Experiencing Morning Sickness? – Know the Reasons behind It

featured image(When does morning sickness start and what causes it)

Morning sickness brings both joy and physical complexity like nausea and vomiting. Joy since this is an unmistakable sign that you are going to have a baby. But physical discomfort like heaving stomach, dry retching or just a queasy feeling is enough to make your situation worse. Learn everything about morning sickness from our article.

What are the symptoms of morning sickness?

For most expectant women, morning sickness means nausea and occasional vomiting. But 30 percent of soon to be a mother never get it while a few unlucky moms experience severe morning sickness known as Hyperemesis Gravidarum. Acute morning sickness means frequent nausea and vomiting that needs hospitalization to keep them hydrated and try to treat nausea.

When does morning sickness start?

Usually, morning sickness starts from 6 weeks-around two weeks after you miss your period. But this is not a rule. Some women can feel nausea as early as 2-3 weeks. That is morning sickness can start before they even miss their period. And this is the earliest sign of pregnancy.

Though gynecologists coined it “Morning Sickness”, but it can affect you any time of day or night. Since you are more likely to sick in the morning due to having an empty stomach, so is the term.

How early can morning sickness start?

Although morning sickness normally starts at the sixth week of your pregnancy, Some women begin to experience nausea earlier in their pregnancy, some feel queasy as early as two or three weeks after conception.

When does morning sickness start with twins and how it differs from the single pregnancy?

Like single pregnancy, morning sickness sometimes called NVP for nausea and vomiting for mother carrying two children also starts as early as week six from the last period( the fourth week after conception). It is heard so far twin symptoms begin earlier, but they can be more severe. It is also risky for pregnant women.

Expecting mothers with twins often experience more frequent nausea, acute hemorrhoids, or a severe headache. Some even faint and cannot stand up for more than 10 minutes. So, it is normal for expecting-twins mothers to spend their pregnancy period in bed resting. The good news for expecting twin mothers is despite so many difficulties, pregnancy will end eventually, you will have two new members of your family to love forever.

When does morning sickness end?

The most common pattern that morning sickness follows is symptoms rise sharply beginning in week six, then start to fall gradually after week 10. Weeks seven to nine are the time when morning sickness symptoms are at their peak. While morning sickness hit suddenly, but for most women, it tapers off gradually. There are some unlucky women, maybe 10 percent of pregnant women, morning sickness turn into worse after week nine.

Although feeling nausea is not a good feeling, but it signals a healthy pregnancy. It is due to women with nausea have one third the chance of miscarrying compared to those with no nausea and a lower chance of preterm labor.

What causes morning sickness?

Actually, no one knows the answer. A few scientists believe that morning sickness serves some kind of evolutionary purpose. Their explanation is it reduces women’s likelihood of consuming spoiled food during pregnancy.

But a widely accepted explanation is a surge in hcg and estrogen hormones during the first trimester that triggers morning sickness. Especially, hcg increases exponentially during the first few weeks of pregnancy and peaks between weeks 8-10, which coincides with the time when morning sickness reaches it at its peak level.

HCG levels vary in healthy pregnancy but levels of hormone do not reliably predict who get morning sickness, who does not and how severe it is. Pregnancy symptoms like nausea and fatigue are not caused by hungry or tired, but these factors can make the situation worse. So, try and eat little and often and get some rest.

How can you ease symptoms?

Easing the symptoms is complex. Since what seems to work for many expectant mothers does not work at all for others. So, you should experiment with many different ways. Below we have mentioned a few methods to combat morning sickness

  • There are natural remedies like ginger, lemon, and mint can either be eaten or even just sniff. It helps to quell an upset stomach off.
  • pregnant women. An empty stomach is often a queasy tummy.
  • You can eat many small meals and snack on a few crackers before getting out of bed
  • Light exercises release endorphins that address the fatigue. Fatigue is a companion of nausea and vomiting.
  • For treating severe cases, treatment may include prescription medications, stronger drugs that can quell the queasiest stomachs.

when should you seek medical help for morning sickness?

Although unpleasant, morning sickness is a sign of a healthy pregnancy. But for 0.5-2% of pregnant women, their pregnancy-related nausea goes far beyond morning sickness and turns into a severe form known as “hyperemesis gravidarum”. it follows a time that is similar to normal morning sickness. But it often begins earlier in the pregnancy, normally between weeks 4 and 5, and also lasts longer. In most cases, women experience hyperemesis gravidarum in their first pregnancy.

Hyperemesis Gravidarum or severe form of morning sickness has a host of symptoms that are given below.

  • Nausea persists throughout the day, resulting from impossible to eat or drink
  • vomiting occurs three to four times per day which indicates an inability to keep anything in the stomach
  • vomit in brownish color or may contain blood or streaks of blood
  • loss of weight
  • Either fainting or dizziness
  • less urination
  • An increase in heart rate
  • Frequent headaches
  • unpleasant, fruity mouth or body odor
  • extreme fatigue
  • confusion

if you observe any or multiple symptoms above, you need to seek immediate medical attention.

What if you do not have any morning sickness?

A general perception is women who experience morning sickness have a lower chance of miscarrying. However, a lack of morning sickness does not mean that your pregnancy is doomed. An interesting thing is about 20-30 percent of women do not experience any morning sickness but go on to deliver a perfectly healthy baby.

Your possibility of experiencing morning sickness is determined partially by your previous pregnancies. Morning sickness tends to be harsher with each subsequent pregnancy. Morning sickness also depends on ethnic background. For example, white women are more prone to nausea than a black or Asian woman and black women experience nausea after the first trimester.

If you are early in your pregnancy but did not feel nausea yet, the chances are that it will hit in the next few weeks. Things will alert you while you are in the eighth week of your pregnancy but do not have any nausea at all. It may signal higher chances of miscarriage. The bottom line is once the first trimester is over, nausea or lack of it had no bearings on the chances of pregnancy loss.


Morning sickness means a bout of nausea accompanied by vomiting in the first trimester of your pregnancy. The situation is unpleasant, to be sure, but not a dreaded one. Nearly 80% of women moms to experience it. And it gradually has gone after 10 weeks. Furthermore, it has many simple remedies. So, why should you concern more about morning sickness while you want to welcome a new member of your family?

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I am Dr. Pamela H. Young and a specialist in Maternal-Fetal Medicine or, perinatology. I got a Doctoral Degree and a Fellowship in Obstetrics and Gynecology at the University of Parma, and a Fetal Medicine Foundation Diploma in Fetal Medicine at the Kings College, London, UK. I have been honing fetal-maternal medication in Reggio Emilia and Parma for more than 15 years, and I went about as a mentor and analyst for the Fetal Medicine Foundation, Italian Branch. But what I like most is my writing as a freelance blogger which I started back in 2010. As an expert, I know that maternity care is the most pivotal job for every mother and her family. With my writings, I try to inform my readers about the proper maternity care, how to manage health concerns of the mother and fetus prior to, during, and shortly after pregnancy. As a doctor, it's my duty to help people provide with proper medicare and information about healthcare. Through the blog, I am just doing a part of that job. I am happily married to a heart surgeon, and we have three daughters, residing in Brooklyn.


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