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Medications:
- Your doctor may have prescribed Diclectin for you. It is usually taken three times per day - one pill in the morning, one pill in the afternoon, and two pills before bed. The two pills are taken in the evening because most women feel their symptoms are worse in the morning. Diclectin is actually made up of vitamin B6 and an antihistamine.
- Women usually try to avoid medication during pregnancy, especially during the first three months. This is a good idea, but it is important to weigh the risks and benefits. Diclectin is labeled "safe and effective" for pregnancy by Health and Welfare Canada. All women have a 1 - 3 % risk of giving birth to a baby with a malformation and that risk has not been shown to increase by taking Diclectin.
- Extra vitamin B6 is helpful for many women. You can take up to 100mg extra per day (it is also called Pyridoxine).
- Ginger capsules decrease the severity of nausea for some women. You can take 250 mg four times per day or 500mg twice a day.
- Stop taking prenatal vitamins with iron until you are feeling better, but continue taking folic acid.
- If heartburn is also a problem, use Tums as directed on the package (it is also a good source of calcium). If Tums don't work, talk to your doctor about a different medicine that might be more effective.
When Should I Call My Doctor?
When severe nausea and vomiting makes it impossible for you to manage at home or keep enough fluid down, call your doctor. Some signs that will help you to decide when more treatment may be necessary are:
- passing dark urine less than three times/day
- dry lips or dryness inside your mouth
- weight loss of 7 - 8 pounds (3 kilograms)
- blood in the vomit
If you are trying to take Diclectin, but you are unable to keep it down, your doctor may want to prescribe a different medicine.
Where Can I Find More Information?
1. The Antepartum Care at Home Program in the Fraser South Region of the Fraser Health Authority cares for women with complications in pregnancy. Women who have nausea and vomiting in pregnancy are now being cared for in this program. The home care nurses have created a web page that includes the information in this pamphlet. You can contact the program nurses in their office at Surrey Memorial Hospital by calling 604-587-3908.
2. Motherisk is a Canadian program that carries out scientific research into risks associated with drug, chemical, infection, disease, and radiation exposure for pregnant and breast feeding women. They have a toll free help line where you can get advice about reducing symptoms of nausea and vomiting in pregnancy. You can telephone at 1-800-436-8477.www.motherisk.org
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Eliakim,R., Ovadia, A.,& Sherer, D. (2000). Hyperemesis Gravidarum: A Current
Review. American Journal of Perinatology,17 (4), 207-218.
Cowan, M.J. (1996). Physiologic Changes of Pregnancy and Nutritional Factors. Journal of Intravenous Nursing,19 (1), 46-58.
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