natural remedies - ginger and acupuncture on the 'p6' point (by the wrist) are recommended by NICE
antihistamines should be used first-line (BNF suggests promethazine as first-line)
Vitamin D
NICE recommend 'All women should be informed at the booking appointment about the importance for their own and their baby's health of maintaining adequate vitamin D stores during pregnancy and whilst breastfeeding'
'women may choose to take 10 micrograms of vitamin D per day, as found in the Healthy Start multivitamin supplement'. This was confirmed in 2012 when the Chief Medical Officer advised: 'All pregnant and breastfeeding women should take a daily supplement containing 10micrograms of vitamin D, to ensure the mothers requirements for vitamin D are met and to build adequate fetal stores for early infancy'
particular care should be taken with women at risk (e.g. Asian, obese, poor diet)
Alcohol
in 2016 the Chief Medical Officer proposed new guidelines in relation to the safe consumption of alcohol following an expert group report.
the government now recommend pregnant women should not drink. The wording of the official advice is 'If you are pregnant or planning a pregnancy, the safest approach is not to drink alcohol at all, to keep risks to your baby to a minimum. Drinking in pregnancy can lead to long-term harm to the baby, with the more you drink the greater the risk.'