'Morning sickness' is misleading and inaccurate, new study argues

Date:
June 30, 2020
Source:
University of Warwick
Summary:
The term 'morning sickness' is misleading and should instead be
described as nausea and sickness in pregnancy, argue researchers
who have demonstrated that these symptoms can occur at any time
of the day -- not just the morning.



FULL STORY ==========================================================================
The term 'morning sickness' is misleading and should instead be described
as nausea and sickness in pregnancy, argue researchers led by the
University of Warwick who have demonstrated that these symptoms can
occur at any time of the day -- not just the morning.


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The researchers call for the change in a study published today (30 June)
in the British Journal of General Practice which shows that, while the
most likely time for pregnancy sickness symptoms to occur is in the
morning, a significant number of women can experience them at any time
of the day.

'Morning sickness' has long been used to describe nausea and vomiting
that women often experience in the early stages of pregnancy. Although
pregnant women often report experiencing nausea and sickness throughout
the waking day, until now no research has described the likelihood of
these symptoms occurring at different times of the day.

For this study, the researchers used data from daily symptom diaries
kept by 256 pregnant women. In these diaries, the women recorded their experience of nausea and vomiting for each hour in the day, from the
day they discovered they were pregnant until the 60th day of their
pregnancy. The researchers then used this data to map the likelihood of experiencing nausea and experiencing vomiting in each hour of the day,
broken down into weeks following last ovulation.

They found that whilst vomiting was most common between the hours of 7.00
am and 1.00 pm, nausea is highly likely throughout the whole daytime,
not just the morning. Furthermore, many women still reported vomiting as
a symptom even into the evening. The most common hour for participants to experience nausea and vomiting was between 9.00 am and 10.00 am with 82% experiencing nausea in this hour, and 29% experiencing vomiting.

94.2% of participants experienced at least one of these symptoms during
the study, with 58% experiencing both.



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In addition, by comparing occurrence of symptoms across the first 7 weeks
of pregnancy, measured from last ovulation, the researchers found that the later the week, the higher the probability of experiencing symptoms. The probability of experiencing nausea is at its highest in weeks 5, 6 and 7
while for vomiting it is in week 7. As the study only examined the first
seven weeks of pregnancy, the probabilities after week 7 are not known.

Professor Roger Gadsby, of Warwick Medical School, said: "Morning
sickness is widely used by the general public, media and even healthcare professionals but it doesn't give an accurate description of the
condition.

"If a pregnant woman experiences sickness in the afternoon she may feel
that this is unusual and wrong, or if she experiences no vomiting but
feels nauseated all day she might think she is not covered by the term
'morning sickness'. And those women who experience severe symptoms feel
it trivialises the condition.

"Nausea and vomiting in pregnancy (NVP) can have a significant negative
impact on the lives of sufferers. It can cause, feelings of depression,
of being unable to look after the family, and of loss of time from paid
work. Very severe NVP called hyperemesis gravidarm (HG) is the commonest
cause of admission to hospital in the first trimester of pregnancy."
It is estimated that the annual costs of managing nausea and vomiting
in pregnancy to the NHS in England and Wales are around -L-62 million.

The study authors said: "The continued use of the term 'morning sickness'
could imply that symptoms only rarely occur in the afternoon and evening
so that sufferers will have significant parts of the day symptom-free.

"This study shows that this is an incorrect assumption and that symptoms, particularly nausea, can occur at any time of the day."

========================================================================== Story Source: Materials provided by University_of_Warwick. Note: Content
may be edited for style and length.


========================================================================== Journal Reference:
1. Roger Gadsby, Diana Ivanova, Emma Trevelyan, Jane L Hutton, Sarah
Johnson. Nausea and vomiting in pregnancy is not just
`morning sickness': data from a prospective cohort study in the
UK. British Journal of General Practice, 2020; bjgp20X710885 DOI:
10.3399/bjgp20X710885 ==========================================================================

Link to news story: https://www.sciencedaily.com/releases/2020/06/200630111438.htm

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