Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX
Lifestyle and dietary modifications recommended for a patient experiencing hyperemesis gravidarum include:
- Encouraging rest as fatigue can worsen symptoms, and avoiding sensory stimuli such as strong odours, heat, and noise that may trigger nausea NICE CKS.
- Eating small, frequent meals that are bland, protein-rich, and low in carbohydrate and fat to help prevent hypoglycaemia and gastric overdistension NICE CKS.
- Consuming cold meals may be better tolerated if nausea is related to smell NICE CKS.
- Drinking fluids little and often rather than large amounts at once to maintain hydration NICE CKS.
- Advising against the use of ginger for hyperemesis gravidarum as evidence shows it may worsen symptoms and damage trust in healthcare professionals NICE CKS.
- Considering acupressure (e.g., at the P6 point on the wrist) as an adjunct treatment for moderate-to-severe symptoms, although evidence is limited NICE CKS.
- Avoiding medications that may exacerbate nausea and vomiting, such as iron-containing preparations, depending on clinical judgement NICE CKS.
These measures aim to support symptom management in the community and may reduce the severity of symptoms before or at the onset in subsequent pregnancies NICE CKS.
Key References
- CKS - Nausea/vomiting in pregnancy
- NG201 - Antenatal care
- NG133 - Hypertension in pregnancy: diagnosis and management
- NG247 - Maternal and child nutrition: nutrition and weight management in pregnancy, and nutrition in children up to 5 years
- NG126 - Ectopic pregnancy and miscarriage: diagnosis and initial management