How can I get emotional help if I’m suffering from hyperemesis gravidarum? But the sooner you get medical help, the lower these risks are. Some evidence suggests particularly severe cases could mean women having their baby prematurely or a baby with a low birth weight (Gross et al, 1989 Dodds et al, 2006 Veenendaal et al, 2011). Will hyperemesis gravidarum affect my baby? This allows women to take their fluids intravenously and receive anti-emetics via injections (RCOG, 2016b NHS Choices, 2018). If medication really isn’t working, women can be admitted to hospital. But due to the seriousness of hyperemesis gravidarum, the benefits might outweigh the potential risks (Pregnancy Sickness Support, 2018). This is because pregnant women are usually excluded from drug trials or possible risks (Einarson, 2004 Anderka et al, 2012 Danielsson et al, 2014 Pasternak et al, 2014 Fejzo et al, 2016). Other medications out there can tackle hyperemesis gravidarum but many are not licensed in pregnancy. Following that, steroids can be another option (Pregnancy Support Sickness (PSS) and the British Pregnancy Advisory Service (BPAS), 2015). You’d receive this medication alongside a laxative as one of its side effects is extreme constipation (Pregnancy Support Sickness (PSS) and the British Pregnancy Advisory Service (BPAS), 2015). If that doesn’t do the trick, your doctor will move on to an anti-sickness (anti-emetic) drug called ondansetron. If you’re suffering, you’ll likely be given vitamin B6 as well as anti-histamines as a first port of call (RCOG, 2016b NHS Choices, 2018). They can even be used during the first 12 weeks (NHS Choices, 2018). If you’re suffering, you’ll be glad to know some medications can help improve symptoms and can be used during pregnancy (RCOG, 2016b). How can hyperemesis gravidarum betreated? Women with trophoblastic disease – an extremely rare condition that involves abnormal growth of cells inside the uterus – can also be more likely to get HG (Sheffield Department of Gynaecology, 2011). Having had hyperemesis gravidarum during a previous pregnancy, being overweight, a first pregnancy and having a multiple pregnancy can increase your chances of getting HG. Hyperemesis gravidarum affects an estimated 1% to 3% of pregnant women (RCOG, 2016a). Women whose mums or sisters suffered from hyperemesis gravidarum are also more susceptible to it so there is a genetic factor at play too (McCarthy et al, 2014 Pregnancy Support Sickness (PSS) and the British Pregnancy Advisory Service (BPAS), 2015). Hyperemesis gravidarum has also been linked to a bacterial infection of the stomach (Verberg et al, 2005 Cardaropoli et al, 2014 Li et al, 2015). They are serum HCG – a hormone produced during pregnancy, and the corpus luteum – a hormone-secreting structure that develops in an ovary when it releases an egg (Verberg et al, 2005). It’s likely to be down to several factors related to the hormonal changes that happen during pregnancy.ĭuring the first trimester of pregnancy, two things could play a part. Get ready to be very, very sympathetic to friends who go through this. ![]() Symptoms will last until around 20 weeks or maybe even for the duration of pregnancy (NHS Choices, 2018). ![]() But with hyperemesis gravidarum, symptoms will become much more severe. Symptoms will most likely start in the first six weeks when you’ll probably just think you’re experiencing ‘normal’ morning sickness (NHS Choices, 2018). It can even cause the production of ketones, nutritional deficiencies, metabolic imbalances and difficulty doing your normal everyday tasks (Sheffield Department of Gynaecology, 2011). Hyperemesis gravidarum means you are unable to take in food and fluid and can suffer fatigue, dehydration and weight loss (HER foundation, 2018). "Described as unrelenting and excessive nausea and vomiting, it can make women sick up to 50 times a day (Sheffield Department of Gynaecology, 2011)."
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