Background Nausea and vomiting are experienced by most women during pregnancy. The onset is usually related to Last Menstrual Period (LMP) the date of which is often unreliable. This study describes the time to onset of nausea and vomiting symptoms from date of ovulation and compares this to date of last menstrual period Methods Prospective cohort of women seeking to become pregnant, recruited from 12 May 2014 to 25 November 2016, in the United Kingdom. Daily diaries of nausea and vomiting were kept by 256 women who were trying to conceive. The main outcome measure is the number of days from last menstrual period (LMP) or luteinising hormone surge until onset of nausea or vomiting.
Results Almost all women (88%) had Human Chorionic Gonadotrophin rise within 8 to 10 days of ovulation; the equivalent interval from LMP was 20 to 30 days. Many (67%) women experience symptoms within 11 to 20 days of ovulation.
Conclusions Onset of nausea and vomiting occurs earlier than previously reported and there is a narrow window for onset of symptoms. This indicates that its etiology is associated with a specific developmental stage at the foetal-maternal interface.
Trial registration NCT01577147

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Posted 12 Nov, 2020
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On 15 Jul, 2020
On 14 Jul, 2020
On 14 Jul, 2020
Posted 12 Nov, 2020
On 04 Nov, 2020
On 01 Nov, 2020
Posted 23 Oct, 2020
On 23 Oct, 2020
On 29 Sep, 2020
On 29 Sep, 2020
Received 29 Sep, 2020
Received 29 Sep, 2020
On 28 Sep, 2020
Invitations sent on 28 Sep, 2020
On 27 Sep, 2020
On 27 Sep, 2020
On 28 Aug, 2020
On 19 Aug, 2020
On 19 Aug, 2020
Received 19 Aug, 2020
Received 19 Aug, 2020
On 18 Aug, 2020
Received 13 Aug, 2020
On 06 Aug, 2020
Invitations sent on 27 Jul, 2020
On 15 Jul, 2020
On 14 Jul, 2020
On 14 Jul, 2020
Background Nausea and vomiting are experienced by most women during pregnancy. The onset is usually related to Last Menstrual Period (LMP) the date of which is often unreliable. This study describes the time to onset of nausea and vomiting symptoms from date of ovulation and compares this to date of last menstrual period Methods Prospective cohort of women seeking to become pregnant, recruited from 12 May 2014 to 25 November 2016, in the United Kingdom. Daily diaries of nausea and vomiting were kept by 256 women who were trying to conceive. The main outcome measure is the number of days from last menstrual period (LMP) or luteinising hormone surge until onset of nausea or vomiting.
Results Almost all women (88%) had Human Chorionic Gonadotrophin rise within 8 to 10 days of ovulation; the equivalent interval from LMP was 20 to 30 days. Many (67%) women experience symptoms within 11 to 20 days of ovulation.
Conclusions Onset of nausea and vomiting occurs earlier than previously reported and there is a narrow window for onset of symptoms. This indicates that its etiology is associated with a specific developmental stage at the foetal-maternal interface.
Trial registration NCT01577147

Figure 1

Figure 2

Figure 3
The full text of this article is available to read as a PDF.
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