When toxicosis passes in the first. When does toxicosis in pregnant women end? Causes, types and symptoms of the disease, ways to alleviate the condition

At least every second expectant mother is familiar with the state of toxicosis. The appearance of nausea, a change in taste preferences, increased sensitivity to smell - this is how toxicosis begins in pregnant women. Today we will look at the signs of toxicosis and find out what toxicosis is in the early stages and how to deal with it.

Toxicosis on the way - the time of onset of the disease

Manifestations of an illness called toxicosis occur quite spontaneously. Negative symptoms can completely bypass pregnancy - many women have never experienced nausea during the entire period of bearing a child. But, nevertheless, more than half of expectant mothers learn all the "charms" of toxicosis in the early stages.

It is difficult to unequivocally answer the question of when toxicosis begins during pregnancy - the timing of toxic manifestations is purely individual.

According to medical statistics, several periods of the onset of toxicosis are distinguished. Among them are 4 main ones:

1. Before confirmation of pregnancy- a woman in position may begin to feel sick even before two strips appear on the test, a day or two before the delay of the next menstruation (26-35 days of the cycle);
2. In the first weeks of pregnancy- early toxicosis often haunts a pregnant woman from 4-5 weeks of an interesting position, especially if the first child is expected. Often, the state of general malaise during this period is the result of hormonal changes in the body;
3. From the second month of pregnancy- in most cases, the symptoms of toxicosis in women begin to gain momentum precisely from this period (7-8 weeks of pregnancy) and last until the first screening;
4. Late toxicosis- called preeclampsia, occurs in the last trimester of pregnancy, is considered a serious complication and requires close medical supervision.

Note! Depending on which week toxicosis begins, one can also assume the number of fetuses developing in the uterus. In women carrying twins, vivid manifestations of toxicosis can make themselves felt as early as the third or fourth week of pregnancy.

Signs of the appearance of toxicosis in pregnant women

It is generally accepted that the main signs of toxicosis in a pregnant woman are daily urge to vomit and suddenly appearing nausea. But in addition to these phenomena, there are many more reactions of a woman's body to a pathological condition - toxicosis. The most common manifestations of the disease with an approximate description of the possible severity can be found in the table.

Table of the main symptoms of toxicosis

Important! Toxicosis is a medical diagnosis that is established by a doctor based on the complaints of a pregnant woman, with the help of tests and laboratory tests. To clarify the presence of the disease, factors are taken into account: the level of protein and bilirubin in the blood, the presence / absence of acetone in the urine, the amount of electrolytes in the blood, the severity of dehydration of the woman's body, etc.

Toxicosis can manifest itself in several forms, from mild to severe, and each of them is characterized by certain signs:

• Weak toxic manifestations- aversion to odors, slight nausea after waking up, increased salivation, slight urge to vomit (without vomiting itself or up to 2 times / day).
• Moderate toxic manifestations- nausea during the day, vomiting 3-5 times a day, dizziness, feeling unwell, many smells provoke an attack of nausea.
• Severe toxic manifestations- vomiting more than 6 times a day, low blood pressure, fainting, complete lack of appetite, significant weight loss, signs of dehydration.

On a note! In most cases, toxicosis of the first trimester of pregnancy does not become severe and does not pose a danger to the woman and the fetus. But if the manifestations of the disease cause depression, exhaustion, weakness, complete loss of strength - the intervention of a doctor is simply necessary.

How long does toxicity last?

Early toxicosis, as a rule, disappears by 12-13 weeks of pregnancy. Even with small manifestations of toxicosis, the obstetrician is obliged to send the expectant mother for an unscheduled delivery of tests - urine, general and biochemical blood tests. With a mild course of the disease, home bed rest and the supervision of a doctor from the antenatal clinic are shown. 2 and 3 degrees of toxicosis require the placement of a pregnant woman for treatment in a hospital.

4 causes of toxicosis in a pregnant woman

The true basis of "pregnant" toxicosis, despite numerous studies, medicine could not be found. There are only theories on the basis of which it can be assumed for what reason toxicosis begins in women after conception.

Hormonal theory

Rapidly progressing toxicosis may be the body's response to a large-scale hormonal restructuring, which begins simultaneously with the appearance of a new organ - the placenta. At the peak of the hCG content in the blood, the severity of toxicosis also reaches its peak. This moment is especially felt by mothers with multiple pregnancies.

hereditary theory

Toxicosis can be transmitted "by inheritance" - it is this idea that is taken as the basis of the hereditary (otherwise - genetic) theory. If in female relatives all pregnancies were complicated by toxic manifestations, then, with a high probability, this fate awaits the now pregnant woman.

immune theory

This theory considers the situation of how toxicosis begins in a pregnant woman due to the body's production of antibodies to intrauterine life, perceived as a foreign tissue.

Psychogenic theory

According to this hypothesis, the physical condition of the future mother may worsen due to the constant feeling of negative emotions, excitement, fear, worries, fears for the life and health of the unborn child.

A small note from my mother about the time of onset of toxicosis and its possible manifestations during pregnancy:

The main ways to deal with the manifestations of toxicosis

What else can be done to improve well-being with toxicosis?

Still that will help you to eliminate all the severity of manifestations:

drink more

If you drink a glass of water immediately after waking up in the morning, it will save you from nausea for at least the first half of the day. Drink during the day those drinks that you like - mineral water, juices, green tea, fruit drink. Even if a pregnant woman has edema, the amount of fluid should not be less than 2-2.5 liters per day.

Less sudden movements

The actions and movements of the future mother from the moment of clarifying her position should become calm, as smooth as possible. No abrupt getting out of bed! Make it a rule to "fly", do not rush anywhere, and your well-being will be at the highest level.

Long rest and sleep

Daily night sleep should be at least 8-10 hours. For working pregnant women, this can mean only one thing - going to bed early so that you can properly gain strength by the next morning. During the day, every couple of hours, give yourself a 5-minute break, especially if the work involves being at the computer in the office.

Nutrition normalization

For the sake of your own health, you should take care of good nutrition. Dairy products (yogurt, kefir, cheese, cottage cheese), red meat, fish, fresh fruits, fiber-rich vegetables will cover the daily need for calories and nutrients, thereby strengthening the body's strength.

How to survive toxicosis - life hacks from mom:

Prevention of toxicosis in a future mother

To minimize the risk of toxicosis, or even avoid its occurrence, even at the stage of preparation for pregnancy, try to take care of your own health, adhere to the right lifestyle and get rid of bad habits.

What can be done to prevent the occurrence of toxicosis:

• alcohol, cigarettes, fast food should disappear from the life of the expectant mother for at least 9 months;
• down with everything that causes pungent odors - household chemicals, perfumes, even your favorite coffee beans can wait a couple of trimesters for the benefit of well-being;
• overwork is the enemy of women's health, especially during pregnancy. Healthy sleep, daily walks in the fresh air, a quiet pastime with the family are put in the first place. Strengthen physical and moral balance during pregnancy, try to relax more, think about pleasant things;
• avoid stuffy public transport during rush hour - it is better to organize a walk once again;
• fractional nutrition with early toxicosis can reduce all unpleasant symptoms to nothing. Meals every two hours reduce the occurrence of nausea, and a small portion is easily digested, eliminating heartburn. With a full, but fractional diet during pregnancy, there will be no problems with being overweight;
• the mint component is one of the most effective and proven remedies for nausea. Fresh mint leaves can be brewed into tea, or simply chewed at the time of feeling unwell. Sugar-free mint candies will also save the situation, but mint chewing gum is better to postpone - it provokes salivation and can cause stomach cramps;
• multivitamins with a high content of selenium also have a healing effect on toxicosis. The necessary complex of minerals, vitamins and trace elements with regular use will reduce the manifestations of toxicosis to a minimum.

P.S. About how you can find in a special section of the site. Here we have listed the main existing methods.

Probably, most expectant mothers faced such an unpleasant problem as toxicosis. Moreover, it can be expressed in different ways: from mild nausea in the morning, which, in principle, is not dangerous, to repeated vomiting (5-10 times a day), which necessarily requires medical supervision and treatment.

In our review and video in this article, we will analyze the main causes and signs of toxicosis by week of pregnancy, and also discuss how to deal with this scourge.

The beginning of pregnancy is not only an exciting moment for every family, but also a time of great changes in a woman's body.

To date, doctors identify the following causes of toxicosis:

1. Serious hormonal changes.
2. Active work of the maternal immune system.
3. Psychological problems: fear and increased anxiety of the expectant mother.

In the pathogenesis of the disease lies several points:

• Firstly, the nervous system of a woman does not have time to rebuild in response to a sharp increase in hormone levels. As a result, there is a disruption in the work of the subcortical nuclei of the brain, activation of the vomiting centers and, as a result, a painful symptom of nausea.

• Secondly, the embryo developing in the uterus and the products of its vital activity are often perceived by maternal immunity as foreign agents. In this case, toxicosis can be considered as a protective reaction of the body.

It is interesting. That is why in medicine the nausea of ​​pregnant women is called toxicosis: from the word "toxin" - a poison of biological origin. Of course, while carrying a baby, poisoning of a woman (in the truest sense of the word) does not occur. Rather, toxicosis can be called an individual reaction of the nervous and immune systems to a developing pregnancy.

According to medical research, most often toxicosis develops in women:

• over 35 years old;
• suffering from gynecological diseases;
• with chronic extragenital pathology (especially liver, kidneys);
• with endocrine disorders;
• undergone surgery;
• with a history of abortion;
• alcohol abusers and smokers.

Bad habits are one of the risk factors

Another interesting theory links the appearance of toxicosis with the physique of a woman. It is believed that lean patients of high stature are more likely to complain of nausea during pregnancy.

Toxicosis: is there a "norm"

Many expectant mothers are concerned about the question, and when should it end.

It is believed that with a normal pregnancy, for the first time, nausea begins to bother a woman at 4-8 weeks. However, some patients note that toxicosis appeared literally from the first days of the delay or even a little earlier.

Discomfort usually stops by 12-16 weeks. By the end of the fourth month, the formation of the placenta is completed: now it is she who is responsible for the blood circulation in the mother-fetus system and is a kind of filter.

Therefore, by week 20, the condition of most patients is completely normal, and the "golden period" of pregnancy begins. But there are exceptions: read about them below.

Thus, the duration and severity of toxicosis largely depends on:

• woman's health before pregnancy;
• lifestyle, nutrition, bad habits of the patient;
• ecological situation in the region of residence;
• heredity.

Clinical manifestations

Depending on the gestational age, the clinical manifestations and consequences of toxicosis may be different. In the sections below, we will look at the symptoms of pathology in the first, second and third trimesters.

First trimester

As we have already found out, most often toxicosis begins in the period from 4 to 8 weeks of pregnancy. However, there are cases when women notice malaise from 1 day of delayed menstruation or a little later - at 9 or 10 weeks.

The most common symptom of pathology is vomiting. It can occur depending on the severity of toxicosis.

Table. Classification of early toxicosis:

Morning “dates” with the toilet are quite common.

Note! Ptyalism (increased salivation) is another additional symptom that can accompany vomiting of pregnant women of any severity or even be an independent sign of toxicosis. With severe salivation, patients lose up to 1 liter of fluid per day, which negatively affects the water and electrolyte balance of the body.

Second trimester

As a rule, all the discomfort associated with nausea and vomiting in the expectant mother passes even before 12-14 weeks of pregnancy. In 95% of cases, early toxicosis is completely completed by the 5th month (20th week).

However, medicine also knows cases in which pathological symptoms can disturb a woman at 22, 24 and even 26 weeks of gestation.

It appears:

• bouts of nausea and vomiting;
• malaise;
• the appearance of edema;
• fluctuations in blood pressure;
• a sharp decrease in vision;
• general dehydration of the body;
• starting from the 25th week of pregnancy - the phenomena of nephropathy.

The consequences of second trimester toxicosis can be extremely dangerous for both the expectant mother and the fetus. Without timely treatment, preeclampsia is often complicated by pulmonary edema, heart failure, premature birth, and even death of the patient.

Important! Late toxicosis in combination with proteinuria is an indication for the immediate hospitalization of a woman in a specialized hospital.

third trimester

Preeclampsia can also develop in the third trimester of pregnancy, starting from the 28th obstetric week and later. For some time, it can be asymptomatic, therefore it is especially dangerous for circulatory disorders, water and salt balance.

Symptoms of late toxicosis, starting from the 30th week of pregnancy, include:

• nausea (sometimes it persists until 36 - 40 weeks);
• headache, dizziness;
• arterial hypertension;
• stomach ache;
• swelling of the limbs;
• intense thirst.

Note! More often, preeclampsia develops in pregnant women with arterial hypertension, kidney disease, overweight, and also at the age of younger than 18 or older than 35 years.

Attention: dangerous symptoms

If the main complication of vomiting of the first trimester is dehydration and metabolic disorders, which are usually easily corrected, then toxicosis, starting from the 18th week, often inspires doctors with serious concerns.

Seek immediate medical attention if you have:

• nausea and vomiting do not stop, and their frequency is 5-6 times a day or more;
• protein was found in the urine test;
• the prescribed weight gain does not occur;
• health deteriorated sharply;
• edema of the lower extremities appeared, spreading from the feet to the lower leg and above;
• increased blood pressure.

Diagnostics

Diagnosis of toxicosis at any week of pregnancy is usually not difficult.

However, in order to identify possible disorders in the body in time, the doctor should refer the pregnant woman for an additional examination, including:

• general blood analysis;
• blood chemistry;
• urine test for acetone and ketones.

Methods of dealing with toxicosis

Based on the interview, examination of the patient and the results of laboratory tests, the specialist determines the severity of the pathology and draws up a treatment plan. With a mild form of toxicosis, which occurs most often, the patient is treated at home under the supervision of a antenatal clinic doctor.

All gestosis, as well as indomitable vomiting at 5-10 weeks of pregnancy, is an indication for hospitalization. Self-medication in these cases is unacceptable.

As a rule, the treatment of a mild form of early toxicosis consists in:

• correction of lifestyle and nutrition;
• according to indications - drug therapy.

As a supplement, many women successfully use alternative medicine methods. However, remember that before using them, it is important to consult a doctor.

Daily routine and diet

This is the first thing to start the fight against toxicosis. Experts recommend:

• sleep at least 8-10 hours a day and wake up at the same time;
• regularly ventilate the room;
• at least half an hour a day to walk in the fresh air;
• eat in small portions, but often - every 2-3 hours;
• saturate the body with foods rich in "useful" protein - lean meat, sour-milk dishes, sea fish, legumes;
• in addition to the main meals, arrange snacks; nuts, dried fruits, dried white bread, a slice of lemon are perfect as them;
• if nausea bothers you in the morning on an empty stomach, after waking up, eat a few crackers or biscuit cookies in bed;
• after each meal, try to sit quietly or even lie down for 5-10 minutes;
• observe the water regime;
• try not to eat and drink at the same time.

To get rid of nausea during an attack, many pregnant women help:

• a sip of alkaline mineral water (Borjomi, Narzan);
• mint (including in the form of lozenges, chewing gum);
• slice of lemon;
• orange/grapefruit juice.

It is interesting. With salivation, it helps to rinse your mouth with infusion of chamomile, mint, sage.

No less important is the psychological aspect of the fight against pathology. Many women perceive toxicosis as a punishment or retribution for motherhood, constantly winding themselves up. All this aggravates the course of the disease.

It is important to remember that nausea and vomiting are just a small episode of these happy nine months. The calmer and more optimistic you are about it, the easier it will pass for you.

Medical treatment

As prescribed by the doctor, the patient may be prescribed:

• sputum drugs (Cerukal, Splenin);
• infusion therapy (droppers with glucose and vitamin C);
• hepatoprotectors (Essentiale forte);
• enterosorbents.

Cerucal - the most famous antiemetic drug

A relatively new way to treat early toxicosis is immunocytotherapy. It consists in the subcutaneous injection of lymphocytes from the father of the child to the patient.

Despite the high efficiency of the method, it is associated with the risk of parenteral infection, so before using it, you need to make sure that the woman's husband is healthy. Standard examination - tests for HIV, hepatitis B and C, Wasserman reaction.

aromatherapy

A good effect is the inhalation of aromas that soothe nausea. It:

• jasmine;
• rose flower;
• anise;
• neroli;
• lemon.

The duration of the aroma session is 20-30 minutes. The procedure can be performed daily.

Acupuncture and acupressure

Found application in the fight against early toxicosis and the practice of oriental medicine. If acupuncture should be carried out only by a qualified specialist, then a pregnant woman can do acupressure on her own.

To do this, several times a day, you need to knead the paired points located with light pressure movements:

• at the inner surface of the mammary glands at the level of the nipples;
• in the dimples between the thumb and forefinger on the back of the hand.

Thus, most often, toxicosis resolves on its own even before the 13th week of pregnancy and does not require specific treatment. A measured life, a calm environment, diet correction, walking and family attention work wonders. At the same time, vomiting and other signs of gestosis in the later stages require timely diagnosis and special attention from the doctor.

Toxicosis is not mandatory, but a frequent and unpleasant companion of the first three months of pregnancy. Gynecologists indicate the approximate period when toxicosis will end in the first trimester: this is the interval from 11 to 14 weeks (the end of the third and the beginning of the fourth month of pregnancy).

Doctors call toxicosis not a disease, but a reaction of the body to the state of pregnancy. Unpleasant manifestations of toxicosis are an additional physical and psychological burden. Depending on the woman's health, genetic predisposition, her emotional comfort, the intensity and duration of toxicosis will vary.

Toxicosis - what is it

With toxicosis, a pregnant woman is sick of smells, tastes and even the type of certain products (each woman has her own, there is no clear list). The state of weakness, nausea, weakness, sensations that resemble poisoning can be simply unpleasant, or they can be dangerous (when incessant vomiting leads to dehydration and loss of vitamins and nutrients).

If vomiting is too frequent, it can lead to weight loss and high blood pressure. There is an assumption of doctors that with toxicosis, a woman's body rejects harmful substances accumulated during her life. Other experts suggest that in some cases, toxicosis has a psychological cause: when the expectant mother is subconsciously not ready for pregnancy, or is too worried about the future of the baby.

Types of toxicosis and its symptoms

Early

Early toxicosis develops from 4-5 weeks. The woman begins to feel difficulties with digestion of food, nausea, vomiting. The symptoms of toxicosis are very similar to the symptoms of poisoning the body with toxins, they disappear only when toxicosis stops: by 12-14 weeks of pregnancy. From this moment on, a woman can fully enjoy the state of waiting for a baby without unpleasant physical sensations.

Late

Late toxicosis develops in the seventh or eighth month of pregnancy, in the third trimester. This is a dangerous disease for mother and child. Late toxicosis at the end of pregnancy is called preeclampsia. With gestosis, doctors recommend that the pregnant woman go to the hospital in order to be under the constant supervision of specialists.

Staphylococcal

Staphylococcal toxicosis develops against the background of exhaustion of the body, malnutrition.

Evening or morning

Evening (or morning) toxicosis is manifested in a feeling of heaviness in the abdomen, nausea. Appears in the evening before going to bed or in the morning after waking up. This variant of toxicosis is easiest to defeat with a proper diet, a balanced diet, excluding foods that cause rejection from the diet.

Recent studies have revealed that in the body of a pregnant woman during restructuring, a large amount of progesterone is released. It is he who contributes to the slowdown of the digestive tract, which leads to loss of appetite, nausea and vomiting. If a pregnant woman quickly ended toxicosis, it means that her body quickly adapted to the pregnancy regimen. When toxicosis is implicit, discomfort does not last until 4 months of pregnancy - this is also a kind of norm, and not a deviation from it.

Signs and degree of toxicosis

According to certain signs, the onset of toxicosis and its degree are diagnosed. Conditions characteristic of toxicosis:

• nausea, vomiting;
• loss of appetite;
• weight loss;
• low or high blood pressure;
• weakness, lethargy, drowsiness;
• increased salivation;
• change in taste and olfactory sensations and addictions;
• dermatosis, osteomalacia, asthma.

Depending on the signs and the degree of intensity of their manifestation, doctors distinguish three degrees of toxicosis: mild, moderate and severe.

A mild degree is characterized by discomfort, attacks of nausea and vomiting several times a day against the background of a general satisfactory condition of the pregnant woman. Weight, if lost, is insignificant, up to 3 kg.

With an average degree of vomiting attacks are observed up to 10-15 times a day, a woman can lose more than 3 kg. in 2 weeks. There may be initial dehydration due to profuse vomiting.

A severe degree is characterized by constant nausea and vomiting, any intake of food and liquid provokes a gag reflex. Against the background of such processes, dehydration, significant weight loss, osteomalacia (when the bones soften due to calcium and phosphorus deficiencies) can develop.

When should toxicity end?

The end of toxicosis is associated with the intrauterine development of the baby. It is laid down by nature that the completion of the formation of a child's place usually occurs by the 14th week. From this time on, the placenta takes on the main protective role, so the woman's body unloads, gets out of stress, and finally adapts to the restructuring. Most mothers note that their toxicosis has passed by the 4th month of pregnancy.

The severity of toxicosis and its duration is difficult to predict. It depends on the health of the pregnant woman, the individual characteristics of her body. Genetics also play a role: ask your mother, grandmothers on your mother's and father's lines, what week they had toxicosis: on the 12th, 13th, or 14th. This will give you an approximate picture of the development of events.

If signs of toxicosis appear in the last trimester, you should definitely seek help from a doctor. The expectation that the time will come when the discomfort will go away and the toxicosis will end on its own in the later stages is dangerous for both the mother and the baby. The doctor examines the pregnant woman, prescribes additional tests. In most cases, the expectant mother is offered to lie down for preservation so that she is under the constant supervision of specialists.

Prevention of toxicosis

Toxicosis in pregnant women develops against the background of hormonal and physical changes in the body, emotional and psychological components are very important. To help relieve toxicity:

1. Strengthening the body.
2. Balanced diet.
3. Taking vitamins (only after eating, drinking them so that they do not irritate the walls of the stomach).
4. If there is no allergy, foods such as lingonberries, all citrus fruits, cranberries, sauerkraut (but not salted) improve digestion and reduce nausea.
5. From the diet you need to remove everything that provokes nausea, listen to internal sensations, cook those dishes that cause appetite.
6. Sleep should be sufficient, deep, calm.
7. Watch your emotions - do not give in to resentment, anger, irritation.
8. If there is an opportunity to take additional leave at work - take it. Or ask the gynecologist to put you on sick leave. At this time, the most important thing is your health, not emergency work at work. Women whose toxicosis ended early noted a sharp improvement in their condition after the normalization of the emotional background.
9. Nausea usually comes from foods and smells that may be harmful or dangerous to you or your baby, respect this reaction, and avoid anything that provokes nausea.
10. Try to walk more in the fresh air (ideally - in parks, or just away from the streets with an abundance of exhaust gases).

A woman in good health should have no problems during pregnancy. But according to statistics, more than half of pregnant women are prone to attacks of nausea and vomiting, and in 10-12% of them, toxicosis is diagnosed in severe forms and lasts a long time. Toxicosis usually begins from 4-5 weeks, and in rare cases from the moment of conception (usually not associated with pregnancy). So that toxicosis does not become an unpleasant surprise, a woman should know when it starts, the approximate end dates, as well as the main symptoms and methods of getting rid of nausea and vomiting.

Nausea and vomiting are the most frequently diagnosed signs in pregnant women with intoxication at different times. In addition to such a manifestation of toxicosis, symptoms may be as follows:

• intolerance to certain products, especially their odors;
• skin rashes and itching;
• temperature rise;
• the appearance of edema;
• disorders of the kidneys and liver.

Usually at 3-4 weeks of pregnancy, discomfort appears associated with the development of aversion to certain foods and the smells they emit. From one of their appearance and even a slight smell, a woman begins to stir up. Habitual foods cause a negative reaction, for example, very often a woman feels sick and vomits from sweets during pregnancy.

Another hallmark of toxicosis is a change in taste preferences, sometimes quite abrupt. Conversely, unusual foods cause an irresistible desire to eat them immediately. All this is due to constant changes in the hormonal balance in the female body, which last throughout pregnancy.

The causes of toxicosis have not yet been thoroughly studied; physicians attribute many factors to their causes, ranging from hereditary to exacerbation of chronic diseases during pregnancy.

Modern medicine considers toxicosis a widespread pathology, since about 60% of all women in an interesting position suffer from it.

The complete absence of any discomfort in the expectant mother during the period of bearing a child is the norm, and not accidental luck.

Timing and severity of toxicosis

Modern medicine classifies toxicosis according to the timing of occurrence into early and late.

1. early toxicosis. It usually starts from 3-4, but sometimes it can start from the first week of pregnancy, from the first days of delay (less than 10% of cases), toxicosis ends on average by 10-12 weeks. At the initial stage of pregnancy, a woman begins to feel sick, and the peak of toxicosis usually occurs at 4-8 weeks. At an early stage, the appearance of toxicosis is diagnosed in 60-65% of women.
2. late toxicosis. It develops either at the end of the second trimester, or at the beginning of the third, it is about 26 - 28 weeks. Sometimes it ends quickly, and in some cases it can last until childbirth (up to 40 weeks). It is late toxicosis that is especially dangerous, since the likelihood of developing preeclampsia increases, endangering the life and health of a woman.

There is no unequivocal answer to the question of how long toxicosis normally lasts in pregnant women, there are only some average indicators that the obstetrician-gynecologist relies on when determining the severity of the patient's condition. On average, from the onset of toxicosis to its end, it takes from several weeks to 1.5 months. If this condition lasts longer, there is reason to think about the development of pathology.

What is dangerous toxicosis

In total, there are 3 degrees of toxicosis - mild, moderate and severe.

1. Mild degree: causes discomfort, discomfort, bouts of nausea and vomiting several times a day, but the woman's condition is generally satisfactory, and weight loss does not exceed 3 kg.
2. Medium degree: attacks of nausea haunt a pregnant woman on average 10-15 times a day, eating does not save them, and she loses over 3 kg in weight in 2 weeks. In this case, the likelihood of dehydration is high, because with vomit the body loses a large amount of water.
3. Severe: nausea and vomiting practically do not stop, the woman cannot eat or drink, ordinary water causes severe vomiting. This is fraught with a significant loss of body weight, and increases the likelihood of not only dehydration, but also the development of osteomalacia (softening of the bones due to a lack of calcium and phosphorus).

As already noted, toxicosis itself is a deviation from the norm, but its late variety in severe course is especially dangerous. Therefore, if a woman begins to feel very sick during pregnancy from the end of the second and third trimester, an urgent need to consult a doctor to exclude gestosis from the causes. Preeclampsia is a serious condition characterized by the following manifestations:

• an increase in blood pressure to a critical level as a result of the occurrence of vascular spasms;
• violation of the kidneys, the appearance of edema;
• oppression of liver functions;
• development of eclampsia.

The insidiousness of preeclampsia lies in the fact that it begins to develop without pronounced symptoms and is detected only by the results of laboratory tests, but can affect the condition of the fetus, up to perinatal death. That is why doctors attach such importance to monitoring the health of expectant mothers. From the second half of pregnancy, their visits to the doctor and the delivery of tests become weekly, and the measurement of blood pressure should be daily.

But not only the development of preeclampsia can significantly harm the health of a pregnant woman, all degrees of severity of toxicosis harm a woman to one degree or another.

How to deal with nausea

Nausea and vomiting in any month of pregnancy is a malaise that you want to get rid of as soon as possible. The easiest way to deal with morning sickness, which, as a rule, is due to the fact that during the night a significant amount of decay products has accumulated in the body - metabolic waste products and various toxins. Salvation can be drunk in the morning, without getting out of bed, a glass of clean water.

Also, many experienced women leave some kind of snack next to the bed in the evening. It can be a fruit, a handful of nuts, which can eliminate morning sickness.

In general, an attack of nausea can occur suddenly at any time, so it is advisable to always have a bottle of water and a small snack with you.

The following products can also help in the fight against toxicosis, but provided that they are not allergic:

• lemon (and all citrus fruits);
• cranberries (or cranberry juice);
• cowberry;
• sauerkraut (but not too salty) cabbage.

Pickled cucumbers are a controversial product, as excess salt in the diet leads to kidney failure, edema, and high blood pressure.

It should be remembered that if such a condition in a woman continues in the second half of pregnancy and its symptoms increase, you need to urgently consult a doctor, because it is time to deal with toxicosis with drugs. In no case should you self-medicate, this can only aggravate the situation.

Preventive measures

Usually, in the absence of complications, toxicosis occurs and passes quickly enough. Not only when the time comes for the greatest likelihood of developing toxicosis, but long before conception, doctors advise starting preparations for pregnancy. This is a set of measures aimed at improving health, increasing the body's defenses, changing lifestyle and nutrition.

• balanced diet;
• taking vitamin complexes for pregnant women;
• walks in the open air;
• physical activity (gymnastics, yoga, swimming);
• sleep for at least 8 hours a day;
• giving up bad habits (smoking, alcohol).

Review your diet and avoid the following foods:

• smoked meats;
• high-fat foods;
• spicy seasonings;
• canned food, especially salty;

Of the methods of cooking, preference should be given to boiling, stewing or baking, this will reduce the consumption of fats. The menu should be nutritious and balanced, contain a sufficient amount of fresh vegetables, fruits, lean meats and fish.

Particular attention should be paid to the psycho-emotional state of a woman during pregnancy. Frequent mood swings, causeless tears and excessive emotionality - all this happens due to permanent hormonal changes throughout the female body. That is why, in the daily routine of a pregnant woman, physical activity should be combined with good rest.

If a woman during pregnancy follows the rules of a healthy lifestyle and follows all the recommendations of her doctor, then with a high degree of probability the manifestations of toxicosis will be either insignificant or short-lived.