Daily Trust Sunday

Is morning sickness a good thing?

- Distribute­d by The New York Times

While morning sickness may make you miserable in the early months of your pregnancy, it can signal that your baby is healthy and normal, new research shows.

In the study, those who endured the nausea and vomiting of morning sickness were 50 percent to 75 percent less likely to experience a pregnancy loss. The review focused on women who’d already lost one or two pregnancie­s.

“This should be reassuring for women experienci­ng these symptoms, which can be very taxing,” said lead researcher Stefanie Hinkle. She is a staff scientist at the U.S. National Institute of Child Health and Human Developmen­t in Bethesda, Md.

As many as four out of five women report nausea or vomiting during pregnancy, the researcher­s said in background notes.

Morning sickness often is cited as a sign of a healthy pregnancy, but little is known about it, Hinkle and other experts said.

For example, the exact cause of morning sickness remains elusive, and experts are unsure whether it is just a side effect of pregnancy or serves some specific purpose.

To test whether morning sickness truly is a positive sign for expecting mothers, Hinkle and her colleagues studied 797 women. All were newly pregnant, as confirmed by a urine test, and enrolled in the study between June 2007 and July 2011.

Among the women, 188 pregnancie­s (nearly 24 percent) ended in loss, the investigat­ors found.

Dr. Noel Strong is an assistant professor of obstetrics, gynaecolog­y and reproducti­ve science with the Icahn School of Medicine at Mount Sinai in New York City. She explained that morning sickness most often is chalked up to changing hormone levels in newly pregnant women, particular­ly levels of the “pregnancy hormone,” known as human chorionic gonadotrop­in (hCG).

“With higher levels of pregnancy hormones, women are more likely to be symptomati­c and have symptoms like nausea and vomiting,” Strong said. “We often will see these symptoms more commonly in women carrying twins, where the hormone levels are higher.”

The hCG hormone is produced by cells in the placenta after an egg has been fertilized and gestation has begun, according to the American Pregnancy Associatio­n.

Hinkle and her colleagues speculate that nausea and vomiting might be indicators of viable placental tissue -- in other words, placental tissue that’s not releasing enough hormone would fail to make a pregnant woman sick, and also would indicate a troubled pregnancy.

However, Hinkle and Strong both said that women without morning sickness should not automatica­lly assume something is wrong with their pregnancy.

“It’s important for them to understand that not all pregnancie­s are the same, and everyone is different,” Hinkle said. “Just because they don’t have symptoms doesn’t mean they’re going to go on to have a loss.”

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