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Complications & Cesareans

Hyperemesis Gravidarum (Extreme Morning Sickness)

Surviving Extreme Morning Sickness

Hyperemesis Gravidarum-Surviving Extreme Morning SicknessSarah Krengle, a mother of three children, has suffered from hyperemesis gravidarum (HG), or severe morning sickness, during all of her pregnancies. She remembers the duration of her pregnancies as extremely debilitating. "I was completely dysfunctional," she says. "Sometimes I could muster up only enough energy to crawl to the bathroom."

Unpleasant as Krengle's experience sounds, it is only a fraction of what she and other women afflicted with HG endure. For most women, pregnancy is challenging both physically and emotionally; yet many women who experience hyperemesis gravidarum describe their pregnancies as the most difficult times of their lives.

What Is Hyperemesis Gravidarum?
Hyperemesis gravidarum, says Dr. Arianna Sholes-Douglas, perinatologist and coordinator of Mercy Medical Center's High Risk Pregnancy program, is a complication of pregnancy affecting fewer than 1 percent of pregnant women. In cases of hyperemesis gravidarum, the expectant mother is afflicted with extreme and persistent nausea and vomiting (20 to 30 times a day), will lose between 10 to 20 percent of her body weight and will suffer electrolyte imbalance. Sometimes, as a result of severe dehydration, liver damage will occur.

The fact that it is uncommon does not make hyperemesis gravidarum less real.

Hyperemesis gravidarum may last the duration of the pregnancy, but often becomes less extreme as the pregnancy progresses. Most women suffering from HG undergo serious agitation, worrying about harmful effects to the fetus. There is generally little danger to the fetus in these cases, though. Acting as a parasite, the fetus will receive the nourishment it requires.

There is no proven answer as to why hyperemesis gravidarum arises, though there are many theories. Many people believe HG is a result of rapidly rising levels of hCG, human chorionic gonadotropin, which is secreted by the fetus. Some attribute it to carrying multiple fetuses.

How to Treat HG
According to Dr. Linda Harel, assistant head of the department of obstetrics and gynecology at Mayanei HaYeshua Hospital in Israel, intravenous hydration is the primary treatment in the case of hyperemesis gravidarum. A patient will be admitted to the hospital when she is "severely dehydrated, in a negative metabolic – or catabolic – state, and/or ketones are found in the urine," she says. Anti-emetic drugs, those used to stop the vomiting, are often administered.


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Hyperemesis Gravidarum (Extreme Morning Sickness)

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Anonymous says
1 week, 3 days ago

I had this condition with all of my children 3. I felt alone and that no one understood. I had no choice but to work until I was almost ready to pop with all of them. I'd throw up the whole time at work, pee myself, I had bust blood vessels in my eyes. My house was a mess because I couldn't bring myself to do much else. My doctor tried to help, but nothing worked. I ended up in pre term labor with my last son. because of dehydration. My husband doesn't understand why I don't want anymore children, just drink some malox he says. I'm pregnant again. and have prayed this one will be different so far I'm only sick 60% of the time instead of 100% progress.

Anonymous says
2 weeks, 1 day ago

I had this with my first son. I was young and was never offered any medication. I would have taken it in a heartbeat. I lost 12 lbs and was hospitalized 3 times for dehydration. I always felt better for a few hours after the IV but then went right back to vomiting. I could not even eat ice chips without getting sick. I remember sitting on the bathroom floor or laying on the couch with a bucket, crying for 4 months straight. The nausea wasn't so bad once I hit 5 months but I still vomited at least 3 times a day.

I had morning sickness with my next two pregnancies but nothing even close to Hyperemesis Gravidarum.

If you have Hyperemesis Gravidarum, you will know.

Anonymous says
3 weeks, 1 day ago

Is anyone that had HG having trouble controlling their weight after having the baby?

Anonymous says
September 24, 2009

I'm so happy I found this article. I seriously felt like I was crazy and the only one out there that sat around the bed/couch all day puking it up. Running to the toilet just made it worse for me so I have a lovely throw up bowl; which will be immediately disposed of once this is over! The ER doctor told me I had Hyperemesis Gravidarum but that was about all he said. I have had a lot of people tell me that they have been to the ER and the doctor sounded like it was no huge deal and that it was common so I didn't bother looking into it until now. I have missed 3 weeks of work...or maybe it has been 4 and well not everyone in my life really understands - I don't want it to be a common thing for women but people should be more informed about it. Lucky for me I have the most fabulous husband who has been extremely supportive and loving even if I have to plug my nose just to give him a kiss goodbye. I hope the best for everyone who is going through this. Much love!

father of daughter w/hg says
September 24, 2009

as a father of daughter with this type of problem pregnancy, i say thanks for going through what u went through for both my miracle granddaughters!
love and hugs
the daddio

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