 [ Symptoms ] i am pregnant 11 weeks with rectcovaginal fistula never had a baby before will it harm my baby  i am 19 i had the fistula before i was pregnant i refused treatment because i am chronic needlephobic was not planning on getting pregnant so now i am scared my decision not to do anything will hurt my baby i also have a holiday booked for 24th of june so any surgery would make me lose thousands of pounds i had saved and saved for to get this holiday please help it is only a very small tear but i worry for the sake of my baby [ Disease ] this is a common question that i get asked all the time and i really would advise the patient to not take maalox with it maalox can actually bind to the vitamin and will not make it work as well it will actually prevent it from being absorbed in the body there are a few tricks though that i recommend to my patients to help avoid this nausea feeling and part of it is number one taking it with some food around meal time maybe dinner is a good opportunity to take your vitamins and as long as there is something in your stomach it may actually counteract that nauseous feeling also i found that a lot of women take it at bedtime i recommend it pretty consistently and they say that it really works because you take it right before you go to bed you are sleeping so the vitamins are dissolving and you are not awake to experience that nauseous feeling but if you are having severe nausea talk to your pharmacist you may need to be switched to a different type of prenatal vitamin i will be more than happy to call your physician or healthcare provider to talk to them about that for you