Nausea and vomiting are positive predictors of a favorable pregnancy outcome, but excessive vomiting may have negative effects on the mother and baby, including low birth weight, antepartum hemorrhage, preterm delivery, and failure of infant testes to descend. In order to alleviate this nausea and vomiting, the simplest changes are to eat more frequent, smaller meals and avoid foods or odors that trigger vomiting. Another lifestyle alteration is to decrease stress and get more rest throughout the day. Thiamine should be supplemented at 1.5 mg/d in women with hyperemesis. When these methods do not help, IV fluids should be administered to replace the lost fluid and electrolytes