Journal Article 2 Mentions
Nausea and vomiting of pregnancy in an evolutionary perspective
Paul W. Sherman•2002
Samuel M. Flaxman
Top 12% · 88th Percentile
154 citations · Public Health, Environmental and Occupational Health

TLDR

Ordinary pregnancy sickness may steer pregnant people away from foods carrying germs or harmful natural chemicals. Very severe sickness is different and is not part of this proposed protective effect.

Summary

1 Study Aim

Sherman and Flaxman examine whether nausea and vomiting during pregnancy may have an evolutionary function (a trait that could have helped ancestors survive and have offspring). They consider the idea that these symptoms discourage eating foods that could harm the pregnant person or developing embryo. The authors ask whether pregnancy sickness might help people avoid risky foods.

2 Study Design

The authors present an evolutionary perspective, drawing on existing evidence rather than reporting a new experiment or patient sample. They consider whether patterns of nausea, vomiting, and food avoidance support a protective explanation. Their discussion distinguishes ordinary symptoms from hyperemesis (extreme, severe vomiting during pregnancy) and focuses on possible dangers from microorganisms (tiny living things, including those that cause disease) in meat and toxins (harmful substances) in strongly flavored plants. The paper reviews prior evidence to assess a possible protective role for pregnancy sickness.

3 Findings

The authors report evidence consistent with the idea that ordinary nausea and vomiting may protect pregnant people and embryos by discouraging consumption of foods that carry harmful substances. They especially point to disease-causing microorganisms in meat and toxins in strong-tasting plants. This is an evolutionary explanation, not proof that symptoms always prevent harm or that severe vomiting is beneficial. The proposed benefit applies to ordinary symptoms, not hyperemesis. Pregnancy sickness may help people avoid some risky foods, but extreme vomiting is not a benefit.

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