For the Pregnant Woman:

Strategies for Managing Nausea and Vomiting

  • Keep crackers, melba toast, or dry cereal within reach of your bed. Eat some before getting up.

  • Eat frequent small meals.

  • Try to take adequate fluids even if you can't handle solids—for example, try clear juices and flat sugar-sweetened soft drinks.

  • Avoid drinking coffee and tea. Avoid drinking citrus fruit juices and water upon arising. Drink liquids mainly between meals.

  • Try to avoid cooking odors that make you feel ill.

  • Avoid or limit your intake of high-fat and spicy foods.

  • Provide anticipatory guidance for the woman's comfort. First trimester: control of nausea and vomiting, and early weight changes. Later in pregnancy: control of heartburn, constipation (see Tab 4).

Use of Supplements and Medications
  • If not anemic: Start taking a low-dose (~30 mg of elemental iron )iron supplement such as ferrous gluconate daily by ___________ (the thirteenth week of gestation).

  • Avoid using any kind of medication unless it is prescribed or approved by a physician who knows you are pregnant.

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