A detailed explanation of the problem of nausea, vomiting and toxicosis (early gestosis) during pregnancy: causes and effective treatment. Toxicosis during pregnancy: causes and treatment Nausea at 13 weeks
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Toxicosis is a fairly common condition in pregnant women, accompanied by nausea and vomiting. It occurs due to poisoning by toxins and other harmful substances formed in a pregnant woman during the development of the fetus.
It can also lead to a variety of symptoms, with the most persistent being disorders of the central nervous system, cardiovascular system and metabolism. As long as toxicosis during pregnancy lasts, the symptoms continue to appear.
There are several degrees of toxicosis:
- First, the urge to vomit is observed infrequently, up to 5 times. Weight loss is insignificant up to 3 kg.
- The second is vomiting up to 10 times and weight loss can be 3-4 kg over a two-week period, which can lead to low blood pressure.
- The third is prolonged and frequent bouts of vomiting, up to 25 times a day, significant weight loss is observed - over 10 kg, the temperature rises and the pulse quickens.
When does toxicosis begin in pregnant women?
Many women try to determine the absence or, conversely, presence of pregnancy and begin to listen to their body, to its every change. Not every woman knows exactly when toxicosis can begin during pregnancy. Doctors set the following time frames:
- Early toxicosis can begin in the first days of pregnancy or at 5-6 weeks of pregnancy. And toxicosis ends early on at 13-14 weeks, but everything can end earlier, each case is individual.
- Manifestations of late toxicosis begin in the very last trimester of pregnancy, and sometimes in the middle of the second trimester, which is much more dangerous for the fetus and mother.
Signs of toxicosis in pregnant women
As soon as a child is conceived, the body of the expectant mother begins to adjust the rhythm of work for two: the mother herself and the baby. From what at first a woman begins to experience discomfort called toxicosis. You can find out how to deal with it on the forum, where every mother shares her secret.
First of all, a woman experiences irritability, increased salivation, loss of appetite, nausea, weakness, drowsiness, changes in taste buds, vomiting and weight loss. Very rarely, with early toxicosis, one can observe the development of dermatoses, asthma, osteomalacia - softening of bone substance, tetany - spasmodic manifestations of skeletal muscles. Signs of severe toxicosis appear regardless of whether the mother is expecting a boy or a girl. Symptoms of toxicosis can also be observed during frozen pregnancy, which can be distinguished by the absence of fetal movement and heartbeat.
The most dangerous and unpleasant signs of toxicosis, both in the first trimester and in the third.
Gag reflex in pregnant women
Vomiting is one of the most striking manifestations of toxicosis in late and early pregnancy. Most often, vomiting is active for 20 weeks and the earlier it starts, the more severe it is. There are several degrees of severity of the gag reflex in a pregnant woman:
- Mild nausea and a small amount of vomiting, which occurs no more than 5 times a day, usually after meals. The woman’s condition is unchanged, weight loss is about 3 kg, but no more.
- Vomiting increases up to 10 times a day, regardless of food intake, and weight loss in 2 weeks can already reach 3 kg or more. A pregnant woman’s well-being deteriorates significantly: weakness occurs, the pulse rate increases, and blood pressure decreases.
- There is excessive vomiting, which can reach up to 25 times a day. Such a fleeting process leads to dehydration and sudden weight loss (more than 10 kg). The temperature rises, bad breath appears, the pulse quickens, the blood pressure drops and the woman becomes lethargic. In some cases, kidney function may be impaired, and with prolonged vomiting, which already becomes life-threatening for the mother, doctors recommend artificial termination of pregnancy.
Dermatous rashes
This is the most unpleasant manifestation of toxicosis at the 13th week of pregnancy, in the form of diffuse itching of the skin, it can also reach the genitals. This leads to irritability, sleep disturbances and depression.
Dangerous development of tetany and osteomalacia
Progressive development occurs due to disturbances in the exchange of phosphorus and calcium in the body of the expectant mother. Osteomalacia causes softening of bone tissue, which can lead to bone fractures. Tetany is dangerous due to cramps in the muscles of the upper extremities; it is very rarely observed in the lower extremities and on the face.
Why is there no toxicosis
Women are so accustomed to the idea that toxicosis is a normal course of pregnancy that its absence has begun to evoke fear and apprehension. Don't worry, such suspicions are completely unfounded and not dangerous. Quite the opposite - this means that the expectant mother is absolutely healthy. If there is no toxicosis, this is normal. The body easily adjusted to the new rhythm of work, coping well with the loads, it adapted to the new state without nausea, vomiting or disruption of its general systems.
The advantages of a “toxic-free” pregnancy are obvious:
- there is no threat of miscarriage, subsequently severe toxicosis;
- timely replenishment of vitamins to the developing fetus, which improves its development, without any pathologies;
- excellent mood and well-being, allows you to enjoy the unique state of the body.
Types of toxicosis
During pregnancy, there are several types of toxicosis:
- Staphylococcal toxicosis – activated by enterotoxigenic strains, which, when multiplied, can release a heat-resistant exotoxin into food products. Urgent consultation with a doctor, examination and further treatment are necessary.
- Evening toxicosis – after an exhausting and stressful day and without taking enough food, the body becomes exhausted and succumbs to the attack of toxicosis. Toxicosis in the evenings makes it difficult to fall asleep and rest in peace. Evening walks, freshly prepared juice or a fruit drink made from fresh sour berries have a beneficial effect on the body.
- Toxicosis in the first half of pregnancy – This is approximately the period from 1 to 14 weeks of pregnancy. Doctors recommend calmly experiencing the symptoms of toxicosis in the first trimester. If the symptoms intensify, then specialists can prescribe safe, mild herbal remedies, which will significantly alleviate the condition of the pregnant woman and reduce intoxication. But it’s worth noting that while mommy is taking the prescribed medications, she feels great, but when you stop taking these medications, the signs of toxicosis immediately resume. To reduce toxicosis during pregnancy, you can resort to folk remedies, which will be safer for the baby.
- Late toxicosis – with normal development of pregnancy, re-occurrence of toxicosis in the second trimester is excluded. But there are cases when late toxicosis causes attacks of vomiting and nausea; if the symptoms intensify, a complication called gestosis occurs. It is manifested by swelling, the presence of protein in the urine, increased blood pressure and weight gain of up to 400 grams per week. The more toxicosis progresses in late pregnancy, the more difficult and dangerous it is for the health of a pregnant woman. But a mother who regularly visits a doctor will be notified about gestosis in time and hospitalized in time. Treatment is prescribed individually, it all depends on the specific situation and the degree of symptoms.
- Toxicosis before delay – did you start feeling nauseous immediately after conception? This is not a sign that you are already pregnant. Toxicosis can begin 7-10 days after the development of the fertilized egg. But nausea and vomiting may not always occur; on the contrary, many women begin to experience a voracious appetite.
Causes of toxicosis during pregnancy
Why toxicosis occurs during pregnancy still remains a mystery and an unstudied phenomenon. It is impossible to say with absolute certainty what causes the symptoms of toxicosis in the early and late stages.
But still, doctors identify several causes of toxicosis in pregnant women:
- Changes in the hormonal system. From the first hours of fertilization of the egg in the uterine cavity, a woman experiences dramatic hormonal changes. The composition of hormones changes dramatically, which is reflected in the behavior, health and well-being of the pregnant woman. Against the background of these changes, she becomes irritable, touchy and whiny, nausea is provoked, and her sense of smell is heightened. In the first months, the embryo is considered a foreign body for the mother’s body, which it would like to get rid of, which also affects the well-being of the expectant mother. But when does toxicosis end in pregnant women? After some time, the level of hormones stabilizes, and the mother’s body calmly accepts the embryo, and the fight against toxicosis will stop by the second trimester.
- Development of the placenta. The likelihood of this theory is quite logical. It was found that toxicosis debilitates the female body in the first trimester, up to approximately 13-14 weeks. The sudden disappearance of toxicosis is due to the fact that the placenta is already completing its formation. And now the performance of many functions becomes her responsibility, this includes the retention of toxic substances. Until the process of placental development is completed, the pregnant woman’s body itself protects itself from possible intoxication by vomiting.
- Defensive reaction. The expectant mother's refusal of many foods and late toxicosis during pregnancy is nothing more than a natural act of protection. Mommy experiences nausea primarily due to cigarette smoke, coffee-containing drinks, fish, meat and eggs. They may be hazardous to health due to the pathogenic microorganisms they contain. The gag reflex and nausea protect the fetus and maternal body from harmful and dangerous substances; in this case, toxicosis in pregnant women is biologically necessary. In addition to the toxins and poison contained in the food consumed, insulin produced after each meal has a negative effect on the development and growth of the embryo.
- Chronic infections and diseases. Infections and diseases that are not completely cured lead to a weakening of the pregnant mother’s immunity. This can provoke toxicosis in the first trimester and what should you do then? It is necessary to include a full complex of vitamins at the planning stage, as well as contact a specialist and undergo a full examination. After which, undergo a course of treatment, especially for infections.
- Psychological changes. Severe toxicosis in the 3rd trimester can begin due to the psychological and emotional state of the mother. Nervous experiences, stress, lack of sleep, emotional shock and irritability are the causes of severe toxicosis, leading to nausea and vomiting. According to doctors, late toxicosis develops in women who become pregnant unexpectedly and unplanned. Moreover, many women prepare themselves in advance for the fact that all pregnant women have severe toxicosis in the first trimester or in the later stages. And the principle of how self-hypnosis works is known to everyone. According to scientists, with the onset of pregnancy, the nervous system undergoes great changes, and the centers of the brain that are responsible for the functioning of the sense of smell and the gastrointestinal tract are currently activated.
- Age criteria. Pregnancy that occurs after 30–35 years of age is considered dangerous, especially if this is the first conception or there have been multiple abortions before. The development of toxicosis can be much stronger and more risky. Experts say that the younger the expectant mother, the easier she tolerates possible symptoms of toxicosis. But this is not in all cases; there are exceptions.
- Genetic background. The occurrence of toxicosis in the second trimester due to heredity has a greater chance of its development. In the event that someone from the previous generation suffered from toxicosis at 16 weeks or any other period, there is a 70% chance that this problem will not bypass you. The risk of increased symptoms increases if a woman had toxicosis in a previous pregnancy.
- Multiple pregnancy. There will certainly be more joy from such news, but there will also be more difficulties in pregnancy. For example, toxicosis in the second half of pregnancy in a mother with twins manifests itself much more often and more progressively than in a woman with a singleton pregnancy. But pregnant women who have suffered early toxicosis are practically not in danger of miscarriage, which is important.
We can also say with confidence that a healthy woman is less susceptible to toxicosis during pregnancy than a mother with chronic diseases, infections and leading an unhealthy lifestyle.
At what week does toxicosis go away?
All cases associated with toxicosis in the first half of pregnancy and subsequent trimesters are individual, so no one can answer the question exactly: “When will toxicosis end?” Some mothers experience a slight sign of nausea, but others are forced to spend weeks in the hospital in order to overcome toxicosis. The same factor applies to the duration, because in pregnant women toxicosis is observed in different trimesters, but in most cases toxicosis goes away on its own at 14 weeks.
Signs of toxicosis may continue until the placenta is formed, and this process ends at approximately 12 or 14 weeks. After which the calm course of pregnancy in the second trimester begins. Toxicosis may resume again in the third trimester, then it has a completely different term - gestosis.
There are cases when the expectant mother begins to experience toxicosis in the last trimester, which is much more dangerous than toxicosis in early pregnancy. If there are signs of late toxicosis, you should immediately consult a specialist.
How to reduce toxicosis during pregnancy?
What exactly helps against toxicosis and how to alleviate its symptoms can only be determined by the pregnant woman herself; each has its own method of combating toxicosis. The main symptoms of toxicosis during pregnancy appear in the morning, because the level of glucose in the blood is low at this time. If you adhere to the tips listed below, the activity of toxicosis may subside.
How to avoid toxicosis during pregnancy:
- Before getting out of bed, you should eat a small piece of bread, cookies or, best of all, dried fruit. Make mint tea, add a slice of lemon and a small amount of sugar to it, which normalizes blood glucose levels. All these methods will help relieve the symptoms of toxicosis in the early stages or in the last trimester, there is no difference.
- You can suck on a slice of lemon or orange; sour fruits usually smooth out the symptoms of nausea. But for many, on the contrary, toxicosis intensifies, so you need to listen to your body and check all methods gradually.
- You need to drink only those drinks and juices that are right for you: herbal tea, chilled drinks, plain water, vegetable broth.
- Instead of drinks containing a large amount of dyes, you can eat fruits with a high liquid content - melon, watermelon, grapes and ginger are the best option for toxicosis. Sometimes you can treat yourself to a serving of ice cream.
- Heavy, spicy and fried foods should be replaced with steamed dishes. Also, light foods in the form of dairy products, fruits and raw vegetables are less overwhelming to the stomach and are much healthier.
- It is necessary to divide meals into several servings and eat smaller amounts of food, but more often. During the day, you can include crackers, a banana or an apple so that your stomach is not empty. The fight against toxicosis will not be in vain if you do not allow vomiting and nausea to become a habitual manifestation of your body.
- It is not recommended to go to bed immediately after eating. It's worth waiting a few hours before falling asleep or just lying down.
- A proven grandmother’s recipe for toxicosis during pregnancy is a spoonful of honey at the beginning of the first symptoms of toxicosis.
Nutrition for toxicosis in pregnant women
So how can you correctly create a diet for a future mother with toxicosis in the early stages of pregnancy? The erroneous opinion of many is to limit yourself in food; the less we eat, the less nausea and vomiting. First, it is in the initial months that the embryo needs various microelements and vitamins. Secondly, even the shortest diet, which is aimed at consuming only one product, can soon cause an allergic reaction in both mother and fetus.
Therefore, it is important to prepare a balanced diet during this period:
- From the very beginning of toxicosis, it is necessary to exclude exactly those foods that cause nausea. These most often include dairy products.
- And what products are necessary, despite the progression of nausea and vomiting? To replenish minerals - sodium and chlorine - table salt is recommended, but in moderation. Therefore, salted fish and cucumbers will even be useful during this period, but do not forget about moderation, especially for women with chronic kidney diseases.
- The menu for toxicosis in late pregnancy is significantly different. First of all, it is important to remember the enemy of the last trimester of pregnancy – salt. Therefore, refrain from taking herring and cucumbers, as this can cause fluid retention in the body. And add less salt to all dishes.
The best prevention for late toxicosis is moderate food intake. The most unloved foods for the body during this period are smoked meats, pickles and marinades. Therefore, it is very important to monitor a healthy and nutritious diet before late toxicosis begins.
Protein plays an important role in late toxicosis, and a lack of protein leads to a decrease in its level in the blood. Therefore, it is recommended to add boiled fish, cottage cheese and boiled lean meat to a healthy diet.
Treatment of toxicosis
There are many remedies for toxicosis, some only reduce symptoms, while others fight it. But it is worth taking into account that not all medications for toxicosis are safe and effective.
- Treatment of toxicosis using medication. In the fight against toxicosis, among the wide range of drugs used, only valerian, nosh-pa and microelements are considered harmless. But in some situations, the use of more serious drugs is simply necessary for the health of the mother and child; if left untreated, a miscarriage may occur. Drug treatment of early and late toxicosis should be comprehensive and include various drugs: enterosgel, Essentiale, Cerucal and many others.
- Immunocytotherapy is a modern invasive treatment method. The principle of its operation is as follows: a pregnant woman’s lymphocytes are injected into the skin of her forearm. Relief from toxicosis symptoms occurs within 24 hours. This method of treatment requires a thorough examination of the father for the presence of infections. It is important to know that immunocytotherapy can be dangerous, as it increases the risk of contracting hepatitis and other infections.
- Homeopathic method of treatment. This type of fight against toxicosis is considered the safest and most effective. Homeopathy allows you to select individual medications that can treat not only the female body, but also the child’s body. Side effects and overdose are excluded, and the drugs used do not cause addiction.
- Aromatherapy It has been used since ancient times and has a beneficial effect on the well-being of a pregnant woman. For example, during a morning exacerbation of toxicosis, you can drop a couple of drops of peppermint essential oil on a handkerchief and place it next to you. If you do this procedure several nights in a row, the result will not take long to arrive.
You can carry ginger oil with you and at the moment when an attack of nausea worsens, you need to drop ginger oil on your palms, rub it well and bring your palms to your nose, and take a deep breath. You can also perform steam inhalations, they reduce the urge to vomit.
For preventive purposes, every morning it is necessary to rub the oil solution into the umbilical area: one drop of ginger is added to a dessert spoon of vegetable oil.
In addition to the above methods of treating toxicosis, herbal medicine is also used, and some prefer unusual methods: acupuncture, hypnosis, electrosleep and others.
You should not prepare yourself for the fact that manifestations of toxicosis during pregnancy will not be missed. Tell yourself more often: “Everything will be fine, both with me and with the child”!
Article verification: Lada Sergeeva,
practicing gynecologist
Useful video about toxicosis during pregnancy November 2, 2019
Replies
Fruit (development, size)
The first trimester of pregnancy is ending, and by this time the child’s body has achieved tremendous success in its development. The small heart is amazing: every day it pumps 23 liters of blood! By this time, all of the baby’s baby teeth are already fully embedded.
But the achievements do not end there: at the 13th week of pregnancy, bone and muscle tissue continues to form, and the baby’s digestive system develops. Thus, the first villi are formed in the intestines, which in the future will take part in the digestion and movement of food. The pancreas is already producing its first insulin. The child's vocal apparatus began to form. The genital organs are increasingly differentiated: this week the genital tubercle lengthens and either gradually turns into a penis, or bends downwards, forming the clitoris. The sex cells or prostate gland develop, depending on the sex of the fetus.
The child’s appearance also gradually acquires more expressive features. The body is gaining momentum in growth - over time it will look larger and larger relative to the head. Now the coccygeal-parietal size of the fetus is on average 7-8 cm, and its weight ranges from 15-25 g.
A huge amount of work has been done to lay down the main organs and systems, and now it’s the turn of the emotional sphere. At the 13th week of pregnancy, the baby is active all the time: he listens, learns new skills, reacts to signs coming from the outside world (sounds and silence, light and darkness, heat and cold, various kinds of touches). Now the baby is more and more awake, falling asleep only for a few minutes and waking up again. The movements of the fetus are no longer as chaotic as before, and have some order.
At the 13th week of pregnancy, the baby distinguishes the smells and tastes of the food consumed by the mother. He may not like everything from the proposed menu, but on the contrary, he will really love some products. Just imagine: he not only knows how to suck and swallow, he already yawns, smiles and makes grimaces! The baby is very comfortable in his mother’s tummy: it is warm, cozy, calm, soft, the sounds coming from outside pleasantly lull him to sleep, he is surrounded by a soothing twilight...
If by this time you have not yet established a tradition of communication with your child, then the transition to the second trimester is the time. The most tranquil period for mother and baby begins - use every minute of it for your own and his pleasure.
Feel
At the 13th week of pregnancy, a woman, as a rule, no longer feels sick. The “hormonal riot” is over, the body has adapted to the changes that have occurred and has become accustomed to the new state. The second trimester is the calmest of all periods of pregnancy: most of the signs, symptoms and ailments associated with the onset of pregnancy are already behind us, but still this time cannot be called absolutely carefree. It's time to get serious about preventing stretch marks, constipation and swelling.
By the 13th week of pregnancy, the waist gradually disappears and the tummy becomes rounded. Chances are you've already switched to maternity clothes. Otherwise, update your wardrobe now. Pay special attention to the bra: it should be the size of your growing breasts and support them well (wide straps do this). The breasts will grow and fill out throughout the entire period: compared to the pre-pregnancy state, its weight by the end of pregnancy will increase at least two, or even four times.
Uterus at 13 weeks of pregnancy
Just like the fetus, the uterus is constantly growing, rising higher and higher. it fills almost the entire hip area and rises higher - into the abdominal area. Neighboring organs will have to make room, and this will cause some inconvenience in the future: heartburn, shortness of breath, and others.
During each examination, the gynecologist will now measure the height of the uterine fundus. It is equal to the number of weeks in centimeters. So, at the 13th week of pregnancy, the uterus is 13 cm high and 10 cm wide. It can already be easily felt, especially if a thick fat layer does not prevent this.
In the second trimester, the tone of the uterus will no longer be so bad - it becomes softer and more elastic, and, as a rule, contracts for a short time.
Stomach
During moments of increased uterine tone, you may feel stretching and pain in the lower abdomen. At such moments you just need to lie down and rest. If this happens often, the doctor will advise you to use suppositories with papaverine or drink Ginipral, for example. But many mothers do without any medications. Just learn not to “disturb” your uterus once again: don’t wear heels, don’t carry heavy things, don’t get nervous over trifles.
The stomach may also hurt due to gas formation. Monitor your diet and the presence of such a relationship. Some foods may need to be eliminated from your diet.
For most women, at the 13th week of pregnancy, the belly already reveals their position: it has become rounded, or even noticeably grown. But it happens that the tummy is just beginning to appear, and it seems as if you have just gained a little weight.
Pain
If abdominal pain at 13 weeks of pregnancy is accompanied by spotting, then it is better to warn your doctor about this. Try to limit physical activity for a while, and if bleeding starts, go to the hospital immediately.
It is not at all uncommon to have pain on the sides of the abdomen at 13 weeks. This stretches the muscles that hold the uterus, and the uterus itself is constantly stretching. Such pains are not dangerous, but if you are excited, then lie down to rest - it will not harm.
Pain in the legs, accompanied by cramps in the calf muscles, is a signal of a lack of calcium in the body. Typically, such pain occurs at night. Increase the amount of calcium-containing foods in your diet - this element is very important now. Just give preference to plant sources of calcium, since the animal quickly ossifies the fontanel, which is undesirable during the passage of the child through the birth canal.
Cold at 13 weeks of pregnancy
If you have a sore throat, and also a headache, and the whole body, and the temperature has risen or a runny nose has begun, then you need to treat the cold. The likelihood of getting the flu during pregnancy is very high, so you should avoid crowded places, especially during the peak of viral diseases. And although a cold at the 13th week of pregnancy is no longer as dangerous as in the first trimester, its severe course can cause some abnormalities in the development of the child and even premature birth. Therefore, do not let a cold get worse, but start treatment immediately. Try traditional medicine first, and only if the condition worsens, turn to medication. All your actions should be coordinated with your doctor so as not to harm the baby.
Temperature
Doctors say that there is no need to lower your temperature during pregnancy. But if it stays at 38 C for more than two days or rises, then you need to take an antipyretic. Consult your doctor in choosing a medicine, these may be paracetamol-containing drugs or homeopathic antipyretics.
The temperature at the 13th week of pregnancy can still remain normal at subfebrile levels. There is no need to worry if you feel well, nothing hurts, you do not feel this increase in temperature and it is not accompanied by yellow-green or bloody discharge.
Discharge
Discharge at the 13th week of pregnancy may change its character. Now they will be more liquid and possibly plentiful. This is a normal phenomenon, the main thing is that the color and smell of the discharge do not change, that is, that they are absent. The reason for contacting a doctor should be curdled, bubbling, strong-smelling discharge of yellow, greenish, gray, brown or red color, as well as discharge that causes discomfort and discomfort in the genital area: itching, burning, pain, swelling, irritation.
Such discharge at the 13th week of pregnancy indicates the presence of infection in the genital tract or the threat of miscarriage.
Bleeding
Bloody discharge at 13 weeks of pregnancy is not normal, but it is not always associated with something tragic. Undoubtedly, the doctor must determine the cause of the appearance of blood from the vagina, and there can be many of them:
- placental abruption;
- placenta previa;
- hematoma;
- erosion or mechanical damage to the cervix (often observed after examination in a gynecological chair or after sexual intercourse);
- neoplasms;
- fall or blow to the abdomen;
- fragility of blood vessels (due to an increase in blood volumes, they can burst under its pressure) and others.
As you can see, not all of the reasons are a threat to your pregnancy. So don’t be too nervous, but it’s still necessary to establish the source of the bleeding, you never know. Perhaps the doctor will prescribe an ultrasound examination for you, which will show whether the baby is normal, and this is the most important thing. It even happens that hospitalization is not necessary in all cases.
Ultrasound at 13 weeks of pregnancy
If by this time the pregnancy proceeded without complications, then perhaps your first ultrasound will take place at 13 weeks. You will be able to see how the little heart beats, how it moves, and the study will give the doctor the opportunity to assess the condition of the fetus and pregnancy:
- accurately determine the gestational age and number of fetuses;
- assess fetal vital signs;
- determine the presence/absence of severe defects incompatible with life;
- conduct a screening study to determine the woman’s risk group for chromosomal abnormalities in the fetus (in particular, Down syndrome).
Screening
There are ultrasound and biochemical screening tests. The first screening during pregnancy is carried out at 11-16 weeks, it is likely that you will be sent for an ultrasound and tests this week.
Screening includes a number of tests and studies that help identify women at risk for developing chromosomal diseases in the fetus. To do this, it is imperative to look at the collar zone of the fetus (assessing its thickness or transparency), its nasal bone (presence or absence and size), determine the presence or absence of physical defects, as well as the level of hormones and proteins in the mother’s blood. Based on the data obtained and the age category of the pregnant woman, a conclusion is made about the likelihood of this woman having a sick child.
The high-risk group includes pregnant women whose risk of developing fetal abnormalities, based on screening results, is 1:350 or less. But you should know that a risk factor is not a guarantee of pathology. Screening allows only to admit a high probability of a chromosomal disorder and nothing more.
Tests (hCG, progesterone)
Most likely, all tests at the 13th week of pregnancy will be part of the first biochemical screening, which has recently been included in the list of mandatory studies during pregnancy. This is a so-called double test, including an analysis of the hCG hormone and plasma protein PAPA-A.
The hCG level will give reason to judge the normal course of pregnancy or suspect some abnormalities: delay or arrest of fetal development, the presence of defects, negative Rh factor. You should focus on the hCG norms given in the form, which may differ slightly in different laboratories.
Progesterone at the 13th week of pregnancy is no longer so informative. There are no norms for the level of this hormone by week; it is assessed based on the trimester: in the first trimester, progesterone should normally be in the range of 8.9-468.4 nmol/l, in the second - 71.5-303.1 nmol/l .
Nutrition
Proper nutrition will help you avoid many troubles during pregnancy. At week 13 it should be:
- complete: the child needs proteins, fats and carbohydrates;
- healthy: create a menu only from natural products, prepared in a gentle way;
- varied: regularly eat lean meat, fruits and vegetables, nuts, cereals, legumes (if there are no intestinal problems).
In addition, nutrition at the 13th week of pregnancy must be adjusted to prevent constipation. Tomato juice, vegetable and fruit purees and juices, dried fruits, beets, apples, and seaweed will help you with this. Don't forget about the importance of calcium during this period. Be sure to include green fruits and vegetables (including kiwi), persimmons, and lentils in your diet.
Alcohol at 13 weeks of pregnancy
Continue to lead a healthy lifestyle until the very end of your pregnancy. Resist the temptation to smoke or drink alcohol. Alcohol at the 13th week of pregnancy is still very dangerous, because during this period the formation and differentiation of the baby’s internal organs and systems continues. But the fetus does not continue to develop throughout pregnancy, and alcohol invariably reaches the baby through the placenta. This is why it is not correct to talk about a safe dose of alcohol during pregnancy.
Sex
The sex life of expectant parents at week 13 can sparkle with new colors. By this time, the risk of miscarriage has already been significantly reduced, the woman’s worries and fears have subsided, she has become accustomed to her new condition and, perhaps, even feels the effect of hormones that can significantly increase libido during the period of bearing a baby. The sensitivity of the genital organs also increases, which will allow you to experience new sensations from intimacy with your spouse. Enjoy this blessed time. The only obstacle to this may be your poor health and the threat of miscarriage - in this case it is better not to risk it.
Pregnancy. 13 weeks and severe toxicosis. and got the best answer
Answer from
Everything went away for me by the end of 4 months..
Answer from 2 answers[guru]
Hello! Here is a selection of topics with answers to your question: Pregnancy. 13 weeks and severe toxicosis.
Answer from Melamori Blimm[guru]
Many people feel sick for 9 months.
Answer from Catherine[guru]
The doctor told you everything correctly. Pregnancy is different, you may vomit 24/7 for the entire 39 weeks. Lemon water helped me. The main thing is to eat, because due to nausea you lose vitamins that could be supplied to the child. What is toxicosis? - One part of you is putting all its efforts into preserving the child and the safety of the fetus, the other is trying to reject the “foreign” body. This is what makes you sick. So everything is fine. Unfortunately, no pills will help. The main thing is to eat
Answer from Aska Tartarova[guru]
Mint tablets, or the body poisons it because it is not full-fledged and therefore sick from toxins. He will be born normal but not smart, you will suffer for a long time with him.
Answer from Yolavik Kovernikov[guru]
Often toxicosis lasts up to 16-18 weeks, then subsides. Up to 12 weeks they say on average. Although it can last the entire pregnancy. Try to eat in the morning without getting out of bed, follow a diet (no fried, smoked, canned food), and get enough rest.
Answer from Alesia[guru]
Severe toxicity occurred until 26 weeks. Vomiting, nausea, weakness, low blood pressure. In the first month I lost 10 kg. She was in the hospital. Injected with vitamins. Ask for directions.
Answer from Rem[guru]
It varies from person to person, and sometimes it can last throughout the entire pregnancy. If the toxicosis is very severe, that is, you cannot eat at all, you are losing weight, and so on, you will have to consult a doctor, even up to hospitalization. But in general it should soon at least begin to decrease. Not necessarily exactly after 12 weeks, maybe after 16 for example.
Answer from Jenny Codes[guru]
I sympathize with you very much. Pregnant for the third time. I don't even know what this is...
But your situation is abnormal and requires medical attention!
Answer from Koshastik[guru]
Well, yes, up to 12 weeks, but that’s only approximately, it could be longer....
Answer from Tatyana Belokhlebova[guru]
I was in conservancy for the first few months and they gave me injections - it helped against toxicosis.
Answer from Glyashina Yulia[guru]
I was up to 15 weeks. Only crackers saved me. lemon water and acupuncture bracelets for pregnant women in transport. have an easy pregnancy
I>13 week of pregnancy is a certain transition to the next stage of embryo development. Although at the end of this period it can already be called a fruit. Many women develop toxicosis at the 13th week of pregnancy; it is also called early toxicosis. You don’t have to worry a little more, and it will pass. So don’t be alarmed if you are constantly bothered by nausea at 13 weeks of pregnancy, it will disappear.
At the thirteenth week, the fetus should already have twenty of them and they will wait for their moment to erupt. It is worth noting that the baby’s eyelids are not yet open, they are fused and the eyes will begin to open only after four months. If the arms are long, then the baby can even suck his own finger, which will be noticeable on an ultrasound. In addition, tissue begins to form in the baby, and the baby’s bones will gradually form from it, especially the bones of the head and limbs. A few ribs are already starting to appear. The most interesting thing is that even the chin and nose are visible more clearly. And very soon the fetus’s chest will begin to move, as if breathing, thereby practicing breathing.
It is worth noting that the baby’s intestines are already placed in the abdominal cavity, villi begin to form and appear in it, which play an important role in the digestion of food. In addition, your baby's pancreas is capable of producing insulin. . At this stage, the placenta plays a fairly important role in the nutrition of your fetus - supplying it with oxygen, as well as the outflow of products and their processing. In the future, this role will be played by amniotic fluid. The most interesting thing is that at thirteen weeks the placenta is already formed, it is quite ready to take over the baton from an organ such as the ovaries. The placenta will secrete the hormone progesterone, including estriol. At 13 weeks, the baby will be enveloped by a fairly cloudy membrane. And at the top, usually on the left side, is the umbilical cord.
The length of the baby will be up to 78 millimeters, and the weight will be about 20 grams. they will not pass you by, although they will be reduced to a minimum. You will still need to take care of yourself . If you have a fever during the 13th week of pregnancy or a cold at the 13th week of pregnancy, you should immediately consult a doctor. Since your fetus will suffer because of this, and you will not be able to take some medications. In addition, a cold can cause the mutation of some of the baby’s organs, so you shouldn’t joke about it and self-medicate, because it’s not only your health, but also your baby’s.
We on the site - a site for mothers - continue our “investigation” on the topic of toxicosis. So, let's talk today about why some women do not “let go” of toxicosis at the 14th week of pregnancy and in later stages.
How it should be
You have finally become pregnant, have gone through all the joys and difficulties of the first trimester and are looking forward to the end of this period, primarily because (having read a lot of literature on this topic, you know for sure) that this terrible toxicosis must end.
But now the 13th week is coming to an end, and then the 14th, and you are still nauseous, nauseous and vomiting...
But you probably know that by this time the placenta has already fully formed and should have completely taken over, among other things, the function of purifying the blood, which means that the baby’s metabolites should not poison your body. Is it normal that toxicosis does not go away by the end of the first trimester?
Toxicosis 14 weeks: what are the causes?
So, let's figure out what could go “wrong” and prolong this “pleasure”:
- Firstly, the deadline could simply be calculated incorrectly. It may actually be less than you think (there was late ovulation or conception occurred later than you think). Therefore, you should wait some more time, and the nausea will go away on its own;
- You are taking any medications that cause nausea. These may include complex vitamins for pregnant women that are not suitable for you, iron supplements, etc.;
- You and your baby have a Rhesus conflict or a blood type conflict. This is one of the common causes of toxicosis at the 14th week of pregnancy, which, sadly, can continue until childbirth;
- You really have problems with your placenta and it is not functioning as it should. In this case, you need to constantly be under the supervision of doctors and take certain medications;
- Other specific causes associated with chronic or infectious acute diseases.
To find out which of the listed causes of toxicosis at 14-15 weeks is typical for your body, the site advises you to contact your consulting gynecologist with this problem and undergo an examination, because the treatment method and its results depend on this.
At 14 weeks, toxicosis just appeared
It happens that the first trimester of pregnancy is not overshadowed by negative emotions associated with toxicosis, but suddenly, at the end of this period, the woman suddenly feels nausea, headache and other “delights”. This cannot be, you say. But the fact remains a fact.
This type of toxicosis is already called and is not a normal variant.
Most often, this disease of pregnant women manifests itself in the third trimester, but can occur earlier. In addition, in this case, protein is detected in urine tests (kidneys are not working well), pressure may “jump”, and signs of vegetative-vascular dystonia may be present.
In this case, doctors admit the pregnant woman to a hospital, since this condition is very unsafe for both the expectant mother and the child.
Preeclampsia is more likely if:
- this is your first pregnancy;
- you are over 35 years old;
- you have a multiple pregnancy;
- you suffer from chronic diseases;
- you have been diagnosed with an STD.
14th week of pregnancy, toxicosis does not go away: what to do?
If you have toxicosis during this period of pregnancy, experts give some simple but effective tips to prevent nausea and its other manifestations:
- leave an apple, orange or other fruit on your bedside table in the evening that you need to eat without getting out of bed. This will help avoid morning sickness;
- eat portions throughout the day, in small portions, so that you do not get motion sickness;
- do not overfill your stomach, but also do not starve, as gastric juice will begin to eat away at the stomach, and this will most likely lead to nausea;
- drink enough liquid, give preference to clean, still water and berry fruit drinks;
- if you have toxicosis and headaches at the 14th week of pregnancy, do not make sudden movements, get up slowly from a sitting position so as not to feel dizzy;
- Avoid unpleasant odors that can trigger nausea.
In addition, every woman can find for herself a purely “own” method of getting rid of attacks of toxicosis. Some people practice aromatherapy, others use homeopathy, which is harmless to pregnant women. In particularly difficult cases, exotic methods can be used - hypnosis, acupuncture, electrosleep, etc.
If toxicosis of 14 weeks of pregnancy does not leave you and this condition has exhausted you greatly, you should definitely consult with specialists.
Perhaps you need drug treatment that will quickly alleviate your condition, because in this case we are talking not only about your health, but also about the health and sometimes the life of your unborn child.