• Avoid iron supplements until nausea symptoms resolve
• Take prenatal vitamin before bed with a snack instead of in the morning on an empty stomach
• Eat slowly and in small amounts every 1-2 hours to avoid a full stomach
• Eat before you feel hungry to avoid an empty stomach
• Eat a snack before getting out of bed in the morning
• Eliminate coffee and foods that are spicy, odorous, high fat, acidic, and very sweet
• Eat foods that are protein dominant, salty, low fat, bland, and or dry (nuts, pretzels, crackers, cereal, toast)
• Fluids are better tolerated if cold, clear, and carbonated or sour and if taken in small amounts between meals with a straw
• Drinking peppermint tea or sucking peppermint candies can reduce nausea after meals

Over the counter interventions

• Ginger – 250 mg capsules orally four times a day
• Vitamin B6 – 10 to 25 mg orally every six to eight hours with no more than 200 mg/day.
• Vitamin B6/Unisom Sleep Tabs –25 mg Vitamin B6 with one-half 25 mg Unisom Sleep Tabs no more than 4 times per day

• Maintain a regular sleep schedule in a low stimuli environment
• Cut down on the amount of liquids in the hours before bedtime
• Avoid caffeine after noon
• Exercise at least 20 minutes at least a few hours before bedtime
• Place pillows between the knees, under the abdomen, and behind the back
• Avoid naps late in the day

Over the counter interventions

• Unisom Sleep Tabs
• Benadryl

• Saline Nasal Sprays
• Saline Nasal Irrigation
• Ipratropium bromide 0.06% Nasal Spray
• Cromolyn Sodium Nasal Spray

Use of pseudoephedrine is limited to 2nd and 3rd trimesters and only for severe congestion in patients without high blood pressure.