Tag Archives: Hyperemesis Gravidarum

Coping with Hyperemesis Gravidarum – mums speak out on severe morning sickness

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As news of the Duchess of Cambridge’s third pregnancy makes waves across the nation, we are reminded of the realities of morning sickness and its level of severity in some rare cases.  The UK’s leading support resource for mums to be Emma’s Diary, (verified by the RCGP – Royal College of General Practitioners), has spoken to several mums suffering from Hyperemesis Gravidarum (which affects 1 in 100 pregnant women) about their experiences, in a series of candid interviews.

Around 80% of pregnant women suffer from morning sickness (and despite its misleading name, it doesn’t just happen in the morning).  For some, like the Duchess of Cambridge, extreme vomiting triggered by pregnancy can be severe, even life threatening for those diagnosed with Hyperemesis Gravidarum (HG). In a bid to share their stories and raise awareness of this less common condition, these mums have spoken out to warn others that if you believe you are suffering from extreme sickness, not to be fobbed off by suggestions that ‘it’s normal’, because it might not be the case:

Bella Drew from Norwich in Norfolk said:

“My baby is due in just over two weeks time. The moment I first found out I was expecting, my heart filled with excitement but that was soon to be diminished a week later.  My experience of so-called ‘morning sickness’ started at around three weeks, I couldn’t keep anything down but I was told that was normal.  As my suffering worsened I was put on medication which didn’t really help in my opinion.  I had lost around two and a half stone, had sustained haemorrhages within my eyes from the straining while being sick. 

I was being sick every 15 minutes throughout the day and night.  I was bedridden and eventually I gave up.  I couldn’t cope anymore and I was admitted to hospital diagnosed with HG. Despite all of the recent media attention the condition is still massively misunderstood. I wouldn’t wish this debilitating illness on anyone and we really need to spread more awareness of the impact and symptoms of HG.” 

Emma Eaton from Gosport in Hampshire said:

“I am pregnant and am currently suffering with HG; I was also hospitalised for two weeks in my last pregnancy having almost died from starvation and dehydration.  I have been in and out of hospital numerous times during my current pregnancy to have IV fluids and IV anti-emetics to help control the symptoms. I have to take two different types of tablets to help prevent me from being sick as I have been physically passing out and collapsing – also knocking myself out in the process. I believe there needs to be much greater awareness of this life-threatening condition amongst pregnant women and those who are planning to have children.”

Gemma Edwards from Walsall in West Midlands said:

“I was diagnosed with HG with all three of my pregnancies which has left me with some long term health problems. I am losing my teeth due to the impact of the stomach acid because I was vomiting anything from 20 to 50 times a day. I was also hospitalised for weeks on end with ketoneuria (ketones in my urine – a sign of dehydration) and my veins kept collapsing, this condition made me very ill and my kidneys went into pre-failure meaning my life was at risk and also that of my children.  This is a very serious condition and more awareness of the long term health risks it poses is much needed.”

Many women who are diagnosed with HG say they can’t keep anything down. They can also lose a lot of weight and fluids and sometimes have to be admitted to hospital for re-hydration treatment as well as require antiemetic medication to stop the vomiting.  In terms of adverse effects on the baby, experts say there are usually very few unless weight gain continues to be poor during the second half of pregnancy; or indeed the symptoms are more severe over a sustained period of time.

Sufferers of HG reported:

  • Extreme fatigue
  • Muscle weakness
  • Weight loss
  • Depressed mood
  • Tooth loss
  • Kidney failure
  • Severe dehydration (with ketones present in urine)
  • Disturbed salts in the blood
  • Eye haemorrhages
  • Long term health issues

Dr Shauna Fannin FRCGP, Chair of the Editorial Board at Emma’s Diary said: “Every pregnancy is different and whilst pregnancy sickness is extremely common, Hyperemesis Gravidarum (HG) only affects 1% of pregnant women and is a condition at the extreme end of the pregnancy sickness scale. HG sufferers will vomit frequently and can become dehydrated very quickly so it is very important to seek urgent medical advice.”

Faye Mingo, mum of two and Marketing Director at Emma’s Diary said: “It’s really brave for these women to speak out and share their experiences with others.  What is apparent is a desire to build greater awareness on the topic of HG and to dispel any myths about what is considered to be ‘normal’, the message from most of the mums we spoke to is to trust your instincts and to keep pushing for medical support if you believe you or your pregnancy might be at risk.”

 

Things That Suck About Being Pregnant

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pregnancy, things that suck about pregnancy, pregnant, baby, hatePregnancy is supposed to be an amazing time but it doesn’t always work out that way. My mother always talked about her wonderful pregnancies and, in truth, I don’t think I ever heard a negative pregnancy story from a family member or friend. Sure there were some truly awful stories in the media and, although I found them horrifying, I cast them out of my mind. Which is why I am pretty annoyed now. Pregnancy is not this magical thing people told me about. It is not a magical time at all. Okay, creating our child is wonderful and I would not have it any other way but wonderful or any other such word does not encapsulate it. In fairness, my pregnancy has been termed ‘unlucky’ by my doctor. It is a bit of an understatement due to the horrendous acute morning sickness but, never mind. Here are my pregnancy rants. Feel free to add your own because ranting is good for the soul.

Bump Molestation

Seriously, what is up with this? Today I actually had a stranger molest me from barely underneath my breasts all the way down. I may have been in a sitting position but it was not appropriate and if it had not been an elderly woman she would have at the very least been slapped. It is not okay to touch a pregnant women’s bump without asking her. And even then, keep your hands to yourself unless you are a very close friend or family member. How would you like to be felt up? Especially when you are creating a life and feeling very protective of your bump? This brings me on to my next rant….

A Women’s Body Does Not Become Public Property When She becomes Pregnant

Not only does this mean NO TOUCHING but it also means you don’t get to tell her what to eat or drink, how to exercise or how much weight to put on. You don’t get to make comments on how she looks or what she does so mind your business.

The Unsolicited Advice

Your pregnancy choices were good choices for you. Only share them with other pregnant women if they ask. If you are a man, keep quiet unless you are a doctor and a question is asked. Also annoying is pregnancy advice from women who have never been pregnant. I mean, really?

The Constant Personal Questions

When people find out you are pregnant they ask you everything from what you are going to call your baby, what the sex is and how much weight you have put on. It really is too much. People seem to forget their manners when they are in the presence of a pregnant woman. If you feel uncomfortable just smile and avoid the question or say you are not sharing that information publicly yet.

Morning Sickness

As Miranda says in Sex & The City, ‘I don’t know why they call it morning sickness when it lasts all fucking day.’ Exactly Miranda, exactly. Some woman get barely any morning sickness and some, like Kate Middleton, get acute morning sickness which is otherwise known as hyperemesis gravidarum. Morning sickness is not fun. Think of your worst hangover ever and then think about suffering through it everyday for about three months, sometimes longer. There you go: morning sickness.

Not being Able To Tell Anyone Why You Are So ill

The chances of miscarriage are high in the first 12 weeks so you are recommended to keep your pregnancy to yourself. Suffering in silence is not= fun and colleagues will probably notice something is up. Just know you will get to the end of it.

Having To Do All of the Stuff You Did Before

There is a popular quote that Ginger Rogers had to do everything Fred Astaire did but backwards and in heels. Well, pregnant women have to do everything everyone else does but whilst dealing with morning sickness, being kicked internally, headaches, muscle pain, nausea, random pains, tiredness…the list is endless. The pressure for pregnant women to not let anyone down and act like some kind of superwoman is tremendous. The reality is: pregnant women should be given some slack. If you don’t like that, just remember that the little baby they are creating will be paying for public services in your retirement.

The Fact That EVERYTHING Hurts

I mean everything. From your head to your legs to your vagina. A lucky day is when it doesn’t hurt all at once.

The Constant Worrying

I stopped reading the pregnancy literature before 12 weeks. I could not take it. Even now the stuff overwhelms me. Sure, things can go wrong in pregnancy but do you really need to know about every single thing that could go wrong? No, you don’t. So relax and read a magazine or a good book instead. Ignorance is not bliss, but somedays it is easier.

The Glee of Awful Things To Come

Too many people take such glee in the fact that, apparently, you will never sleep again, nor have a life. People can seem pretty happy because they think that having a child will ruin your life or career. Ignore these people. They are jerks.

What are your pregnancy rants?

 

 

 

Kate’s Royal Morning Sickness explained and top tips on keeping nausea at bay

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Following the news that The Duchess of Cambridge has been hospitalized due to severe morning sickness (otherwise known as Hyperemesis Gravidarum), we enlist the help of the UK’s leading women’s health expert and nutritionist Dr Marilyn Glenville PhD and Russell Bowman, expert nutritionist at The Nutri Centre to shed light on this rare condition and give us their top tips on keeping morning sickness at bay

In the first three months of pregnancy, more than 90% of expectant mothers will suffer some level of morning sickness – which despite its name, doesn’t occur only in the morning.

So what are the causes?

‘Morning sickness is due to the changes in the female sex hormones oestrogen and progesterone which women experience early in pregnancy’, Russell Bouwman, Nutritionist, The Nutri Centre.

What are the symptoms?

Symptoms of morning sickness don’t just include nauseas and sickness.  Marilyn says ‘Symptoms can include cramps, heart-burn, cravings, intense hunger, a metallic taste in your mouth and feeling of weakness and tiredness. Morning sickness may also be related to the increased sensitivity to odours that pregnant women experience, which can trigger nausea. Unfortunately this is all just part of being pregnant, and your doctor won’t be able to prescribe you anything to relieve the symptoms, which are usually confined to the first trimester of pregnancy.  But its not all bad news, according to a study by the National Institute of Child Health and Human Development in the USA, women who vomit during pregnancy are more likely to carry all the way to term and deliver healthier babies’

The Royal Sickness

Kate Middleton is suffering from Hyperemesis Gravidarum, an acute and potentially dangerous form of morning sickness.  For most women, the symptoms of morning sickness are mild to moderate but for an unlucky few, (on average 1 in 50 expectant mothers), morning sickness occurs in its most severe form.  ‘If you suffer from this condition, you may vomit so much that you are unable to keep any food or drink down and hospitalization may be necessary in order to be intravenously fed fluids.  This condition can also be dangerous for you and your baby, so if you’re vomiting so much that you can’t eat or drink, it’s essential that you consult your doctor immediately’ warns Marilyn.

 

Mother Nature to the Rescue –

9 natural remedies to help you achieve a morning sickness-free 9 months

Apple Cider Vinegar – ‘Apple cider vinegar is pH neutral, so it can help settle the stomach acid which causes nausea. Add 2 tsp of apple cider vinegar to a cup of warm water first thing in the morning to help keep nausea at bay’ advises Marilyn. Try Higher Nature’s Organic Apple Cider Vinegar, £6.50 from www.nutrientre.com.

Almonds – ‘Almonds are a great source of protein and calcium, both of which can settle your stomach.’  Take Marilyn’s sickness-busting tip and soak 10 almonds (unroasted) over-night, peel off the skins in the morning before eating.

Water – drinking water is essential to compensate for the fluids lost during vomiting.  Marilyn suggests you ‘keep a pint of mineral water by your bed with the juice of half a lemon and a pinch of salt.  The lemon juice makes the water more alkaline and this seems to settle he stomach.’

Vitamin B6 – Some experts believe morning sickness is caused by high levels of oestrogen in the system.  Marilyn explains ‘oestrogen can build up when the liver isn’t efficiently flushing away the excess. ‘Vitamin B6 can help clear away excess toxins by optimising liver function.’ BioCare’s Vitamin B6 is a water soluble B vitamin which is yeast free and suitable for vegans. Biocare’s Vitamin B6 is £8.80 for a 2 months supply and is available from www.biocare.co.uk.

Ginger – Ginger supplements have been proven to ease nausea by helping food to pass more rapidly through the digestive system, as well as reducing the stimulation to the part of the brain that prompts a burst of nausea or vomiting. Russell says ‘Ginger can be helpful in preventing nausea and morning sickness, and research suggests that it can be effective. Ginger contains many active ingredients including phenols, which can improve gastroduodenal motility and reduce the sensations that cause nausea’. Ginger can affect certain heart and blood medications, so speak to your GP if you are taking these’.  Russell recommends:

Ginger People’s Ginger Chews Original, £1.55 from www.nutricentre.com. Containing fresh ginger this is a handy remedy to keep in your handbag on the go or by your bed ready to take first thing in the morning.

BioCare’s Gingerdophilus (Ginger and Probiotic Combination), £20.40 for a months supply from www.biocare.co.uk.  This product combines powdered ginger with the benefit of probiotics, which can assist in digestive complaints as well as the nausea associated with morning sickness. 3 capsules provides 900mg of ginger which can be effective for short term use (4-5 days at a time).

Lemon therapy – ‘Lemon juice can help to relieve nausea, even by just inhaling its fragrance. Cut a lemon in half and rub the juice on your hands, then hold your hands to your face and take a deep breath whenever you feel nauseous.’ advises Marilyn. To replenish fluids try Pukka’s Lemon Green Tea, a light blend of smooth green tea with a subtle twist of Sicilian lemon and fragrant lemon verbana. Available from www.pukkaherbs.com for £2.25

Homeopathy – Marilyn advises you take the most appropriate in a 30c potency, 4 times a day for 3 days:

Arsenicum – is best if you have a sense of constant nausea, some vomiting and if you feel exhausted or faint.

Ipecac – for morning sickness that isn’t relieved by either vomiting or stress

Nux vomica – if you feel nauseous, but better if you actually vomit

Sepia – if you feel constantly nauseous, but a little better if you eat little and often.

Acupressure – One study showed a 60% improvement in morning sickness in women who used acupressure.  The acupressure point for nausea is at the base of your wrist, about 5cm fro the crease of your wrist on the inside of your rm.  Press on this point for several seconds each time you feel nausea coming on.  Alternatively you can buy acupressure bands to do this job for you.

Aromatherapy – Try putting a few drops each of rosewood and lavender essential oils onto a tissue or handkerchief and inhale during the day.

 

Russell Bouwman gives us his top tips on avoiding morning sickness

  • Become a protein grazer – Eat small, frequent meals and snacks throughout the day so your stomach is not too empty or too full at once. Research suggests that high-protein foods were more likely to ease symptoms.
  • Snack attack – keep simple snacks such as ginger biscuits or crackers by your bed. When you first wake up, eat a small amount and then rest for a while longer before getting up. Snacking may also help you feel better if you wake up nauseated in the middle of the night.
  • Take it slow – Getting up slowly in the morning, by sitting on the bed for a few minutes rather than jumping right up may also be helpful.
  • Smell the roses, or not – Try to avoid foods and smells that trigger your nausea. Due to your heightened sense of smell, you may find that certain foods that you enjoyed before you fell pregnant may make you feel queasy now. If so, you could try sticking to more bland smelling or tasting foods for the short term.

Dr Marilyn Glenville PhD is the UK’s leading nutritionist specialising in women’s health. She is the author of 10 internationally bestselling books, including the recently re-launched Getting Pregnant Faster and The Natural Health Bible for Women. Marilyn practices in her clinics in Tunbridge Wells (Kent), St John’s Wood (London), Kensington (London) and Rathmines (Dublin). For more information on specific health problems see Dr Glenville’s website www.marilynglenville.com.