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A surefire way to detect pregnancy is puking in the morning, more efficient even than missing a period.
Never mind the fact that in Real Life, pregnant women may or may not get intense nausea which may or may not lead to vomiting which can happen at any time of the day (though, in fairness, The Other Wiki says that morning sickness is most common in the morning). Of course the latter part isn't always used, pregnant women in fiction will often vomit at some random part of the day, often causing another character (often male) to comment, "Why do they call it 'morning sickness' if it happens any time of the day?"
Sometimes even animal characters will get morning sickness, despite it mostly being a human thing.
Because morning sickness is used so often as a tell for pregnancy, and because vomiting for other reasons tends not to come up as often in fiction, this causes expectations in the audience any time a female character is seen throwing up. If said character then goes on to speculate that the nausea must be stomach flu or food poisoning, that's as good as holding up a positive pregnancy test as far as most works of fiction are concerned. As a result, having the true cause of nausea be a surprise to the audience can be difficult to pull off.
- This is what leads Sekai to suspect she is pregnant in School Days.
- Same with Chizuru in the manga version of Bokurano.
- Clannad ~After Story~: When Nagisa is throwing up in the sink, Akio good-naturedly teases her about possibly being pregnant. When Tomoya snaps at him about it, taunts him that if Tomoya was a man she should be by now. Cue Sanae cheerfully announcing "She's pregnant."
- In Imadoki!, Arisa's pregnancy is revealed when she vomits, but insists she hasn't had anything to drink that night.
- In Fruits Basket, we see Kyoko throwing up in the sink right before she tells Katsuyo that she's pregnant.
- Subverted in the Fushigi Yuugi Eikoden OVA. Mayo is 3 months pregnant, and sits up in bed, heaving, thinking that it's just morning sickness (in her mind, a small price to pay for bearing Tamahome's child, especially in lieu of Miaka), but instead she vomits up a magical orb that allows her to see what Tamahome is up to.
- A Jack Chick tract has a woman getting pregnant, introduced after she throws up several times during the day.
- Subverted with Buffy in issue 5 of Buffy the Vampire Slayer season 9. She throws up several times, and together with some cryptic comments thrown her way it's the reason she goes out to buy a pregnancy test — which turns out positive. A few issues later it turns out she's actually a robot, and all symptoms are directly caused by this. The morning sickness for one is due to her artificial body's inability to process food.
- In one particularly bad fanfic, FaCe ThE StRaNgE, Dally gets morning sickness...soon before she gives birth.
- In the Danny Phantom fanfic Ghosts in the Closet, this is the first sign that Sam's pregnant. Well, for her at least - the readers already know.
- It's a recurring thing in the final arc of the Elemental Chess Trilogy, and actually becomes a plot point when it saves the life of the father-to-be (It Makes Sense in Context).
- In the Cori Falls fic Family Matters, Jessie throwing up is meant to be the telltale sign that she's pregnant, in addition to her craving for ice cream. Subverted when it turns out she's not actually pregnant.
- One Rurouni Kenshin fic has Kaoru immediately wondering if she's pregnant when the smell of any food at all makes her sick to her stomach. A chapter later, she collapses and needs to be rushed to a healer, where she finds out that she's indeed expecting.
- One Fire Emblem Fates fic has Sakura throwing up after breakfast not long after having had wild passionate sex with Leo. Sure enough, she's pregnant with his child. Angst ensues on both sides.
- Subverted in this Fire Emblem Awakening fic, where girl!Robin is already pregnant when she starts throwing up every morning.
- This is how Ingrid and Felix find out she's pregnant in this Fire Emblem: Three Houses fic.
- One particularly angsty Claude/Marianne fic the same fandom has Marianne unable to keep food down after five months, causing her to think something is horribly wrong. (It doesn't help that her last two pregnancies ended in miscarriage.)
- Another fic has female Byleth suddenly vomiting before she's about to tell Sylvain she's expecting, and she even lampshades that this isn't how she wanted him to find out.
- The mpreg fic "Hush Little Prince" has Dimitri throwing up in the middle of class due to a bad case of this, after he ran out of the anti-nausea herbs he'd been "borrowing" from Manuela.
- Pick a Voltron: Legendary Defender fic. If Pidge is throwing up a lot and can't figure out why, is listed as being paired with someone, and the story involves a past sexual encounter even being hinted at, she's knocked up. Tends to happen to Keith as well, though his mostly starts occurring after the discovery that he's pregnant.
- This stalled Sailor Moon fic has Usagi nauseated at the smell of food, not long after she starts having unprotected sex with Mamoru. Sure enough, she's pregnant.
- At one point, fans found this trope so overused that one ranted about it on fanficrants, leading someone to pride themselves on having gone with the "pregnant lady finds out she's pregnant because she's sleepy all the time" trope instead.
- A Boy Meets World fic plays this for drama, with Topanga ending up hospitalized because she can't keep any food down. She gets better, though.
- Pearl Harbor
- In Look Who's Talking, the accountant Mollie throws up at work (complete with a rather hilarious close-up to her puking in the nearest toilet) and blames it on a stomach bug. Later, she finds out she's pregnant with Mikey.
- In the film Knocked Up, the vomiting happens while the female lead is conducting an interview with James Franco, who assumes it's a prank.
- Dr. Alex Hesse (played by Arnold Schwarzenegger) in Junior suffered from morning sickness because he was pregnant.
- Pregnant police chef Marge in Fargo says it's just morning sickness after inspecting a murder scene and throwing up.
- Implied in Burlesque. Tess finds one of the dancers in the bathroom stall throwing up. She tells her, "Please don't tell me you have the flu." The dancer gives Tess a meaningful look, after which Tess says, "Please tell me have the flu."
- Happens to Vaidehi in the film Lajja.
- The Belgariad and sequels.
- The book Clan of the Cave Bear, by Jean M. Auel, this is one of the first questions asked to verify that Ayla is expecting.
- In Millicent Min, Girl Genius, the title character overhears her mother throwing up in the bathroom in the mornings. Being the girl genius of the title, with a superb memory and problem-solving skills above her peers, she carefully deduces beyond the shadow of a doubt... that her mother has terminal brain cancer.
- Two characters in The General series, Whitehall's wife Suzette and 'Barbarian' princess Marie Welf are warned of inconvenient pregnancies by morning sickness.
- Twilight, when Bella is on her honeymoon, about a day after her first day of sex. Of course it's a mutant baby growing ridiculously fast...
- An attack of vomiting is what makes Anna realize she is pregnant in Jean Rhys's Voyage In The Dark.
- In the novel The Microcolony by Gordon Williams, morning sickness was the first sign one of the micro-clone colonists was pregnant; something they didn't think was possible.
- In The Parasol Protectorate by Gail Carriger Alexia Tarabotti gets nauseous on a zeppelin. Naturally it's later revealed that she's pregnant.
- In Thrones, Dominations of the Lord Peter Wimsey mysteries, Harriet vomits several times earlier throughout the book, foreshadowing that She's pregnant with their first child, Bredon.
- In the Temeraire novel Empire of Ivory, Captain Harcourt vomits several times before revealing she is pregnant, and continues to experience bad sickness throughout the pregnancy.
- In the Destroyer, one of the villains "knows" that they've succeeded in having Remo impregnate them when they start having trouble keeping down their food seven days after having had sex.
- Lanen in The Lesser Kindred. It's particularly bad because half-dragon embryos are very hard on the human body.
- Caprica-Sharon on the rebooted Battlestar Galactica Reimagined.
- Deep Space Nine reveals that Bajorans don't get morning sickness--instead, they have sneezing fits, usually five or more sneezes in rapid succession.
- House, being the jerk he is, once mocked Cuddy with "Feeling a little sick this morning?" when he was suspecting that she was pregnant.
- Pam on the American version of The Office uses this to induce a Vomit Chain Reaction.
- In The X-Files Scully is shown only having very little morning sickness. And the one she does run for the bathroom, it's actually sometime in the evening.
- Quinn on Glee.
- Played with during the pregnancies on Charmed. Phoebe mentions that it should be called "Morning, Noon, and Night sickness," and feels awful (understandable, see below). Piper seems to play it more straight, being uncomfortable, but not quite as bad. Except when she throws up in her mouth at the hospital. Other symptoms in the Charmed world include attacking people with flowers (Piper's half-angel baby didn't like violence) and turning fruit into raw meat (Phoebe was pregnant with a half-demon.)
- Played with in The Sarah Connor Chronicles: Sarah comes down with an illness and starts throwing up, which causes Cameron to suddenly ask, out of nowhere, if Sarah is pregnant.
John: Why the hell would you even ask that?
- In the 80s telenovela Rosa Salvaje, Candida is very nauseous at dinner, which prompts her vile sister Dulcina to taunt her about possibly being pregnant. Candida denies it, of course, but later finds out she is pregnant.
- Happens to Yokas in Third Watch. Her partner Boscoe even gets the obligatory line about it happening all day.
- In Doctor Who, Amy is sick during "The Impossible Astronaut," leading her to say at the end "Doctor, I'm pregnant!" Later revealed to be be an effect of the Silence.
- Which leads to Fridge Brilliance or Fridge Logic when it's revealed that the Amy we see is a plastic replica and the real (pregnant) one is somewhere else. The show is uncertain as to how long the season took and exactly when she had been kidnapped and replaced, but we do know that the replica body felt the contractions. Most likely the sickness was the same.
- In the Quantum Leap episode "8 1/2 Months," Sam experiences nausea and vomiting after leaping into a pregnant woman (although the host herself was far past the stage of pregnancy when morning sickness would be expected).
- How I Met Your Mother averted this by having Lily be subjected to food poisoning. Then the twist at the ens was that she actually wasn't. She was pregnant.
- Gossip Girl had an episode dedicated to Blair's morning sickness. It was nowhere to be found the previous episode and went away completely in the following.
- Belinda threw up on Danny in Las Vegas, then used the obligatory "happens all day" remark.
- The smell of leather car seats did this to Gaby on Desperate Housewives, causing her to upchuck on the upholstery and royally decrease the vehicle's resale value.
- In a Christmas Episode of The Fresh Prince of Bel-Air, Will's aunt Janice is seen nauseous and running off to vomit several times during the family's il-fated trip to a ski lodge. After their stolen Christmas presents are recovered, the sheriff announces that among the gifts was a positive pregnancy test. It's pretty clear who it belongs to.
- In The Sims 2, when a sim is pregnant she will run to the bathroom sometime the day after she conceives, and throw up. Afterward, she will have a thought bubble over her head with a pacifier and a question mark, wondering if she's pregnant.(The player always knows that she is--a lullaby chime plays after the couple "woohoos" to let you know.)
- Sims 2 actually covers this semi-realistically; Sims can have morning sickness at any time of the day, and the severity of it varies from Sim to Sim. There are Sims who were only sick once, Sims who were sick several times in a row (resulting in a strange green gas coming from the toilet), Sims whose sickness waxed and waned, and Sims who simply felt nauseous.
- Sims 3 is similar, the mother-to-be will randomly get a "nauseous" moodlet, and then usually throw up after a couple of hours.
- In Rune Factory 4, the female player character or the male character's wife will suddenly feel sick to her stomach a few weeks into the marriage. Dr. Jones tells the couple they're going to be parents.
- In the Oosawa manga adaptation of Fire Emblem: Genealogy of the Holy War, Deirdre is suddenly nauseated by the smell of food. Her sister-in-law Ethlyn immediately tells her she must be pregnant and sure enough, she is. Justified in that during that point in the story Ethlyn is not only a White Magician Girl but already a mother herself, so she would recognize such symptoms in other women.
- Later on, Lachesis feels sick to her stomach shortly after losing her virginity with Finn prior to his departure back to Lenster. It's a sign that she's pregnant with Diarmud.
- In Candi, a storyline, starting here and continuing for the next four strips, Lampshades this trope and reveals that Candi is lactose intolerant.
- A Modest Destiny here (and the previous page).
- Spoofed in this strip of Questionable Content
- In Sore Thumbs, Harmony showed signs of pregnancy in this.
- In SSDD an arc where Anne thought she might be pregnant started with her throwing up, after asking Richard if they were ever going to get married.
- Happens in Shortpacked. Willis managed to avoid having the readers catch on right away by giving a plausible explanation (nasty old pizza boxes) for the first bout of nausea.
- The Simpsons: Marge's pregnancy tests in different episode flash backs.
Homer: Back then, there was no way to tell if a woman was pregnant.
- In one episode of Family Guy, used to depict how typically clueless and self-centered Peter is, he flashes back to "all the difficulties" he had when Lois was pregnant. Cue him slumped on the bed, watching TV, while Lois loudly throws up and cries in the adjoining bathroom. He looks irritated, and turns the TV up.
- This happened in Rugrats when it's revealed Didi is pregnant with Tommy's brother Dylan aka Dil. They initially thought it was seasickness because they were on a cruise, and didn't find out until they visited the ship's doctor.