Pregnancy related nausea and vomiting can be a challenging situation. From excluding serious causes to prescribing an anti-emetic safely, this chart can help the clinician in tackling the situation in a structured fashion.The aetiology of NV in Pregnancy ( NVP ) is mentioned followed by a section on differential diagnosis and assessment. Pharmacological management is discussed in detail and the choice of anti-emetics are cited clearly. You can guide the patient to look at support groups as Pregnancy Sickness Support, Mothers at risk and UKTIS. Role of complementary therapy in the management of pregnancy related NV is also discussed.