Hyperemesis Gravidarum: The Joy Thief Of Pregnancy

This is how I’ve spent the majority of my pregnancy. It is estimated that less than 3% of women suffer from hyperemesis gravidarum.

It was once explained to me that comparing hyperemesis gravidarum to morning sickness is like having an arrow through your skull and saying it’s just a minor headache. It is my hope that more women are heard when speaking up about this awful condition and receive the support we so greatly need. It is one of the most isolating and painful situations I’ve ever dealt with. I am so fortunate to have found an amazing online support group and to have had such an incredible caring and supportive physician throughout my difficult journey. She was able to identify it immediately and began getting me the help I needed.

HG has been defined as excessive, debilitating nausea accompanied by severe vomiting resulting in a weight loss of 5% or more of pre-pregnancy weight with ketones present in urine. Hospitalization is usually needed for hyperemesis gravidarum. Without medical intervention HG can become fatal. HG often lasts well into the second trimester, but in some cases can begin to calm down around 14-20 weeks. In more extreme cases it will last the entire pregnancy.

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Side effects of HG include:

  • Loss of 5% or more of pre-pregnancy body weight
  • Dehydration, causing ketosis, and severe constipation
  • Nutritional disorders
  • Metabolic imbalances such as metabolic ketoacidosis or thyrotoxicosis
  • Severe physical and emotional stress
  • Difficulty with activities of daily living
  • Excessive salivation
  • Liver damage and jaundice
  • Thyroid dysfunction 
  • Hair Loss 

Risk factors include the first pregnancy, multiple pregnancy, obesity, prior or family history of HG. Women with HG are 80% likely to have HG following pregnancies.

Treatment for HG often includes:

  • Intravenous fluids
  • Daily Medication: Medicine to prevent nausea often given through IV
  • For the most severe cases, feeding tubes are necessary through pregnancy
  • B6 + Doxylamine
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This is how I’ve spent the majority of my pregnancy. It is estimated that less than 3% of women suffer from hyperemesis gravidarum.

It was once explained to me that comparing hyperemesis gravidarum to morning sickness is like having an arrow through your skull and saying it’s just a minor headache. It is my hope that more women are heard when speaking up about this awful condition and receive the support we so greatly need. It is one of the most isolating and painful situations I’ve ever dealt with. I am so fortunate to have found an amazing online support group and to have had such an incredible caring and supportive physician throughout my difficult journey. She was able to identify it immediately and began getting me the help I needed.

HG has been defined as excessive, debilitating nausea accompanied by severe vomiting resulting in a weight loss of 5% or more of pre-pregnancy weight with ketones present in urine. Hospitalization is usually needed for hyperemesis gravidarum. Without medical intervention HG can become fatal. HG often lasts well into the second trimester, but in some cases can begin to calm down around 14-20 weeks. In more extreme cases it will last the entire pregnancy.

Image

Side effects of HG include:

  • Loss of 5% or more of pre-pregnancy body weight
  • Dehydration, causing ketosis, and severe constipation
  • Nutritional disorders
  • Metabolic imbalances such as metabolic ketoacidosis or thyrotoxicosis
  • Severe physical and emotional stress
  • Difficulty with activities of daily living
  • Excessive salivation
  • Liver damage and jaundice
  • Thyroid dysfunction 
  • Hair Loss 

Risk factors include the first pregnancy, multiple pregnancy, obesity, prior or family history of HG. Women with HG are 80% likely to have HG following pregnancies.

Treatment for HG often includes:

  • Intravenous fluids
  • Daily Medication: Medicine to prevent nausea often given through IV
  • For the most severe cases, feeding tubes are necessary through pregnancy
  • B6 + Doxylamine