical intervention.

• Other unusual symptoms: If you experience fever, abdominal pain, or spotting in addition to your nausea and vomiting, consult your healthcare provider for a thorough evaluation.

Final Thoughts

Pregnancy-related sickness can be a challenging part of the pregnancy journey, but remember, it’s usually temporary. With the right self-care practices, support from your healthcare team, and a little patience, you’ll get through it. If you're struggling, consider incorporating relaxation and visualization techniques from Calm Births Hypnobirthing to help manage stress and discomfort. These tools can not only assist with sickness but also prepare you for the birth process ahead.

The most important thing is to listen to your body, take it easy when you need to, and remind yourself that this phase will pass—usually by the time you reach the second trimester. Until then, take it one day at a time and remember that it's all a part of bringing new life into the world.

Six things to know when considering a home birth.

Picture courtesy of homebirthaustralia.org

In my years as a Midwife, I was very privileged to attend births in the homes of families, and to learn about exactly what happens, how it goes, and what happens in the (rare) event of an emergency. So when it came to be my turn to become a Mumma myself, I was 100% confident in my choice to birth my babies at home, and so I did. Three times. And I have to say that they were the three most wonderful, life altering, amazing experiences of my life. And if I had the choice (and the finances) then I would do it over and over again. THAT is how passionate I am about home birth. Don't get me wrong, I DO wax lyrical about it, but only when asked about it. I would never dare to presume anything about anyone's individual circumstances or situations, and push my ideals on them. That's just not cool, and I do also strongly believe that a woman will birth calmly and gently if she feels safe in her environment. To some that will mean hospital, others a birth centre, and others at home. To each their own.

However, if home birth is something that you have on your radar and are wondering about, then I have collated a list of six things you need to know in order to feel informed in making a decision:

1) HypnoBirths do not have to be at home. I feel that that is an important point to make, as it is a common misconception. A woman can use her HypnoBirthing skill set no matter what the scenario or environment - that's kind of the point of HypnoBirthing really, that you are given the skills to be able to relax and calmly birth no matter where you are or what's going on around you. 

2) The stats! The idea of home birth without knowing much about it is quite scary. I get it. So let's look at the statistics, which speak for themselves. Statistics from NICE (the guidance of whom Midwives must legally follow) and the 2011 Birthplace study show:

•  A woman is MORE likely to achieve a normal vaginal delivery at home than in an obstetric unit or birth centre (984 at home vs 927 in an obstetric unit)

• A woman is a lot LESS likely to have an episiotomy at home than in a birth centre or obstetric led unit (15 at home vs 35 in a birth centre and 56 in an obstetric unit)

• The incidence of instrumental delivery (forceps or ventouse) is MUCH lower at home too - this is just 9 at home vs 23 at a birth centre and 38 in an obstetric led unit.

• The incidences of babies born without serious medical problems is exactly the same at home or at hospital (997) - and so, therefore, is the incidence of babies born with problems (3) - which leads me nicely to my next point.. 

3) A Midwife attending a home birth is equally able to deal with an emergency as a midwife in a hospital. Now, as you can see from the stats, an emergency scenario is very rare in a home birth. However, community midwives are trained up like ninja warriors. The merest whiff, suggestion or feeling that something is amiss and those ninja midwives will be stepping up and shipping you out. If something happens quickly and unexpectedly, those ninja community midwives have all the life saving equipment and skills that a midwife in hospital has. Trust me, they KNOW what they're doing - the same thing could happen up a mountain, in a hospital or at your house, they would deal with it in exactly the same professional, safe way. 

4) The house is not left in a mess. This is another understandable worry, but again, those ninja community midwives will clean up everything before they leave. You won't even notice they're doing it, as you will all be snuggled up safely in your own bed basking in the glory of cuddling your newborn baby. The midwives will quietly just clean up and take any rubbish away with them, and birth really isn't that messy - certainly not as it is so often portrayed in rubbish tv dramas. Having said that, it's easy to prepare, you can just buy a cheap 'value' shower curtain to lay on the floor if you have lovely cream carpets, and get out some old towels that you don't mind throwing away afterwards. 

5) Home births are ideal if you have a 'low risk' pregnancy. Now this is true, but if you are not sure if you are low risk, then a quick chat with your community midwife or the lovely people at AIMS will give you more of an idea. There is an increasing trend for women who have had a previous cesarean section to go on to have a vaginal birth (VBAC) at home. This is definitely worth investigating if this is you. It must always also be remembered that it is your birth, and your choice. 

5) You can still birth or just labour in water if you choose to. There are many wonderful local homebirth support groups who lend out birth pools for free, you just have to buy the disposable liner that goes inside it for approximately £15. These pools are like the most luxurious paddling pools in the world, with inflatable bases that make you feel as though you are floating in a cloud. They are just filled with a connection to your taps, easy. 

6) Once you make the decision you can change your mind. This is really important - a good mindset to have for labour and birth is to just go with the flow and see what happens. This includes your choice of place of birth - a good idea is to consider that you will start your labour at home and see how you go, with everything in place to have a home birth should you choose to. Have a hospital bag packed too, and if you decide along the way that you would prefer to be in a birth centre or hospital, then you can do that too, no problem.

So there we have it. It is a big decision, and it is YOUR decision. But there is loads of advice and support out there for women who choose to birth at home, and I defy you to find a woman who has done so who won't wax lyrical about it, just like I do. 

If you are considering home birth and would like to chat about HypnoBirthing in Berkshire then please don't hesitate to contact me. x