Nausea is common during pregnancy but what are the signs of extreme morning sickness?
Let's face it. Sickness is very common in pregnancy. Studies show around 50% of mums-to-be reach for the sick bowl, while another 30% feel they may need a sick bowl, but manage to avoid the actual vomiting bit.
This means that around 20% of women are lucky enough not to feel sick. But there's one more group - the 0.1% who suffer extreme sickness. This is called Hyperemesis Gravidarum.
The first signs you may be suffering from more than usual morning sickness are:
If you have any of these symptoms, then talk to your midwife or GP.
However, if you experience any of these more serious signs, you should seek urgent medical help:
Sometimes, what you think is morning sickness - the nausea and the vomiting - could be a sign of a different problem, such as a urinary tract infection, appendicitis or pancreatitis - so make sure you get medical advice.
Everyone was talking about Hyperemesis Gravidarum in 2013 when Kate Middleton was diagnosed with it during her pregnancy with Prince George. It affects one in every 1,000 pregnant women, so it's not a common condition.
Hyperemesis Gravidarum can vary greatly in degree and duration, but the relentless vomiting and nausea can lead to a weight loss of over 5% of your body weight.
It can also mean frequent vomiting even up until birth. In extreme cases, you may even need to throw up after swallowing your own saliva. Ouch.
Treatment usually involves special drugs to suppress vomiting, anti-emetics, and possibly a hospital stay and feeding and rehydration through an intravenous drip - to avoid dehydration of malnutrition.
Some doctors may misdiagnose a case of Hyperemesis Gravidarum as severe morning sickness, as it's not an easy condition to diagnose. It's important to let your doctor know exactly how often you are sick and how much weight you have lost, and that you suspect you are suffering from Hyperemesis Gravidarum.
With morning sickness you may be unable to cook hot meals or need a short time off work. With Hyperemesis Gravidarum, you could be bed-ridden for weeks, unable to work for long periods, too ill to cope with domestic tasks and need far more support from your family and friends.
For your partner it can be stressful because he has to take on most of the domestic duties and responsibilities. He may find it very distressing to see you go through so much and feel frustrated if he feels he can do nothing to help.
Seeking medical treatment is the most important thing you can do.
But there are also a few things that you can do that may help...
If you've suffered Hyperemesis Gravidarum once, it doesn't automatically mean you'll get it again. However, we have to be honest, the chances are quite high, although it may be a different experience.
Whatever happens, it makes sense to assume that you could suffer from it again so you can prepare yourself mentally and physically for the possibility.
If you have suffered Hyperemesis Gravidarum, it's important you give your body plenty of time to recover before you get pregnant again.
“I had Hyperemesis Gravidarum during my first pregnancy, so I knew the signs, and this time it started at around 8 weeks. I had sickness from waking up and all through the day. On the worst days it was every half an hour, sometimes going on throughout the whole night as well. I was regularly admitted to the clinic throughout this pregnancy and stayed for a few days at a time, where I had a drip to rehydrate me.
“It’s important to be assertive about getting help – the longer you leave it, the worse it gets. I was constantly told it was normal and it would pass at 12 weeks. Also, eat whatever you want, because your baby will be fine. If it stays down it’s good. Drink water all the time too, because hydration is the key to the whole thing.”
Jules, 30, mum to Winnie, 5, and 34 weeks pregnant
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