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Morning Sickness During Pregnancy: When It Starts, Peaks, and Ends

08 Nov 2024
Morning Sickness During Pregnancy When It Starts, Peaks, and Ends

Morning sickness, which is characterized by nausea and sometimes vomiting, is one of the most common early pregnancy symptoms. Despite the name, it can strike at any time of day. Here’s what to expect regarding when morning sickness typically starts, when it peaks, and when it’s likely to ease.

When Does Morning Sickness Start?

Morning sickness usually begins between week 4 and week 6 of pregnancy, around the time you might first realize you’re pregnant. At this stage, hormone levels (especially human chorionic gonadotropin or hCG and estrogen) are rapidly increasing, which is thought to trigger nausea.

Some women may feel mild nausea right away, while others might experience it more intensely. Each pregnancy is different, so don’t worry if your experience doesn’t match others’ exactly.

When Does Morning Sickness Peak?

Morning sickness typically peaks around weeks 9 to 11. This is when hCG and other hormones are at their highest levels. At this peak, nausea may be more frequent or intense, and some women experience vomiting as well. During these weeks, small, frequent meals and plenty of hydration may help manage symptoms.

This peak phase can be difficult, but it’s a positive sign that your pregnancy hormones are working to support your baby’s development. However, if you’re struggling with severe nausea or vomiting, it’s a good idea to talk to your healthcare provider about options for relief​.

When Does Morning Sickness End?

For most women, morning sickness begins to ease around week 12 to 14, as they transition from the first trimester into the second trimester. By then, hCG levels stabilize and symptoms often fade. At this stage, many women start feeling better and have renewed energy.

What If It Lasts Longer?

While the majority of women find relief by the second trimester, some may experience nausea and vomiting beyond this point. For some, symptoms can continue into the second trimester or even through the pregnancy (a condition known as hyperemesis gravidarum if very severe). If morning sickness persists, consult your doctor, as there are treatments that can help.

Tips for Managing Morning Sickness

Here are a few strategies that can help manage morning sickness at any stage:
  • Eat Small, Frequent Meals: An empty stomach can make nausea worse, so aim to eat small meals or snacks every 2-3 hours.
  • Stay Hydrated: Sip on water, ginger tea, or electrolyte drinks to stay hydrated, especially if you’re experiencing vomiting.
  • Ginger: Ginger candies, tea, or supplements are often helpful for easing nausea naturally.
  • Rest: Fatigue can worsen nausea, so make sure you’re getting enough sleep and taking breaks during the day.
  • Avoid Triggers: Strong smells, spicy foods, and greasy foods can intensify nausea for some women. Identify and avoid your specific triggers when possible​.

When to Talk to Your Healthcare Provider

If you’re unable to keep any food or liquids down, or if you’re losing weight, you may be experiencing severe morning sickness or hyperemesis gravidarum. Speak to your healthcare provider to discuss options for relief, including dietary support or, if needed, medication.

Final Thoughts

Morning sickness is a common and temporary part of early pregnancy, often easing by the second trimester. While it’s uncomfortable, there are strategies and support available to help you manage symptoms. Remember, every pregnancy is different, so focus on what helps you feel your best as you move through these early weeks.

Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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