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What is morning sickness?
Morning sickness refers to nausea and vomiting that commonly occur during early pregnancy. Despite its name, it can happen at any time of the day or night.
It usually begins in the first trimester and often improves by around the 14th week of pregnancy, although some women may experience symptoms for a longer period.
Morning sickness can be uncomfortable and may affect daily activities, but it is generally not harmful to the baby.
When does morning sickness start and end?
- Typically begins in the early weeks of pregnancy
- Most common during the first trimester
- Often improves by week 14, though it may last longer for some women
How can morning sickness be managed?
Morning sickness can vary from one pregnancy to another, and there is no single treatment that works for everyone. However, simple lifestyle and dietary changes can help reduce symptoms.
Daily tips to reduce morning sickness
Here are some tips to help reduce morning sickness:
- Get enough rest: Fatigue can worsen nausea.
- Avoid trigger foods or smells: Identify and minimise exposure to foods or odours that cause discomfort.
- Eat small, frequent meals: Choose plain, high-carbohydrate, low-fat foods such as crackers, rice, or bread.
- Stay hydrated: Drink fluids regularly throughout the day.
- Choose cold foods if needed: Cold meals may be easier to tolerate than hot foods.
- Try ginger (if suitable): Some people find ginger helpful, but check with your doctor first.
When is medical treatment needed?
Consult a doctor if:
- Symptoms are severe or persistent.
- You are unable to keep food or fluids down.
- Daily activities are significantly affected.
Your doctor may recommend medications such as antiemetics or other appropriate treatments.
What is the difference between morning sickness and hyperemesis gravidarum?
The most severe form of pregnancy-related nausea and vomiting is known as hyperemesis gravidarum, and it affects up to 3% of pregnancies.
Hyperemesis gravidarum can be a serious condition, potentially leading to dehydration and malnourishment if you are unable to maintain proper fluid intake and nutrition. In some cases, specialised treatment, including hospitalisation, may be necessary.
What are the risk factors for morning sickness?
Various risk factors can increase the likelihood of experiencing morning sickness. It is believed that hormonal changes during the first 12 weeks of pregnancy play a significant role.
You may be at a higher risk if:
- You are expecting twins or multiple babies.
- You had severe morning sickness during a previous pregnancy.
- You tend to experience motion sickness.
- You have a history of migraine headaches.
- You have a family history of morning sickness.
- This is your first pregnancy.
- You have an elevated body mass index (BMI) of 30 or higher.
- You are under significant stress.
When to visit a doctor for morning sickness?
If you experience the following symptoms, visit the doctor immediately:
- Severe weakness, dizziness, or fainting when standing up.
- Inability to keep food or fluids down for 24 hours.
- Very dark-coloured urine or not urinating for more than 8 hours.
- Abdominal pain.
- A high temperature.
- Vomiting blood.
- Significant weight loss.
Book an appointment at Pantai Hospitals
Remember that morning sickness is a common part of pregnancy. Regular prenatal appointments and open communication with your doctor are crucial for monitoring your health and addressing any concerns throughout pregnancy.
A dedicated and expert team of obstetricians and gynaecologists at Pantai Hospital is available for consultation to provide patients with the best care and assistance. Get in touch with us to book an appointment today if you have any concerns or questions about morning sickness in pregnancy.
Pantai Hospital has been accredited by the Malaysian Society for Quality in Health (MSQH) for its commitment to patient safety and service quality.

