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Risk factors for nausea and vomiting in early pregnancy

No one knows for sure why some women get nausea and vomiting when they are pregnant and others do not. But there are certain things that can increase your chances of getting morning sickness when you're pregnant. Doctors call these risk factors.

If you have one of the following risk factors, keep in mind that this doesn't mean that you will definitely get nausea and vomiting or get it very bad. It just means your chances of getting it are somewhat higher.

If you've had migraine headaches, you may be more likely to get severe nausea and vomiting when pregnant.
  • If you're having twins, you're more likely to feel sick to your stomach and throw up than if you're carrying one baby.1
  • When the organ that normally carries food and oxygen to a growing baby (called the placenta) grows abnormally, it's called a hydatidiform mole or molar pregnancy.1 Women who have molar pregnancies often have severe nausea and vomiting.
  • If you had nausea and vomiting during an earlier pregnancy, it's more likely that you'll have it during other pregnancies.2
  • If your mother had very bad nausea and vomiting when she was pregnant, some research shows that you may, too.2 3 4
  • If you have felt sick to your stomach while using birth-control pills,3 you may have a greater chance of morning sickness during pregnancy.
  • If you get motion sickness or migraine headaches, there's some evidence that you are more likely to have severe nausea and vomiting when you're pregnant.5 Doctors believe these problems have something to do with your inner ear, which helps control your balance.6 But we don't yet know whether treating inner ear problems will help prevent nausea and vomiting during pregnancy.
  • A germ called Helicobacter pylori can cause stomach problems such as indigestion and ulcers. For some women, this might make nausea and vomiting worse. One study found that women who vomited a lot in pregnancy were more likely to be infected with Helicobacter pylori than women who didn't. 7 Some treatments can get rid of the germ, but they probably won't be used when you're pregnant. You may be able to take some medication to help reduce your symptoms, such as antacids. But you should talk with your doctor before taking any medication during pregnancy.
  • One study has found that eating foods that contain a lot of saturated fat, such as meat, cheese and butter, may increase your chances of having bad nausea and vomiting during pregnancy.8 But the study was small, so we need more research before we can say whether eating low-fat foods can help.
  • Nonsmokers may have more nausea than smokers, but doctors do not encourage you to smoke. Smoking when you're pregnant harms your baby.2
  • Some studies show you are more likely to feel sick to your stomach during pregnancy if you are expecting a girl.3 But other studies have found no link to the sex of the baby.4



Sources for the information on this page:
  1. Furneaux EC, Langley-Evans AJ, Langley-Evans SC. Nausea and vomiting of pregnancy: endocrine basis and contribution to pregnancy outcome. Obstetrical and Gynecological Survey. 2001; 56: 775-782. 11753180
  2. Gadsby R, Barnie-Adshead AM, Jagger C. Pregnancy nausea related to women's obstetric and personal histories. Gynecologic and Obstetric Investigation. 1997; 43: 108-111. 9067717
  3. Goodwin TM. Nausea and vomiting of pregnancy: an obstetric syndrome. American Journal of Obstetrics and Gynecology. 2002; 185 (5 supplement): S184-S189. 12011884
  4. Whitehead SA, Andrews PLR, Chamberlain GVP. Characterisation of nausea and vomiting in early pregnancy: a survey of 1000 women. Journal of Obstetrics and Gynaecology. 1992; 12: 364-369.
  5. Whitehead SA, Andrews PLR, Chamberlain GVP. Characterisation of nausea and vomiting in early pregnancy: a survey of 1000 women. Journal of Obstetrics and Gynaecology. 1992; 12: 364-369.
  6. Black FO. Maternal susceptibility to nausea and vomiting of pregnancy: is the vestibular system involved? American Journal of Obstetrics and Gynecology. 2002; 186 (supplement): S204-S209. 12011887
  7. Philip B. Hyperemesis gravidarum: literature review. WMJ: Official Publication of the State Medical Society of Wisconsin. 2003; 102: 46-51. 12822290
  8. Signorello LB, Harlow BL, Wang, S et al. Saturated fat intake and the risk of severe hyperemesis gravidarum. Epidemiology. 1998; 9: 636-640. 9799174
This information was last updated in Sep 03, 2008