No toxemia during pregnancy - is this normal?

Toxicosis during carrying a child is accompanied by almost every pregnant woman, especially in the early stages. But there are exceptions. Some women have never experienced a feeling of nausea during their entire pregnancy. What causes the presence of toxicosis, what are its causes and good or bad, that it is not, we consider in detail in the article.

What is toxicosis and why does it occur?

Toxicosis is a nauseous feeling associated with the physiological function of the body that bears the fruit. Most often, a woman is sick in the morning. In severe cases, nausea turns into vomiting. Such is the reaction of the organism to the life originating in it.

The hormonal background of the woman undergoes strong changes, the intrauterine structures are rearranged to work in dual mode. Therefore, in the first three months it is possible a slight malaise, drowsiness, weakness and nausea. The organism of an expectant mother is individual, so toxicosis can occur in someone not in the early stages of conception, but after 20 weeks of gestation.

Reference Information! At the physiological level, toxicosis occurs due to the presence of protein compounds in the urine and concomitant hormonal surges. Stressful experiences, stress, smoking and malnutrition also precede such a state.

Causes of the presence or absence of toxicosis

Toxicosis may occur due to the presence of a number of factors:

  • Hormonal adjustment. The organism is forced to adapt to the new conditions of its functioning. With an increased concentration of at least one of the hormones, there is a change in the work of all internal organs. This condition is manifested by nausea, dizziness and weakness.
  • The reaction of the body to a foreign object. There is an opinion that in some future moms the body perceives the life originating in them as an attack on the usual work of the systems and organs. The immune system is activated, the temperature rises. The body's fight against the foreign body eventually leads to severe nausea. In severe cases, with unbearable vomiting, urgent intervention by a doctor is necessary.
  • Products of fetal activity. From the first days in the nascent body their own material exchange processes take place, which function without stopping. All unnecessary elements are released into the maternal organism, enter the blood and exit into the uterine body. This is what causes the future mom's ailments. This continues until the placenta is completely formed.

Physiological pregnancy and toxicosis

Physiological pregnancy is a process that proceeds without any complications and pathologies. Structurally, it is usually divided into trimesters, each of which consists of three months. The first and last trimesters are considered more critical. In the first (germ), there is a laying of all future organs and systems.

At the same time, the mother’s body itself undergoes tremendous changes:

Reconstructed endocrine system.

In the body there is a real hormonal explosion.

The acquaintance between mother and her future baby consists of complex biochemical processes. Someone is asymptomatic, and someone from the first days begins to feel the presence of a new life.

If during the first three months, morning begins with nausea, vomiting, lack of appetite, weakness - we can talk about the beginning of physiological toxicosis.

This is a normal reaction of the body:

on the appearance of foreign proteins,

hormonal surge occurring against the background of rebuilding the body,

imperfection of the placenta, performing protective and excretory functions.

By the end of the first trimester, the situation is getting better:

Hormonal background is aligned.

Exchange processes are becoming more perfect.

The placenta matures and strengthens its protective functions. Now it is a reliable barrier that will not let the products of the baby’s exchange into the mother’s blood, but negative environmental factors to the baby.

The immune system, guarding the health of the woman, adapts to the "alien" for her biological material and calm down. If all these processes go smoothly and in time, and in the history of the mother there are no chronic diseases, then, most likely, the entire course of the pregnancy will be invisible, painless and comfortable.

Factors indirectly affecting the absence of toxicosis:

Lack of genetic predisposition and diseases.

Compliance with the rules of nutrition.

The absence of chronic neglected diseases.

Compliance with the mode of the day and sleep.

All these factors help a woman to comfortably endure a pregnancy, but they do not give a 100% guarantee that toxicosis will not appear. All processes are very individual.

Pathological pregnancy can be difficult to proceed from the first days. The main problem will be hypertonicity of the uterus, which can turn into a threat of failure.

It can also bring complications:

Chronic urogenital diseases.

Problems with the liver and kidneys.

Rare immune reactions, when the mother's body does not want to recognize in the baby "his".

Pathological pregnancy and toxicosis

It happens that there are problems with the maturation of the placenta or its detachment.

Since the uterus is a muscular organ, it periodically comes to a tone. At the same time, the placenta cannot shrink. With strong uterine contractions, the placenta can flake off. This may occur unnoticed, and may be accompanied by bleeding or discharge. All these processes can take place against the background of toxicosis, and may not have any symptoms.

Naturally, to say that the pregnancy is good, in the presence of signs of intoxication is impossible.

Sometimes with the threat of breakdown, a woman may not experience nausea, loss of appetite, weakness. And with five times vomiting, all the processes of pregnancy will take place normally.

There are factors that increase the chance of toxemia:

The presence of strong odors.

Lack of balanced nutrition.

Stuff in the room. One of the main causes of nausea and vomiting. Often the presence of fresh air removes the problem with the manifestation of these side effects.

Predisposition to allergies, especially food.

The presence of chronic diseases.

Lack of vitamins or minerals.

If early toxicosis most often ends at the end of the first trimester, a maximum at the beginning of the second, and is of a physiological nature, then the latter poses an increased danger.

It can be accompanied by swelling, increased blood pressure, loss of appetite, and as a result, loss of own maternal weight. All these factors can adversely affect the blood supply to the fetus and cause hypoxia. Prolonged oxygen starvation of a baby can result in serious pathological and sometimes irreversible processes.

In addition, preeclampsia (the name of late toxicosis) can lead to eclampsia. The state when, against the background of toxic depression of the nervous system, convulsions occur in alternation with coma. If there is such a threat, we are talking about abortion.


Hello, I have 4 weeks gestation, no toxicity, is this normal? And tell me, I work in a kindergarten as a nanny, I carry pots and buckets, is it better to stop lifting heavy things on such a short time, or can you?

Good day to you!
The fact that there is no toxicosis is not a pathology.
But with pots and pails you better tie, otherwise there may be a threat or termination of pregnancy.
Be healthy!
Sincerely, gynecologist Tatiana.

Hello, I have a pregnancy for 4 weeks, a terrible toxemia in the morning, nausea, a day, too.

Good day to you!
Eat often and in small portions.
In the morning, without getting out of bed, eat a small sandwich or a couple of crackers.
Drink water with lemon and / or ginger throughout the day.
Of the drugs - Essentiale, Emegest.
Be healthy!
Sincerely, gynecologist Tatiana.

Hello, I'm 20 years old, first pregnancy. Did an ultrasound on 05/28/18, the embryo corresponds to 6-7 weeks. I worry because I don’t feel pregnant at all: there is no toxicosis at all, my chest doesn’t hurt (only my nipples are a bit sensitive). Is that the toilet in a small beginning to go more often.
Is this normal?
I have been under severe stress for the last 3-4 days, but there is no bleeding / brown discharge. I worry if everything is fine with the baby. Maybe we should donate blood for hCG?

Good day to you!
This is normal, do not worry - it means everything is in order with the hormonal system.
No need to take a good course of pregnancy for pathology)
Be healthy!
Sincerely, gynecologist Tatiana.

Hello, I am 24 years old, giving birth to one three years old toxemia was not. Here is the seventh week pregnancy now. I did an ultrasound in the early term. I said 3-4 weeks there was a hematoma and the cyst was told back after 10 days on the ultrasound, I know that it was bad in the early period, but I went anyway, they said that there was no embyron. ZB, I did not believe in shock. did not believe and went immediately to a private clinic said the heartbeat is to come in 2 weeks. appointed duphaston and vitamins, accept. But there is no toxicity, too, there is no temperature, drowsiness is there, my chest hurts, very hard is sensitive, I often run to the toilet, I don’t have a stomach discharge, this Friday I will go to the ultrasound. whether someone was so very afraid hematoma no said.

Good day to you!
It is good that there is no hematoma.
Carefully follow all of the doctor's appointments - let's hope for a successful outcome of pregnancy.
Be healthy!
Sincerely, gynecologist Tatiana.

The term is 11 weeks, there is also no toxicosis. Although for 4 girls I had toxicosis. The only thing I constantly want to eat.

I have 5.5 weeks of pregnancy. There is no toxicosis either, only the temperature is 37-37.3. Yesterday, a little black and light brown, frowned. The gynecologist said to drink 4 tablets of duphaston and take hgch. Here I am waiting for the results. I read that a single selection is not as bad as it may seem, is it true?

Summing up

Now, understanding the nature of the process called toxicosis. Having studied its varieties, the factors that influence the appearance and course of this process, we can draw the main conclusion. If you have a good mood, a wonderful appetite, the absence of any discomfort. If you want to enjoy, sing, dance, lead an active lifestyle. In this case, your tummy increases, and each visit to the doctor brings only positive emotions - you can only congratulate you. You have a healthy, physiological pregnancy that will surely end with the birth of a healthy and happy baby. And you do not need any toxicosis.

Education: The diploma “Obstetrics and Gynecology” was obtained at the Russian State Medical University of the Federal Agency for Healthcare and Social Development (2010). In 2013, graduate school in NIMU named after. N.I. Pirogov.

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What is toxicosis?

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Early toxicosis is a state of health problems that appear in the first half of pregnancy and are caused by the development of the fetus. From a medical point of view, it is a complex of disorders in the central nervous system, which manifest as a violation of the relationship between the cortex and subcortical structures, changes in vascular tone and metabolism. Symptoms are well known - nausea and vomiting. In addition, excessive salivation often occurs, taste sensations are disturbed, and sense of smell changes. Against this background, appetite naturally decreases.

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According to statistics, this pathology occurs in 50-90% of pregnant women, that is, a situation where there is no toxicosis in the early stages is indeed the exception rather than the rule. Meanwhile, doctors believe that the idea that a pregnant woman should feel bad, do more harm than good, because of them women seek medical help only literally reaching exhaustion, which does not benefit either the mother or the future. to kid. 14-19% of pregnant women have to be hospitalized.

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The severity of the condition is mainly determined by the frequency of vomiting:

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  1. Easy - vomiting no more than 5 times a day.
  2. Moderate: up to 10-12 times per day.
  3. Heavy: up to 20-25 times daily.

Typically, toxicosis occurs at 6 weeks of pregnancy, often becoming the first signal of an “interesting position." The discomfort reaches its maximum at the 7th week of pregnancy, continuing until the 12th week, after which nausea and vomiting disappear, often at once. Most often, morning vomiting does not threaten either the pregnant woman or the fetus. But if the mother loses more than 5% in weight, this condition is accompanied by a violation of water-electrolyte and acid-base balance, nutritional deficiencies, and requires urgent treatment.

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Is it good or bad if there is no toxicosis?

Most doctors agree: if there is no toxicosis during pregnancy, this is normal. Russian doctors believe that toxemia in the early stages may indicate a more unfavorable course of pregnancy, a greater likelihood of late gestosis and the risk of miscarriage. Foreign doctors are not so categorical. They say that toxicosis only demonstrates a high level of human chorionic gonadotropin. This may indirectly serve as an indication that the pregnancy is proceeding normally.

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Moreover, employees of the University of Toronto have published an article in which they say that toxicosis in the first trimester increases the chances of a successful resolution of pregnancy. Such women have a reduced risk of miscarriage in the early stages (3 to 10 times), less likely to develop fetal fetal malformations (by 30–80%), premature birth and low birth weight. This pattern is especially clearly seen in pregnant women over 35 years old.

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The most interesting thing is that testing of children aged 3 to 7 years showed that mothers suffering from toxemia in the early stages showed better mental development than their peers born to women who had no toxicosis during pregnancy. True, this study is still individual, and the topic needs further development. But future mothers, frightened by our stern gynecologists, can relax a little.

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If there is no toxicosis in the first trimester, it only means that the body has undergone a hormonal adjustment. Only his abrupt termination at an early time can serve as a cause for concern, and even that is not in itself, but if at the same time the chest suddenly stopped hurting, drowsiness disappeared, the swelling of the breast and genitals disappeared. Moreover, medical consultation becomes necessary if abdominal pain or bloody discharge occurs.

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Toxicosis often becomes the first sign of pregnancy, but its presence or absence in itself says little about how the pregnancy will proceed in the future.Severe cases where frequent vomiting causes not only weight loss, but also impaired body functions, including the liver, can even be fatal and require inpatient treatment, but nausea 1-2 times a day does not affect the development of the baby. The hypothesis that early toxicosis has a “protective” meaning requires further clarification.

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Similarly, the absence of toxicosis has no predictive value. This speaks only of the good adaptive capabilities of the mother's body.

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Mechanism of toxicosis

Toxicosis is solely a physiological feature of the pregnant body. For such a condition, the presence of morning sickness is typical, and if a lady is not lucky, and the toxic syndrome occurs in a severe form, then its symptoms are complemented by vomiting. Unfortunately, this is how the body responds to unusual for him processes of birth of a new person. Female systems gradually adapt to an unusual state, because after fertilization, the body is exposed to the strongest stress. A woman is undergoing the strongest hormonal reform, and the intraorganic structures learn to exist in a new way, are tuned to the upcoming double loads.

Therefore, the appearance during the first three months of mild ailments and drowsiness, weakness and nausea-vomiting reactions is quite natural. Every organism experiences the process of adaptation in a special way. Someone does not have toxicity in early pregnancy, however, it appears after 20 weeks. The illnesses themselves are also manifested unequally - one pregnant woman can suffer from nausea from early morning, the other becomes hypersensitive to various smells, and the third also feeds an irresistible desire to eat strawberries with the taste of salted herring. Pregnant organism, its desires and behavior can not be predicted.

Physiological causes of toxicity state experts call the presence in the urine protein compounds and hormonal surges, stressful states or tobacco smoking, unhealthy eating habits and placental immaturity. Also, vitamin deficiency, consumption of strong drinks and the presence of genetic or chronic pathologies in the anamnesis, incorrect psychological mood of the pregnant woman are capable of provoking an indisposition.

Toxic attacks may occur suddenly, it happens that Mom is still awake, and she is already sickened by the smell of scrambled eggs, which she had always preferred for breakfast before. The body in such a state is unpredictable, gagging may appear from the smell of previously loved coffee, liquid soap, or perfume. There are many causes of the toxic state, but if there is no toxicosis during pregnancy, this is normal, so there is no need to look for any abnormalities when the pregnant woman feels fine. In order to avoid toxic ailments, it is necessary to start taking vitamin preparations in time so that the baby needs nothing in the process of growth.

Provoking factors of toxicosis

Doctors distinguish a number of specific causes that contribute to the emergence of toxicosis:

  1. Hormones. After conception, the hormonal status of a woman changes dramatically, during this period the body adapts to new circumstances. An increased concentration of at least one of the hormones leads to a change in the functioning of the internal organs, which can be manifested by nausea, dizziness and vomiting. Toxicosis can be compared with PMS, because it also occurs on the background of hormonal changes, though not so large-scale.
  2. Foreign object. If there is no toxicosis during pregnancy, the woman can only envy. But most often this condition is still found in obstetric practice. The cause of toxic attacks can be the fetus itself. The body reacts to it as if it is an extraneous, alien body or a pathological process that needs to be eliminated. The immune system is activated, temperature increases, worries fatigue and drowsiness, due to the body's struggle with an alien object. A strong toxicosis indicates the body's rejection of the fetus, which can be very dangerous for a baby and requires urgent intervention by the doctor.
  3. Products of fetal activity. In the fetus, their own material-exchange processes take place, which function continuously. The waste products should leave the child, which they do when they are released into the maternal organism. Until the final formation of the placenta, all products of fetal activity enter the blood, go into the uterine body, which becomes a provoking factor of ailments.
  4. Unhealthy habits. The appearance of toxicosis during pregnancy can be attributed to bad habits. Many mommies, having learned about conception, sharply refuse from cigarettes and alcohol consumption, which affects their condition. Of course, abandoning unhealthy addictions is good. Simply, nicotine that has been regularly ingested in the body is now not taken anywhere, so the body experiences some stress, which is partially manifested in irritability, nausea, and other impartial symptoms.

The absence of toxicosis during pregnancy can be observed even in the presence of provoking factors, just the organisms in pregnant women are different, so they react differently to the fetus.

Main manifestations

A state where there is no toxicosis during pregnancy may go unnoticed, which cannot be said about toxicosis, because the symptoms of ailments are distinguished by vivid intensity. At first, a pregnant woman notices a lack of appetite, which can manifest itself in a reluctance to eat or a sharp aversion to certain products or their smell. Pregnant women are also concerned with bouts of excessive salivation, which are usually combined with nausea.

A noticeable discomfort to a woman is brought by an inadequate reaction of the body to various odors that were previously loved, and now have become the cause of vomiting, which, by the way, is the main symptom of toxicosis. Gagging can disturb at certain hours, or exhaust pregnant during the day. It complements the list of symptoms and taste perversions when a pregnant woman suddenly jumps up in the middle of the night and declares that she urgently needs to eat something unusual and terribly incompatible. Sometimes there is a keen desire to chew on chalk or sniff exhaust fumes, eat radishes directly from the bed with soil and sand, which indicates the development of anemia.

Toxicosis and sex of the baby

There is an opinion that it is realistic to determine by the course of toxicosis who is born, a daughter or a boy. More precisely, not by the very toxicosis, but by its individual manifestations. For example, mom's taste changes. If a pregnant woman irresistibly pulls on chocolates, ice cream and condensed milk, then she will most likely give birth to a daughter. If Mom regularly eats meat, herring, salinity and other heavy food, then parents need to prepare for her son.

Guess the floor and in appearance pregnant. If mom's face is smooth and clear, she is noticeably prettier during pregnancy, then a boy will be born. It is worth preparing for the appearance of the girl if pigment spots appear on the skin of the woman, acne and various rashes appear. In such cases, it is said that the daughter takes the beauty from mommy. There is also a sign that when you increase the hairline, the abundant growth of hairs above the lip, on the legs or stomach, you need to wait for the boy. In practice, these signs often do not work, children of any sex can be born, regardless of taste preferences and appearance.

Regarding these, many studies have been conducted, but there is no evidence of their profitability, so they have no scientific basis.

The reasons for the absence of toxicosis

Pregnancy without toxemia is by no means an exception to the rule, such cases are quite common. But women are so arranged, with the slightest discrepancy they begin to overcome doubts whether this is normal. I should be sick, but no nausea. According to statistics, half of pregnant women remain in such doubts. Moreover, such questions literally deprive them of sleep, make them nervous and afraid for the health of the baby. After all, usually pregnancy is necessarily associated with characteristic ailments and the desire of salty. If there are no such desires, then Mommy starts to panic, inventing various deviations for herself.

If there is no nausea and vomiting, in the morning you feel great and eat everything, then everything is fine. This proves that the body has taken the baby perfectly and is already functioning perfectly in parallel with its development. The absence of toxicosis says that:

  • The pregnant woman has the right diet,
  • It is characterized by strong immunity,
  • There are no chronic pathologies,
  • Baby and body enough vitamins,
  • There are no genetic abnormalities,
  • The rest and sleep mode is respected fully.

Therefore, it is good or bad that a pregnant woman does not get sick in the mornings, judge for yourself. So moms can only envy that they can safely prepare for the birth of a baby, and their pregnancy is not overshadowed by toxic illnesses.

There is no definitive answer why some pregnant women are constantly tormented by vomiting resulting from any sharp smell, while others calmly rejoice at the new status of the future mother without experiencing any ailments. Scientists believe that much here depends on the psychological component. If a woman planned pregnancy, waited for conception and prepared for it with a positive attitude, then toxicosis, even if manifested, will flow almost unnoticed, without darkening expectations.

If conception came by chance, the woman did not have time to psychologically prepare herself, therefore, most likely, her toxicosis will manifest to the full. In a similar theory makes sense. After all, psychologically, a woman was not attuned to conception, so the surge in hormones would be more pronounced.

No toxicity - is something wrong with me?

Well, if the mommy feels great in the first trimester of gestation, it is not worth experiencing. The absence of nausea says that the body will not waste the nutritional components that are so necessary for the development of the fetus. If a pregnant woman suffers from uncontrolled vomiting, then her body will soon be depleted, which can trigger a spontaneous abortion. You should not look for pathological explanations for why there is no toxicosis, just enjoy the pregnancy.

There are exceptions when the absence of indisposition can indicate dangerous states. It is necessary to immediately contact a gynecologist if you have been bothered by toxicosis for a long time, and then all its manifestations suddenly ceased. Such a symptom may signal fetal death. If, together with the sudden cessation of toxemia, mommy noticed pain in the lumbar and uterine region, and reddish-brown smears appeared from the vagina, then you should immediately run to the LCD, because similar symptoms often indicate an approaching miscarriage or missed abortion.

By the way, the absence of early toxicosis does not guarantee that there will be no gestosis. Therefore, rejoice in the absence of toxic ailments and comfortable conditions for the development of the baby. And always tune in for the best.

Watch the video: Warning Signs - Headaches During Pregnancy (December 2019).