Nausea is often associated with early pregnancy, but for some women, it can return or persist into the nausea third trimester pregnancy. This can be frustrating, especially when you’re nearing your due date. While third-trimester nausea is usually not a cause for worry, it can sometimes indicate an underlying issue. Understanding why it occurs and how to handle it can make a big difference in your comfort and well-being.
In this guide, we’ll explore the causes of nausea third trimester pregnancy, home remedies that can help, medical treatments, and when you should seek medical advice.
What Causes Nausea in the Third Trimester?
1. Hormonal Changes
Even in late pregnancy hormones like estrogen and progesterone fluctuate, which can slow digestion and lead to nausea.
2. Pressure from the Growing Uterus
As your baby develops, your expanding uterus can push against your stomach, leading to acid reflux, indigestion, and nausea.
3. Acid Reflux and Heartburn
Heartburn is common in late pregnancy due to increased pressure on the stomach and hormonal changes relaxing the esophagus. This can cause nausea, especially after meals.
4. Preeclampsia
In rare cases, nausea in the third trimester can be a symptom of preeclampsia, a serious condition that involves high blood pressure and potential organ damage. If nausea is accompanied by swelling, headaches, or vision changes, seek medical attention immediately.
5. Labor and Early Signs of Delivery
Some women experience nausea as an early sign of labour. This is often due to hormonal shifts and the body preparing for childbirth.
6. Infections or Illness
Food poisoning, viral infections, or gastrointestinal issues can also lead to nausea in late pregnancy. If nausea is severe and accompanied by vomiting, fever, or diarrhoea, consult your doctor.
Home Remedies for Third-Trimester Nausea
1. Adjust Your Diet
- Eat smaller, more frequent meals to prevent an overly full stomach.
- Avoid spicy, greasy, and heavy meals that can trigger nausea.
- Stay hydrated by consuming water, herbal tea, or electrolyte drinks throughout the day.
- Try ginger-based remedies, such as ginger tea or chews, to help settle your stomach.
2. Change Your Eating Habits
- Eat slowly and mindfully to avoid overwhelming your digestive system.
- Sidestep lying down immediately after eating to reduce acid reflux.
- Consider keeping plain crackers or dry toast nearby for a quick snack when nausea strikes.
3. Manage Acid Reflux
- Elevate your upper body while sleeping to decrease stomach acid in your oesophagus.
- Chew sugar-free gum after meals to promote spit production, which can neutralize acid.
- Try antacids after consulting your doctor to relieve heartburn-related nausea.
4. Use Natural Remedies
- Peppermint tea or essential oils may help soothe an upset stomach.
- Lemon water or fresh citrus scent can be refreshing and reduce nausea.
- Acupressure wristbands, often employed for movement sickness, can help with pregnancy nausea.
Medical Treatments for Severe Nausea in Late Pregnancy
If home remedies don’t provide relief, your doctor may suggest the following:
- Antacids: Safe options like Tums or Maalox can help with acid reflux-related nausea.
- Vitamin B6 supplements: Often recommended for morning sickness but can also help in the third trimester.
- Prescription medications: Medications like Diclegis (doxylamine-pyridoxine) or Zofran (ondansetron) may be prescribed if nausea is severe.
- IV fluids: In cases of dehydration due to excessive vomiting, hospitalization may be necessary.
When to Call Your Doctor
While nausea in the third trimester is often usual, seek medical advice if you experience:
- Persistent nausea with vomiting that prevents you from keeping food or liquids down.
- Signs of preeclampsia include swelling, headaches, high blood pressure, or vision problems.
- Severe dehydration symptoms include dizziness, rapid heartbeat, or dark urine.
- Pain or cramping with nausea could indicate labour or another issue.
Conclusion
Nausea in the third trimester can be uncomfortable but is usually manageable with diet changes, home remedies, and medical support when needed. If you’re experiencing persistent or severe nausea, always match with your healthcare provider to rule out any severe conditions. Taking small steps like adjusting your eating habits and managing acid reflux can significantly affect how you feel during the final stretch of pregnancy.
