1. DR. DIPTI NABH
DR. SHARDA JAIN
DR. JYOTI BHASKAR
DR. JYOTI AGARWAL

2. 2015
Our Gift to Doctor’s Community

3. Review this Lecture and others at:
Slideshare.net/lifecarecentre
Non-pharmacological Treatment
Of Nasuea and Vomiting
in Pregnancy

4. Non-pharmacological
Treatment of
NVP
‘‘Nausea,’’ refers to seasickness.
The word is derived from the
Greek word ‘‘naus,’’ meaning ship.

5. Supportive Care &
Non-pharmacological Therapy
IS
the Initial accepted approach in treatment of
Nausea Vomiting in Pregnancy
MEDICATION TO BE KEPT TO MINIMUM –
EXCEPT FOLIC ACID

6. The Reason – Not to use
Medications
We gynaecologists are
Concerned
about the adverse effects of
drugs during Embryonic and
early Fetal development

7. Different modalities available are :-
1 Avoid trigger
2 Diet
3 Herbal remedies
4 Acupressure / Acupuncture
5 Hypnosis

8. Various Triggers
• Odour
• Noise
• Heat
• Light
• Travelling
NNO MEDICATION PLZ

9. Diet
• Small frequent meals.
• Rich in Protein, Carbs.
• Lights Snacks
• Drinks containing electrolyte &
supplements.

10. Herbal Therapy
• Ginger
• Peppermint
• Chamomille

11. Ginger (Zingiber officinale)
Mechanism of action
Ginger
Histamine
Endorphins
Acetylcholine
CannabinoidGABA
Substance P
(NK-1)
Serotonin
(5-HT3)
Dopamine
(D2)

12. Dose and Formulations
1 gm of powdered ginger is equivalent to:-
• 1 tsp of freshly grated rhizome.
• 4 – 8 oz of pre packaged ginger tea
• 8 oz of gingerale
• 2 droppers of ginger liquid extract
• 1 gm. of ginger in as crystalloid ginger
in divided doses in 24 hrs.

13.  Herbal anti-nauseant & anti-emetic
 Prevents gastro-oesophageal reflex
 Safe and reliable in Nausea & Vomiting
in Pregnancy (NVP)
 Devoid of any side effects

14. Other Herbs
• No direct investigations of other herbs
for treatment of NVP done.
• There are also concerns regarding their
safety profile.
• Peppermint is an Emanogouge
• Canabis has adverse effect on fetal
development.

16. Acupressure
Inhibits the nociceptive transmission.
Inhibits autonomic reflexes
Inhibits somotovisceral reflexes.

17. Life care Bands

19. Hypnosis
Works through dissociation of content.
Works through dissociation context.

20. No Medicine
No Medicine
No Medicine
Except Folic Acid

21. So, now you can greet
her again
“GOOD MORNING !!”
With all the
New Knowledge
Thanks…

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