Birthrites: Healing After Caesarean.

Nausea During Pregnancy Linked to Keen Sense of Smell.

Website address: http://womenshealth.medscape.com/reuters/prof/2000/09/09.28/20000927clin003.html

By Emma Patten-Hitt

WESTPORT, CT (Reuters Health) Sept 28 - The morning sickness experienced by many women during pregnancy may be connected to a heightened sense of smell.

Drs. Richard Blum and LeRoy Heinrichs, of Stanford University in California, reported the finding at a conference sponsored by the Pregnancy Branch of the National Institute of Child Health and Human Development in Bethesda, Maryland.

After surveying the literature on women's nausea and vomiting, the researchers concluded, Dr. Blum said, that "all of the stimuli for pregnancy nausea and vomiting are odours, probably as a result of the hyperacuity of the olfactory system induced by oestrogen, which rises during pregnancy."

"Women have told us this for eons," said Dr. Heinrichs. "They say they can't stand the smell of cooking foods, particularly meats, bacon. They often state that the smell of coffee, perfumes, cigarette smoke, petroleum products--anything volatile--triggers their nausea."

Dr. Heinrichs pointed out that nausea during pregnancy may be overlooked because of its high frequency and relatively short duration and the fact that it usually subsides. "It has been regarded as 'normal'," he told Reuters Health.

He also pointed out that physicians may rightly be leery of treating nausea during early pregnancy. "A major conflict results from the very sensitive time for the development of the embryo," he pointed out. "And physicians and drug companies have been criticized and sued for poor outcomes that occur in reproduction, incorrectly attributing the problem to anti-nausea drugs."

Dr. Heinrichs recommends that future studies focus on treating nausea during pregnancy with diet and aromatherapy, and that migraine drugs be studied for their role in treating hyperemesis gravidarum. "These conditions seem to be linked," he said.