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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
5 days, 19 hours ago

I hear you ladies! I know why they lock hospital windows..I have it for 3 months and really thought I was going to die and my baby too. I had a 1-1/2 year old at home and I had to have a babysitter around the clock for her. I was in and out of the hospital all the time. My husband said it was in my head! It was the hardest thing I ever had to go thru. I didnt even get sick with my first and now I think I want another one but am sooo scared it will happen to me again..I dont know if I can handle that again.

Anonymous says
2 weeks, 6 days ago

I had severe morning sickness with
all of my pregnancies. It was horrible.
I seriously would vomit or retch (because
there was nothing in my stomach) every
20 min.-30 min. many days. It would
slack off a bit after 5 months pregnant
but I would even be nauseated or
vomit on the table for my c-sections.
No one believed how bad it was. Even my
when I would bring it up to my OB
she'd be like "oh yes morning sickness
is the pits" and I was dying. I just know
she heard it so many times from other
pregnant woman she thought I was
just one of the regular complainer's!
It would dissapear as soon as I would
deliver thank god.

Anonymous says
2 weeks, 6 days ago

I had this with my first child and it was a living nightmare. My doctor dismised me three times as being morning sickness and in the end had to be rushed into hospital and put on a drip. I ended up being admited three times for rehydration due to the condition. Eventually i was given medication that only slightly eased to symptoms and as soon as my daughter was born i felt much better. No one understood how bad it was and just asumed i was making it all up, it was like a nine month bad dream. I want more children but i am scared to get pregnant again in case i have to go through it all the same as last time. Does anyone know of any suport groups on the web for this?

Anonymous says
November 8, 2009

I am going on my 20th week of pregnancy. I take Zofran but I still haven't gained any weight. I am concerned. My husband and I have seperated because of my sickness. He doesn't believe that I am sick. He didn't understand it or the mood swings. This is my 2nd pregnancy but the first time I had this disease. We are getting a divorce. I am trying not to stress out but it has been rough. I believe I will have to take this medicine until I delivery. People need to understand that this is not NORMAL morning sickness!!!!

Anonymous says
October 28, 2009

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.

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