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Background: Nausea and vomiting in pregnancy (NVP), or emesis gravidarum, is a frequent complication of early gestation with unclear causes, suspected to involve genetic, hormonal, and gastrointestinal factors. Our study investigated the association of human chorionic gonadotropin (hCG), histamine, diamine oxidase (DAO), thyroxine and pyridoxine and the severity of NVP symptoms and assessed the efficacy of a vitamin C-containing chewing gum as a potential NVP treatment. Methods: In this prospective, double-blinded, randomized, controlled trial, 111 participants were assigned to receive vitamin C-containing chewing gum, placebo gum, or no treatment at two follow-ups during early pregnancy. Maternal serum levels of hCG, histamine, DAO, thyroxine, and pyridoxine were measured and correlated with NVP severity using the Pregnancy-Unique Quantification of Emesis and Nausea (PUQE-24) score. Results: Elevated maternal hCG levels were significantly associated with an increased PUQE-24 score (p < 0.001), while histamine levels showed no significant correlation (p = 0.68). Maternal DAO levels negatively correlated with NVP symptoms (p < 0.001) and elevated thyroxine (p < 0.001) and pyridoxine levels (p < 0.001) were associated with increased PUQE-24 scores. The vitamin C-containing chewing gum did not demonstrate efficacy in alleviating NVP symptoms compared to placebo gum or no treatment during the first (p = 0.62) and second follow-up visits (p = 0.87). Conclusions: Our study underscores the complexity of factors contributing to NVP, highlighting the significant roles of hCG and DAO, while histamine levels appear unrelated. Maternal thyroxine and pyridoxine levels also significantly correlate with NVP symptoms. Vitamin C-containing chewing gum was not effective as a treatment for NVP. Further large-scale studies are needed to better understand these interactions and develop targeted treatments in the future. [ABSTRACT FROM AUTHOR]

Mual dan muntah (emesis gravidarum) merupakan gangguan yang umum dialami oleh 50% wanita hamil, dan biasanya paling parah pada trimester I kehamilan. Mual dan muntah terjadi 60-80% primigravida dan 40-60 % multigravida. Salah satu tanaman herbal yang bisa mengurangi mual muntah adalah sari jeruk nipis. Jeruk nipis mengandung flavonoid yang terkandung dalam jeruk nipis juga dapat memicu gerakan peristaltik dalam lambung sehingga lambung dapat dengan mudah mencerna. Tujuan penelitian ini untuk mengetahui pengaruh pemberian air perasan jeruk nipis (Citrus aurantifolia) terhadap emesis gravidarum pada ibu hamil trimester I. Desain penelitian yang digunakan Quasi Exsperiment dengan rancangan Non Randomized Control Group Pretest Posttest Design. Responden diberikan air perasan jeruk nipis selama 3 hari kemudian dilakukan pengukuran frekuensi mual muntah pada hari ke-1 dan hari ke-4. Sampel diambil dengan cara consecutive sampling. Pengumpulan data dengan metode observasi menggunakan PUQE-24 hour scoring system. Analisis data menggunakan uji Mann-Whitney dan diperoleh nilai p=0,000. Kesimpulan adanya pengaruh yang signifikan secara statistik digunakan tingkat kemaknaan ?=0,05 atau p

Emesis occurs in 60-80% of primigravida and 40-60% of multigravida. These symptoms become more severe in one hundred out of a thousand pregnancies. The feeling of nausea is caused by an increase in estrogen and HCG hormone levels in the serum. 40% of women have used lemon scent to alleviate nausea and vomiting, and 25% of them have acknowledged that citrus aromatherapy is an effective way to control these symptoms. This study was aimed to determine the effectiveness of lemon aromatherapy in reducing emesis gravidarum in the first trimester of pregnancy. The method used a literature review. Research articles were searched using Google Scholar by entering the keywords "Lemon Aromatherapy," "Emesis Gravidarum," and "First Trimester Pregnant Women" from 2019 to 2023. Out of 15 published journals identified from 2019 to 2023, 10 journals met the criteria. Based on the 10 reviewed journals, lemon aromatherapy had been proven effective in reducing nausea and vomiting in the first trimester of pregnancy. Based on the results of the literature review, the administration of 2-3 drops of lemon aromatherapy for 5 minutes once a day for one week is effective in reducing the frequency of nausea and vomiting in the first trimester of pregnancy

One of the discomforts during pregnancy is nausea and vomiting, known as emesis gravidarum. Ginger cookies, as a Complementary Alternative Medicine (CAM), are often consumed by pregnant women to alleviate nausea. The purpose of this study was to investigate the effect of ginger cookies on pregnant women experiencing emesis gravidarum. This research was conducted as a Randomized Control Trial (RCT), following the CONSORT Guidelines. The study involved 59 pregnant women with a gestational age ranging from 6 to 16 weeks who were experiencing nausea and vomiting. The subjects were selected using random sampling. The intervention involved providing ginger cookies for a duration of 3 weeks. The severity of emesis gravidarum was assessed using the Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire. Data analysis was carried out using an Independent Sample t-test. The results revealed a significant difference in the average severity of hyperemesis between the treatment and control groups (p < 0.001), indicating a significant difference in emesis gravidarum severity between the intervention and control groups. In conclusion, ginger cookies have been shown to reduce the severity of emesis gravidarum. They can be considered as an adjunct in providing behavioral education to pregnant women to prevent emesis gravidarum.

One of the discomforts during pregnancy is nausea and vomiting, known as emesis gravidarum. Ginger cookies, as a Complementary Alternative Medicine (CAM), are often consumed by pregnant women to alleviate nausea. The purpose of this study was to investigate the effect of ginger cookies on pregnant women experiencing emesis gravidarum. This research was conducted as a Randomized Control Trial (RCT), following the CONSORT Guidelines. The study involved 59 pregnant women with a gestational age ranging from 6 to 16 weeks who were experiencing nausea and vomiting. The subjects were selected using random sampling. The intervention involved providing ginger cookies for a duration of 3 weeks. The severity of emesis gravidarum was assessed using the Pregnancy Unique Quantification of Emesis and Nausea (PUQE) questionnaire. Data analysis was carried out using an Independent Sample t-test. The results revealed a significant difference in the average severity of hyperemesis between the treatment and control groups (p<0.001), indicating a significant difference in emesis gravidarum severity between the intervention and control groups. In conclusion, ginger cookies have been shown to reduce the severity of emesis gravidarum. They can be considered as an adjunct in providing behavioral education to pregnant women to prevent emesis gravidarum. [ABSTRACT FROM AUTHOR]

Emesis Gravidarum (nausea and vomiting) is a common complaint in early pregnancy due to increased production of the hormones estrogen, progesterone, and placental human chorionic gonadotrophs. Peppermint aromatherapy is a therapeutic measure to treat emesis gravidarum in pregnant women. This aromatherapy has a cool, refreshing, and makes you feel comfortable. This study aims to find out how to give inhaled peppermint oil aromatherapy that can affect emesis gravidarum in first trimester pregnant women. The research method used is a literature study where an analysis of journals and articles with a review of existing theories is carried out.The journals that have been reviewed are as many as 16 journals. The results of this study revealed that the content of peppermint that can overcome emesis gravidarum is methhol and methone. The amount of peppermint is given 2-3 drops of peppermint essential oil on a tissue with a distance of 3-5 cm and inhaled for 5-10 minutes by doing 2 times a day in the morning and evening. From the results of the study that there are differences in the effectiveness of peppermint aromatherapy with other aromatherapy, where peppermint oil aromatherapy is more effective in overcoming nausea and vomiting in first trimester pregnant women. Health workers, especially midwives, can provide peppermint aromatherapy care to reduce emesis gravidarum in first trimester pregnant women.

Background: Emesis gravidarum is a feeling of nausea that appears in pregnant women, especially in the morning. Pregnant women experience nausea, vomiting, 2% in the morning, 80% throughout the day and 18% progress to delivery. In Indonesia, there are 50-75% cases of nausea and vomiting experienced by pregnant women. The cause is an increase in the hormones estrogen, progesterone and the secretion of hCG. The content in ginger (Zingiber OffIcinale) and mint leaves (Mentha Piperrita L) can reduce the incidence of emesis gravidarum thereby preventing bad health conditions of pregnant women that interfere with fetal growth and development. Purpose: To know the effectiveness of giving ginger and mint leaves to reduce emesis gravidarum for pregnant women. Methods: The research method used is the Quasy Experiment method with the Two Group Pre and Post-Test Design approach. The population of first trimester pregnant women is 60 people. The number of samples in each group was 4 women using the 2 free sample formula and purposive sampling technique. The results of the normal distribution test with the Saphiro Wilk test, the data are normally distributed so that it uses the paired t-test and the independent t-test. Results: Based on the univariate test, it was found that the average before infusion of ginger was 9.25 and 5.25 after being given steeped ginger. On average, before being given the mint leaf steeped was 10.0 and after being given the mint leaf steeped was 7.00. Based on the paired t-test, it was found that the p-value of steeped ginger was 0.011

Introduction: One of the complaints that often arise in early pregnancy (generally in the first months of pregnancy until the end of the first trimester) is nausea and vomiting (emesis gravidarum). Some research results state that the use of aromatherapy can help to reduce complaints of nausea and vomiting during pregnancy. This study aims to determine the perception of pregnant women in applying complementary therapy to overcome emesis gravidarum in the first trimester of pregnancy. Methods: The design used in this study was quantitative descriptive research design with cross sectional approach. This research was conducted in three private midwifery services in South Denpasar Distric. The sample in this study amounted to 100 respondents with purposive sampling technique. This research was conducted for one month, in June 2021. The instrument used is a questionnaire and data were analysed by descriptive analysis. Results: Almost all pregnant women (90%) did not have access to the use of complementary therapies, most pregnant women (78%) did not have traditional and cultural beliefs to use complementary therapies, most pregnant women (58%) had lack of knowledge about complementary therapy, and almost all pregnant women (91%) had a negative perception about the use of complementary therapies to deal with complaints of nausea and vomiting during pregnancy. Conclusion: The conclusion of this study is almost all pregnant women have a negative perception of the use of complementary therapies to treat emesis gravidarum. Expected that more health workers will provide education about complementary therapies to overcome emesis gravidarum.

The present work is concerned with tailoring and appraisal of a novel nano-cargo; bilosomes (BLS) dual laded with doxylamine succinate (DAS) and pyridoxine hydrochloride (PDH), the first treatment option against gestational nausea and vomiting, for intranasal delivery. This bifunctional horizon could surmount constraints of orally-commercialized platforms both in dosage regimen and pharmacokinetic profile. For accomplishing this purpose, DAS/PDH-BLS were elaborated integrating phospholipid, sodium cholate and cholesterol applying thin-film hydration method based on Box-Behnken design. Utilizing Design-Expert® software, the effect of formulation variables on BLS physicochemical features alongside the optimal formulation selection were investigated. Then, the optimum DAS/PDH-BLS formulation was incorporated into a thermally-triggered in situ gelling base. The in vivo pharmacokinetic studies were explored in rats for intranasal DAS/PDH-BLS in situ gel compared with analogous intranasal free in situ gel and oral solution. The optimized BLS disclosed vesicle size of 243.23 nm, ζ potential of -31.33 mV, entrapment efficiency of 59.18 and 41.63%, accumulative % release within 8 h of 63.30 and 85.52% and accumulative permeated amount over 24 h of 347.92 and 195.4 µg/cm2 for DAS/PDH, respectively. Following intranasal administration of the inspected BLS in situ gel, pharmacokinetic studies revealed a 1.64- and 2.3-fold increment in the relative bioavailability of DAS and a 1.7- and 3.73-fold increase for PDH compared to the intranasal free in situ gel and oral solution, respectively besides significantly extended mean residence times for both drugs. Thus, the intranasally exploited DAS/PDH-BLS could be deemed as a promising hybrid nanoplatform with fruitful pharmacokinetics and tolerability traits. [ABSTRACT FROM AUTHOR]

Many pregnant women experience emesis gravidarum in the first trimester. Nausea vomiting can be treated with pharmacological and non-pharmacological treatments, one of which is aromatherapy lemon which has an effect on the inhaler, such as calmness and freshness of the body so that it can reduce nausea and vomiting. In addition, ginger drinks also include non-pharmacological drugs, ginger has a fragrant aroma that can refresh the body ,and the oloresin can warm the body so that it can reduce nausea vomiting. The aim of this study is to find out the application of lemon aromatherapy and ginger drinks to reduce emesis gravidarum in pregnant women and to find out the frequency distribution before and after the application of aromatherpy lemon and ginger drinks to reduce emesis gravidarum trimester I. The method of this study was a one group pre-post-test pre-experiment research and used the Wilcooxon test statistic test. This study obtained interviews through direct observation sheets. The results of administration were given to 15 respondents of lemon aromatherapy and 15 respondents of ginger drinks done twice a day for 3 to 7 days. The amount of nausea and vomiting was taken through average value before and after administration of lemon aromatherapy and ginger drinks. The conclusion of this study is that Aromatherapy lemon and ginger drinks were proven to reduce emesis gravidarum in first trimester pregnant women in Yusidah Edward Palembang BPM in 2018. Hopefully there are some researches that related to other kinds of aromatherapy that useful for pregnancy

Background: Emesis gravidarum is a common obstetrical problem affecting 50–80% of pregnant women during their first trimester which begins in the morning and frequently continues throughout the day; considered as one of the Vyakta Garbha Lakshana in Ayurveda. If it is not treated effectively in time; it may lead to complications in pregnancy affecting the quality of life and thus the pregnancy outcome. Objective: To evaluate the clinical effectiveness of Bilwa-Lajadi syrup in emesis gravidarum. Material and methods: A single arm open labeled clinical trial was conducted on 30 participants fulfilling the inclusion criteria from OPD and IPD of Prasuti Tantra Evam StreeRoga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan and administered with Bilwa-Lajadi Syrup 20 ml per day in two divided doses, empty stomach before food for 30 days with followed up every 15 days during treatment and 15 days after completion of trial period. Results: The drug showed statistically significant effect in reducing the frequency of vomiting per day, quantity of vomitus, aversion to smell, nausea and anorexia, altered content of vomitus, improved appetite, imparted lightness of body and increased haemoglobin gm%. Conclusion: Thus, early medication with Bilwa-Lajadi syrup and following dietetic regimen played a vital role in relieving the symptoms of emesis gravidarum.

Emesis gravidarum dapat menyebabkan stress bagi ibu hamil sehingga dapat mempengaruhi kehamilan dan gangguan perkembangan janin. Salah satu cara agar ibu hamil mampu mengatasi keluhannya secara lebih aman adalah memberikan informasi tentang terapi non farmakologis dengan optimalisasi kelas ibu hamil melalui peran kader kesehatan. Tujuan pengabdian masyarakat ini adalah untuk meningkatkan pengetahuan dan perilaku ibu hamil dalam mengatasi keluhan emesis gravidarum menggunakan terapi non farmakologis dengan optimalisasi kelas ibu hamil melalui peran kader kesehatan sejumlah 37 orang. Metode yang dilaksanakan dengan ceramah, diskusi, demonstrasi, tanya jawab dan praktik. Kegiatan optimalisasi kelas ibu hamil melalui peran kader kesehatan sangat tepat dalam meningkatkan tingkat pengetahuan dan ketrampilan kader sehingga mereka mampu mendampingi ibu hamil sebagai upaya peningkatan kesehatan masa kehamilan dalam mengatasi emesis gravidarum menggunakan terapi non farmakologis. Diharapkan Bidan Desa maupun Puskesmas yang terlibat aktif dalam kesehatan masa kehamilan agar terus membina serta memantau kegiatan dalam upaya meningkatkan kesehatan masa kehamilan.

Emesis Gravidarum is a many that occur to pregnant woman in Indonesian. Emesis graviadarum can cause disturbed the daily activities of pregnant woman, also can decrease appetite and dehydration. When don’t overcome than the hiperemesis gravidarum, can be resolve with non pharmacology therapy, which one non pharmacology therapy is ginger. Ginger consist gingerol Shogaol, and zingeberen that can be decrease nausea and vomiting to pregnant woman. This research aims to know the effective of steep ginger towards decrease emesis gravidarum on trimester 1 at working area of Lubuk Buaya Padang in years 2017.This research was pre-experiment with one group pretest-posttest design, used purposive sampling technique with number of sample are 12 woman. Tools and methods used to collect data with the observation sheet and interview, this research was done on August 2017. The result of this research shows that means emesis gravidarum before given steep ginger is 3,38with deviation standard is 0,549, while emesis gravidarum means after was given steep ginger is 2,19 with deviation standard 0,401. Based on the result of data analysis with using paired sample t-test get p value 0,000 ( p Emesis gravidarum merupakan kasus yang banyak terjadi pada ibu hamil di Indonesia. Emesis gravidarum menyebabkan terganggunya aktivitas, menurunkan nafsu makan dan terjadinya dehidrasi, apabila tidak diatasi maka akan berdampak menjadi hiperemesis gravidarum. Emesis gravidarum bisa diatasi dengan terapi non farmakologi, salah satunya yaitu jahe. Jahe mengandung gingerol, shogaol dan zingeberen yang bisa menurunkan mual dan muntah pada ibu hamil. Penelitian ini bertujuan untuk mengetahui efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama diwilayah kerja puskesmas Lubuk Buaya Padang Tahun 2017. Jenis penelitian ini adalah pra eksperimen dengan desain penelitian one group pretest-posttest ,menggunakan teknik purposive sampling dengan jumlah sampel 12 orang. Alat dan cara yang digunakan untuk mengumpulkan data yaitu dengan lembar observasi dan wawancara, dengan waktu penelitian dilakukan pada bulan Agustus 2017. Hasil penelitian menunjukan bahwa rata-rata emesis gravidarum sebelum diberikan seduhan jahe adalah 3,38 dengan standar deviasi 0,549, sedangkan rata-rata emesis gravidarum setelah diberikan seduhan jahe adalah 2,19 dengan standar deviasi 0,401. Dari hasil analisa data dengan menggunakan paired sample t-test didapat pvalue 0,000 (p < 0,05), dapat disimpulkan bahwa ada efektivitas seduhan jahe terhadap penurunan emesis gravidarum pada trimester pertama. Diharapkan pada tenaga kesehatan untuk bisa memberi informasi kepada ibu hamil yang mengalami mual muntah bahwa bisa mengkonsumsi jahe dengan dosis yang tepat dan cara yang benar untuk menurunkan mual muntah yang diderita ibu hamil.

Data shows that 50-90% of pregnant women experience nausea in the first trimester. Excessive gravida emesis will gain weight into hyperemesis gravidarum and can disrupt the mother’s metabolism including dehydration, weight loss, alkalosis, and hypokalemia. Non-pharmacological therapy is a type of complementary therapy that can be used as an intervention to treat nausea including hypnotherapy, acupressure, acupuncture, relaxation, and therapy. Self-management is regulating personal activities to live a better and healthier life. Emesis gravidarum self-management education adopts the concept of Corbin and Straus in Kate and Halsted (2003), which is outlined in a module that aims to enable pregnant women to educate themselves to be able to regulate their own lives, set goals, and provide self-reinforcement in dealing with nausea, vomiting experienced. The purpose of this study was to determine the effectiveness of providing self-management education to deal with emesis gravidarum on decreasing Nausea Vomiting Pregnancy (NVP). This is an analytical study with a pre-experimental research design (quasi-experiment design) with one group pretest-post test design. This study was conducted at Private Practice Midwives (hereafter: PMB) Puskesmas IV Denpasar Selatan Work Area. The population of this study was pregnant women who came to PMB in the work area of Puskesmas IV Denpasar Selatan. The sample of this study was pregnant women who experienced nausea and vomiting in the first trimester who met the inclusion criteria where the sampling technique in this study was accidental sampling. Analysis of the data in this study was conducted t-test to test the differences between the two pre and post-test distributions before self-management education was given and after the providing of self-management education was faced with emesis gravidarum. The results of the study showed that the average value of PUQE 24 hours before the self-management module was given was 9.5, the standard deviation value was 2.591, the minimum and maximum values were 6.0-14.0. The average value of PUQE-24 hours after the self-management module was given was 7.1, the standard deviation value was 2,273 with minimum and maximum values of 3.0-12.0. The conclusion of giving self-management module is effective to decrease nausea and vomiting in first-trimester pregnant women. [ABSTRACT FROM AUTHOR]

This prospective, randomized study included 77 women divided randomly into two groups . To investigate the effect of Kinesio taping on nausea and vomiting in women with Emesis Gravidarum. The study group received standard medications as metaclopramide(10 mg) twice in a day and vitamin B6(30 mg) single dose in a day and was performed Kinesio taping on the stomach region over the abdomen, while the control group received only the standard medications for treatment of emesis gravidarum. The degree of nausea and vomiting was evaluated by a 10-cm visual analogue scale (VAS) and Pregnancy unique quantification of emesis (PUQE) scoring. There was no statistically significant difference between the two groups regarding mean of age, gravidity, parity, body mass index, gestational weeks at admission. Both groups showed a significant reduction in nausea and vomiting after the treatments. However, when considering the decrease in PUQE scores and VAS scores in groups from baseline at admission to the fifth day of treatment, the Kinesio tape group was significantly superior than the control group (p=0.048). This randomized, preliminary study demonstrates that Kinesio taping can be a useful and novel treatment option as supplement to the standard medication in the management of emesis gravidarum. [ABSTRACT FROM AUTHOR]

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Objective: Emesis Gravidarum (EG) is common medical condition in pregnancy with significant negatively effects on daily social life, physical and psychological health. In this study, relationship of social support, psychological distress and mood disorders on EG were investigated.Methods: The pregnant women with mild EG were accepted as control group and moderate and severe EG were accepted as patient group. All patients completed sociodemographic data collection form, Pregnancy-Unique Quantification of Emesis and Nausea scale (PUQE-24), Symptom Check List questionnaire (SCL-90 R), Spielberger state-trait anxiety inventory (STAI), Beck depression inventory (BDI) and Multidimensional Scale of Perceived Social Support (MSPSS). STAI, BDI, MSPSS and GSI (global symptom index) scores of the patients and control groups were compared.Results: Statistically significant differences were found between the patients and control group on STAI score, BDI score and GSI scores. No statistically significant were found between the patients and control group on MSPSS score.Conclusion: Social support does not prevent patients from EG. But, there is a clear relationship between EG and psychological distress. Thus, psychiatric evaluation should be done in patients with EG. Obstetricians should encourage their patients to have psychiatric support. Further studies on relationship of psychosocial factors and EG are needed. [ABSTRACT FROM AUTHOR]

Abstract: To examine the effect of pregnancy on food consumption, we surveyed the recall of past experience of two groups of women, those who had been pregnant (PY, n=188) and those who never had (PN, n=111), regarding their food consumption and related dietary behaviors. The questionnaire, answered with regard to potato chips, contained 135 objective components expressing sensorial stimuli and 103 subjective consciousness components, including knowledge, education, faith, memory, experience, lifestyle, family values, imagination, and mental state. In the PY group, 86% of the women change in food consumption and preference during pregnancy, and 60% experienced decreased food consumption during emesis gravidarum (EG). The change in food consumption during and after periods of EG was influenced by the number of previous births for the women in the PY group; in women pregnant for a second or third time, the change in food intake was less than during the previous pregnancy. The difference in food satisfaction with regard to potato chips between the PY and PN groups showed that overall food satisfaction could not be explained by a combination of objective sensorial components; the only objective components that were directly related to overall satisfaction were taste and texture. Multidimensional analysis with strength of sensorial stimulus, preference, and overall satisfaction revealed differences in patterns between the PN and PY groups. The effect of the consciousness components on food preference and satisfaction was comparable to that of the sensorial components. [Copyright &y& Elsevier]

Background: Emesis gravidarum is a common obstetrical problem affecting 50-80% of pregnant women during their first trimester which begins in the morning and frequently continues throughout the day; considered as one of the Vyakta Garbha Lakshana in Ayurveda. If it is not treated effectively in time; it may lead to complications in pregnancy affecting the quality of life and thus the pregnancy outcome., Objective: To evaluate the clinical effectiveness of Bilwa-Lajadi syrup in emesis gravidarum., Material and Methods: A single arm open labeled clinical trial was conducted on 30 participants fulfilling the inclusion criteria from OPD and IPD of Prasuti Tantra Evam StreeRoga, Sri Dharmasthala Manjunatheshwara College of Ayurveda and Hospital, Hassan and administered with Bilwa-Lajadi Syrup 20 ml per day in two divided doses, empty stomach before food for 30 days with followed up every 15 days during treatment and 15 days after completion of trial period., Results: The drug showed statistically significant effect in reducing the frequency of vomiting per day, quantity of vomitus, aversion to smell, nausea and anorexia, altered content of vomitus, improved appetite, imparted lightness of body and increased haemoglobin gm%., Conclusion: Thus, early medication with Bilwa-Lajadi syrup and following dietetic regimen played a vital role in relieving the symptoms of emesis gravidarum., (Copyright © 2021 The Authors. Published by Elsevier B.V. All rights reserved.)