What is Hyperemesis Gravidarum?
 

    Hyperemesis Gravidarum- HG for short. Is a severe life threatening pregnancy sickness, this is not morning sickness it's beyond. With HG , it is extreme nausea and vomiting that is "unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids." It causes severe dehydration and malnourishment in the mother. HG and morning sickness are not one and the same. Don't let anyone tell you that they are the same as they are NOT!

Because HG and morning sickness are like day and night, fruit V.S veggie not in the same ball park. Below we will explain below what the difference is and some facts about HG and morning sickness.

When oral medications are not working and you are still going to the hospital often, there are more options such as home health care. It is important to fight for you and your babies health, know one else will.

               FACT:

HG is life threatening and not a joke. It is a severe form of nausea and vomiting that can lead to death of the child and mother.


For Severe HG some mother need more aggressive treatment  below are the treatments.



-Intravenous Fluids: Hydration by IV to help a mother who is dehydrated from non stop vomiting get hydrated.

-Total Parenteral Nutrition (TPN): In women with Hyperemesis Gravidarum (HG) who become very malnourished or have a history of moderate to severe HG, Total Parenteral Nutrition (TPN) may be initiated to ensure she receives adequate nutrition. TPN supplies most of the mother's daily nutritional requirements and is usually given through a catheter called a PICC line placed in the arm, or a central venous line placed in the neck/shoulder area. These catheters are longer and the end point is in the heart. This allows for very concentrated nutrients to be given without damage to the smaller blood vessels of the arms.


Enteral (NG/PEG) Nutrition:


In recent years, research has increased on the use of feedings by either a nasogastric (NG), or a percutaneous endoscopic gastrostomy (PEG) tube as an alternative to parenteral (intravenous) nutrition. This is mostly attributed to decreasing the cost of medical care, and increasing safety. A NG tube is passed through the nose to the stomach or jejunum, and the PEG requires a surgical procedure to implant it through the abdomen into the stomach. Sometimes, the tube will be advanced into the jejunum for added safety and tolerance. This is another form of being able to get nutrition.


PICC LINE:  PICC line is a thin, soft, long catheter (tube) that is inserted into a vein in your child's arm, leg or neck. The tip of the catheter is positioned in a large vein that carries blood into the heart. The PICC line is used for long-term intravenous (IV) antibiotics, nutrition or medications, and for blood draws. When a mother suffers from HG and is dehydrated a PICC line is a good idea for home health care. A normal IV can only stay in 3 days if the IV doesn't blow. Blown veins are common with many trips to the ER or L&D for IV fluids. A PICC line is a long term IV.


HOME HEALTH CARE: Having IV fluids at home or TPN and medications such as a Zofran pump can be life saving to stay out of the hospital . A nurse can come to your home to put your IV in every few days if your doctor will not do a PICC Line, It's important to know your options. 




























         ANTIHISTAMINES


Bonine, Antivert, Marezine
(Meclizine/Buclizine/Cyclizine
)


 Follow directions on the label.   

Dramamine
(Dimenhydrinate
)

-50-100 mg every 4-6 hours Used for motion sickness.  

Unisom

-25 mg orally at bedtime,
1/2 tablet every 6 hours as needed Component of Diclegis/Diclectin.

UNISOM is often taken with

vitamin B6 they now have it as a pill combined as a pill and gos by the names
Diclectin, Diclegis


Doxylamine plus pyridoxine
Average dose is 1 tablet in morning, one in afternoon and two at night. May be given in higher doses up to 12 tablets daily - see research links on right. Differs from Unisom/B6 combo because it isa delayed release formula.

Ondansetron also known as Zofran works for some HG mothers compared to Doxylamine andpyridoxine (Diclegis/Diclectin) for treatment of nausea in pregnancy the return to the USA of doxylamine-pyridoxine delayed release combination Diclegis® was made for morning sickness and morning sickness and HG are NOT one and the same and many medical doctors are still learning this. For some women this works and some it doesn't . They took the B6 and Unisom and made it into one pill called Diclegis . Some HG mothers that have light HG said it helped and mothers with severe HG nothing helps.


Benadryl
(Diphenhydramine or Gravol) 25 mg IVP/orally every 4–6 hours      

Benadryl and Phenergan combined in an IV  helps many HG mothers relax and sleep for a short time to have a reprieve, or Zofran and Benadryl both at the sametime. 


Tigan
(Trimethobenzamide) 25 mg orally every 6-8 hours
200 mg IM every 6-8 hours    
Vistaril, Atarax
(Hydroxyzine) 25 mg orally every 6 hours Syrup available
Helpful for insomnia  


Benadryl and Zofran combo : Sometime the two medications together can help a HG mother fall asleep for a big to stop the vomiting.  

50 mg of IV Benadryl 

​4 ml of Zofran 

                                   

​        FACT:

HG causes premature birth. Many HG mothers are not aware of this. HG mothers are 4 times more likely to give birth early, are you aware. 



  Information is courtesy from The HER Foundation. The Her Foundation can be found at www.helpher.org. 

           Compazine, Stemetil
             (Prochlorperazine)

             Nausea & Vomiting 


5–10 mg orally, IM, or IV every 6–8 hours

( Burns in the IV pretty bad, I.M. injection burns too)

25 mg every 6–8 hours rectal Risk of EPS increased with metoclopramide


Reglan- 10–20 mg IV/orally every 6 hours
May be given orally, SQ pump, IV (SLOWLY)

 in pill form 5-10 MG 1-4 X a day

In IV piggy backed for 15 minutes on IV fluids


Promethazine

12.5–25 mg IVP/orally, IM/PR every 4-6 hours

*IV dose contains sulfite

NEW Research Warning from HELP HER: IV or injected doses can cause tissue damage. More info available on fda.gov. GIVE IV dose SLOWLY to avoid contractions.

Side-effects of anxiety, sedation, and restlessness common and may limit use.

Thorazine
(Chlorpromazine
)


Oral/IM 12.5–25mg every 4–6 hours

Rectal 50–100 mg every 6–8 hours May increase risk of fetal malformations.

May cause muscle spasms in neck/face and/or difficulty with speech. Research articles on PubMed.

Haldol
(Haloperidol)
1–2 mg orally/IM every 8 hours Extrapyramidal symptoms (EPS) more common. May cause constipation. Research articles on PubMed.

Nutrition is one of the most challenging and important issues for women with HG. Pregnant women require a variety of nutrients both for their own healing and for the normal development of their unborn child. The baby's requirements for minerals, vitamins, and other nutrients come first and are taken from the mother's bones, organs, tissues, and other storage areas. This can leave the mother depleted very quickly, which can take months, or even years, to correct.

These nutrients are also needed to form the placenta, to increase the size of the uterus and breast tissue, and to create amniotic fluid. A mother's blood volume increases by 25–50%, and more fluids, iron, B12, folic acid, zinc and copper, calcium, magnesium, and proteins are needed to support this new blood. Storage levels of most nutrients must be obtained from the diet as well. A nutritional consult may be helpful both during and after pregnancy to ensure she sufficiently rebuilds her nutrient stores, especially before becoming pregnant again.

Food Aversions and Cravings

It is very typical for mothers with HG to have very strong cravings and aversions that prohibit a well-balanced diet for much of their pregnancies, and these preferences may change frequently until delivery. It may be the smell, texture, appearance or taste that leads to nausea and vomiting.

The cause is likely a complex interaction of endocrine (hormone) changes related to pregnancy, nutrient deficiencies, mechanical changes in the body, gastrointestinal dysfunction (e.g. reflux), and changes in neurochemicals. The intensity of cravings and aversions can be very high and trigger repeated bouts of severe nausea and/or vomiting.

Thinking about foods, smelling them, or even just seeing food on the television is enough to trigger vomiting for many. She may crave very specific combinations of food characteristics, such as salty and crunchy, or sweet and soft. Entering a grocery store, opening the refrigerator, or even contemplating food preparation are usually intolerable for at least the first trimester. This has significant impact both on her and her family, and is not something she can control.

These issues have to be acknowledged, supported and accepted by her family and care providers. It's impossible to fully understand the unusual dietary preferences of HG unless you have experienced it for yourself. Trying to force other foods that do not appeal will typically result in vomiting and greater anxiety for the mother. If a HG mother as for any type of food or drink let her have it. Do not try to force a mother to eat something she doesn't want, you will only make it worse. 

Nutritional Deficiencies and Hyperemesis

Women with HG may vomit or have severe nausea for months that will leave her exhausted and very depleted. It is imperative that women losing weight rapidly and not responding to medications be given nutritional support. Research has shown significant nutrient depletion in these women. Vitamins, especially B-vitamins, are depleted very quickly and if not replaced can worsen her symptoms or put her at risk for life-threatening neurological disorders like Wernicke's Encephalopathy.

At a minimum, mothers requiring hydration should also receive vitamins and electrolytes. Those who continue to lose over 5% of their body weight in the early months should be considered for IV nutrition to protect the mother and child's well-being. Studies show that an inadequately nourished fetus may grow and develop more slowly, have chronic disease in later life, and is more likely to be preterm. For more info, see Fetal Programming.

These mother's are also at greater risk for complications such as pre-eclampsia and postpartum depression. Ironically, nutrition is likely the most prolific topic related to pregnancy, yet when a woman has HG, she is often told malnutrition will not harm her unborn child or herself. Surgical patients are given nutritional therapy typically within one week if they are still unable to eat. However, it is ironic that mothers with HG may go weeks or months nearly starving and not receive nutritional support. The research does not support the idea that prolonged starvation is acceptable during pregnancy. These women should be given interventions and better care to promote a healthier outcome for both the mother and child.


 

                  FACT:

HG is not a normal pregnancy. You can't eat or drink. Your have severe nausea and or vomiting. This is not morning sickness it's beyond. Under HG stories, you will read stories of mothers who have suffered from HG, and see there is a difference between HG and morning sickness.

I am still vomiting and can't hold my pills down?

                                        KNOW THE FACTS! HG IS NOT MORNING SICKNESS.


  FACT #1

- HG CAN KILL MOTHER AND CHILD VS MORNING SICKNESS WILL NOT.


  FACT #2

- HG IS A SEVERE FORM OF NAUSEA AND OR VOMITING THAT CRACKERS AND GINGER DO NOT HELP VS MORNING SICKNESS IT MAKES YOU FEEL BETTER.  


 FACT #3

- HG YOU CAN'T STOP VOMITING AND NEED TO GO TO THE HOSPITAL BECAUSE YOUR DEHYDRATED.  HG CAN CAUSE LIFE THREATENING MEDICAL CONDITIONS, MORNING SICKNESS WILL NOT.


FACT #4

-HG IS SEVERE 1 OUT OF 3 BABIES DO NOT MAKE IT TO A LIVE BIRTH. WE BELIEVE THIS NUMBER IS HIGHER 


FACT #5

HG CAN CAUSE  LIFE LONG MEDICAL CONDITIONS FOR MOTHER AND CHILD WELL AFTER HG IS OVER.


 FACT #6

-HG CAUSES PREMATURE BIRTH IN MANY HG MOTHERS WHO SUFFER FROM HG.  HG MOTHERS ARE 4 TIMES MORE LIKELY TO GIVE BIRTH EARLY. SOME BABIES ARE BORN WAY TO SOON AND ARE NOT VIABLE AT THE GESTATION AGE THEY ARE BORN AT. KNOWING YOU HAVE HG EARLY CAN HELP YOU PREPARE AND FIND A GOOD DOCTOR AND BE ON THE WATCH FOR PRETERM LABOR. 

   



Symptoms Of Morning Sickness

What Medications Help HG?

    FACT:

Crackers and soda will not help HG. Telling an HG mom to suck it up and eat crackers is a slap in the face.

Remeron

comes in pill form for HG has not been determine 

also works intravenous. Helps Nausea and vomiting in some case studies. 

Kytril, Sancuso (Granisetron)

Helps Nausea & Vomiting 


Kytril, Sancuso, Granisetron are being used more for HG when Zofran fails. 


1 mg every 12 hours (IV or orally)

Allows twice a day dosing.

Also available in transdermal patch form


Diagnosing Hyperemesis Gravidarum 

​                                                       When Doe's HG Normally Start?

Hyperemesis Gravidarum (HG) begins between  usually for most the fourth and sixth week of pregnancy but can start earlier for some like  for Starr or later for others earlier. Starr started having symptoms of HG right after she conceived her baby.  Some HG mothers know they are pregnant well before a positive test.  Symptoms usually improve somewhat by the 15th to 20th week of gestation, for some HG mothers.  For some women HG continue to have frequent relapses throughout pregnancy and are sick the rest of the pregnancy,  For Starr and Carissa they were sick to the end, but not all HG moms are. Most affected women have numerous episodes of vomiting throughout the day with few if any symptom-free periods, especially during the first three to four months can be worst for some mothers while others are sick everyday up until birth of their child.. This leads to significant and rapid weight loss, dehydration, electrolyte disturbances, and nutritional deficiencies often requiring hospitalization. Morning sickness does not make you this sick, please don't let anyone including a doctor tell you that Hg is just morning sickness. Get a new doctor if that ia the case.

If  HG is prolonged without early treatment and is severe and not treated promptly, this can lead to severe dehydration and malnourishment in the mother and can lead to kidney or liver damage. Numerous complications, some of which can be life-threatening are possible without adequate medical intervention with Hg. These women present to their medical providers with weight loss of five to 20+ pounds, however, since some are overweight to begin with, they may not appear malnourished. This is especially true as the pregnancy progresses. Early medical care may decrease severity of a woman's symptoms and lead to quicker recovery. Good medical care if key to fighting HG. An HG plan in place is super important.

Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting in pregnancy that can be life threatening if not treated. It is generally described as unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids. If severe and/or inadequately treated, it is typically associated with:

Loss of greater than 5% of pre-pregnancy body weight (usually over 10%)
Dehydration and production of ketones
Nutritional deficiencies
Metabolic imbalances
Difficulty with daily activities

 

                              Laboratory findings at the time of presentation include:

Signs of dehydration and starvation such as increased ketones, increased urine specific gravity, increased blood urea nitrogen
Electrolyte imbalances such as abnormal levels of sodium and potassium
Increase in liver enzymes, such as in aspartate aminotransferase, alanine aminotransferase or bilirubin activity
Abnormal thyroid and parathyroid levels
Increased hematocrit, indicating a contracted blood volume

Electrolyte changes include decreased sodium, potassium, chloride and magnesium levels. However, in some women, lab levels such as electrolytes may appear falsely concentrated due to dehydration. Treatment for these women is advisable to replace marginally normal levels of electrolytes and nutrients. In general, whenever IV fluids are given for dehydration in hyperemetic women, parenteral vitamins and electrolytes should also be administered.

If the woman has been unable to eat sufficiently for a few weeks and has also been vomiting, she is at high-risk for nutritional deficiencies. Being pregnant, she is also in a state of accelerated starvation, meaning the adverse effects of starvation will occur more quickly. Significant malnutrition can occur in these women over time. Many nutrients are depleted in a relatively short time frame, especially water-soluble vitamins, such as thiamine. Thiamine deficiency has been well-documented in hyperemetic women and may lead to Wernicke's encephalopathy (an inflammatory, hemorrhagic form of encephalopathy). The prognosis is then poor as irreversible neurological damage and even death may occur.

Fortunately, most women with less severe HG or those who are treated aggressively early in pregnancy, will not have life-threatening complications or a prolonged recovery.

Identifying women at risk for developing HG is helpful so baseline laboratory tests can be done prior to onset of severe symptoms.

-Nausea sometimes accompanied by vomiting

- Nausea that allows you to be able to still function and doesn't last 24/7

-Only vomiting sometimes but able to hold food down and fluids once you get it all out

-Feeling better once you vomit vs HG no matter how much you vomit that feeling don't go away

-Able to put on weight

-Nausea that subsides at 12 weeks or soon after

-Vomiting that does not cause severe dehydration

- Able to function

_ Able to hold fluids and food down once your done vomiting

-Able to work

-Able to enjoy pregnancy

-After 12 weeks feel normal

-Able to gain and put on weight for the most part


















Symptoms Of Hyperemesis Gravidarum (HG)

Distinguishing between morning sickness and Hyperemesis Gravidarum:

           Zofran 

Helps Nausea & Vomiting


It is taken 4 to 8 mg every 6 hours

Can be given via SQ pump, oral tablet, liquid, dissolve film, or IV. Suppository available outside US.

Can be compounded into a suppository or other form.

Dosing throughout pregnancy may prevent relapse or stabilize symptoms.

Zofran tablets are available as a generic.

Widely available around the world.

Proactively treat with a daily regimen of stool softeners and laxatives as needed.

Some report generic oral dissolvable tablets do not dissolve as well.

Medications that can help HG 

              CORTICOSTEROIDS


Cortisone/Corticosteroids - Not recommended until after 8-10 weeks, however, the benefit may outway the risk, please talk with your doctor if you are very sick. 

Can cause birth defects if used earlier but has helped many HG mothers with extreme HG symptoms 
- Used for refractory Hyperemesis Gravidarum, usually in conjunction with Ondansetron/Zofran
-
Possible side-effects: blood sugar instability, weight loss, nausea and vomiting, increased risk of preeclampsia
- Possible fetal complications: reduced birth weight, clefts (if early use), adrenal insufficiency (if exposed to large doses)
- Inconclusive concerns over impact on fetal brain development and oral/lip clefts with prolonged dosing at high levels, and use during the first trimester

Food Aversions and Cravings

                                                         What Causes HG?

The exact cause of Hyperemesis Gravidarum is not known. Theory is from the high level of hormones 

rapidly rising serum levels of hormones such as HCG (human chorionic gonadotropin) and estrogen.


Risk factors include the first pregnancy, multiple pregnancy, family history of Hyperemesis Gravidarum, ( but not always the case) trophoblastic disorder, and a high levels or hormones. Also Mitochondrial dysfunction can play a role for many HG mothers but more research is needed.  The diagnosis is usually made based on the signs and symptoms. It has been technically defined as more than three episodes of vomiting per day such that weight loss of 5% or three kilograms has occurred and ketones are present in the urine. HG affects women differently from mild to severe.
Other potential causes of the symptoms should be excluded including urinary tract infection and high thyroid levels.

Treatment includes drinking fluids and a bland diet. Recommendations may include electrolyte-replacement drinks, B vitamins ( Thiamine), and a higher protein diet. Many HG mothers require intravenous fluids and medications to survive. Medications such as pyridoxine or metoclopramide, Prochlorperazine, dimenhydrinate, or ondansetron may be used if these are not effective. Hospitalization may be required for IV fluids and IV medication. Some mothers are so sick they need to be on home health care to have a round the clock treatment.


While vomiting in pregnancy has been described as early as 2,000 BC, the first clear medically description of Hyperemesis Gravidarum was in 1852 by Antoine Dubois. Hyperemesis Gravidarum is estimated to affect 2% of pregnant women. Mothers and babies can die from an HG pregnancy, an HG mother is 4 times more likey for preterm labor and miscarriage but a higher risk of premature birth than a mother with just morning sickness. Some women have an abortion because of the symptoms are so unbearable and the lack of understanding and doctors not wanting to treat HG nor take it seriously they feel it the only way out to survive.

  Hyperemesis Gravidarum, All Day And Night Sickness 

After several weeks of vomiting, you can become very malnourished, yet this may not be realized by health professionals who only see you periodically. This is especially true if you are above your ideal body weight prior to pregnancy. TPPN (Total Peripheral Parenteral Nutrition) or TPN (Total Parenteral Nutrition) may be ordered by your physician to ensure you receive adequate nutrition. TPPN supplies many more nutrients than basic IV fluids, and may be given in a regular (peripheral) IV in the arm. However, the IV will typically only last for a few days and will then need to be replaced. If your health care doctor won't give you TPN you may need to fight for it. Many doctors are misinformed on HG it is very important to do your research. 


What Is TPN? 
TPN supplies most of you daily nutritional requirements and is usually given through a catheter called a PICC line placed in the arm, or a central venous line placed in the neck/shoulder area. Local anesthetic is given to minimize pain during the procedure. These catheters are much longer and the end point is in the heart. This allows very concentrated nutrients to be given without damage to the smaller blood vessels of the arms. It is important to note that TPPN/TPN is not a complete formula. Added multivitamins are very important to avoid nutritionally-related complications.

Management of HG with Parenteral Nutrition

Once you lose over 5% of your pre-pregnancy body weight, nutritional therapies should be discussed, especially if you continue to have significant nausea, vomiting, and weight loss. At a minimum, IV home therapy with added vitamins should be administered after a few weeks of frequent vomiting. Once you lose 8-10% of your body weight or have been vomiting for more than a month, it is imperative that you receive support to replace the many nutrients you have lost and to maintain your hydration. TPPN or TPN is the next choice for ongoing replacement. Dehydration perpetuates the vomiting cycle, as do nutritional deficiencies. If nutritional support is not offered and/or you are not responding to anti-vomiting medications, a second opinion with a specialist may be needed.


Medications v. Parenteral Nutrition


While nutritional support is important, some physicians initiate home TPN without having first attempted an adequate trial of antiemetic medications. Serious complications are possible when central venous lines are placed, as well as metabolic and infectious complications. These are usually due to insertion technique, improper care of the IV site or line, or inadequate monitoring of your metabolic and nutritional status with blood tests. However, these problems are estimated to occur in only a small percentage of women with HG, even when TPN is given at home.

Before TPN is begun, consideration should be given to aggressive anti-vomiting medications and home IV therapy with vitamins, which do not put you at risk for any life-threatening complications. A growing number of women report that drugs from the serotonin antagonist category (e.g. Zofran, Anzemet, Kytril) have been used in higher doses in their subsequent pregnancies, eliminating the need for TPN and even IV's in some cases. Many physicians (and midwives) are not familiar with the use of these drugs during pregnancy, and are reluctant to offer them in adequate doses (and early enough) to give mothers relief from incessant vomiting. Feel free to refer your health professionals to our site for assistance or find a physician up-to-date on caring for mothers with hyperemesis.After several weeks of vomiting, you can become very malnourished, yet this may not be realized by health professionals who only see you periodically. This is especially true if you are above your ideal body weight prior to pregnancy. TPPN (Total Peripheral Parenteral Nutrition) or TPN (Total Parenteral Nutrition) may be ordered by your physician to ensure you receive adequate nutrition. TPPN supplies many more nutrients than basic IV fluids, and may be given in a regular (peripheral) IV in the arm. However, the IV will typically only last for a few days and will then need to be replaced. 

TPN supplies most of you daily nutritional requirements and is usually given through a catheter called a PICC line placed in the arm, or a central venous line placed in the neck/shoulder area. Local anesthetic is given to minimize pain during the procedure. These catheters are much longer and the end point is in the heart. This allows very concentrated nutrients to be given without damage to the smaller blood vessels of the arms. It is important to note that TPPN/TPN is not a complete formula. Added multivitamins are very important to avoid nutritionally-related complications.

Management of HG with Parenteral Nutrition

Once you lose over 5% of your pre-pregnancy body weight, nutritional therapies should be discussed, especially if you continue to have significant nausea, vomiting, and weight loss. At a minimum, IV home therapy with added vitamins should be administered after a few weeks of frequent vomiting. Once you lose 8-10% of your body weight or have been vomiting for more than a month, it is imperative that you receive support to replace the many nutrients you have lost and to maintain your hydration. TPPN or TPN is the next choice for ongoing replacement. Dehydration perpetuates the vomiting cycle, as do nutritional deficiencies. If nutritional support is not offered and/or you are not responding to anti-vomiting medications, a second opinion with a specialist may be needed.

See our Referral Network for tips on finding a doctor experienced in treating HG. You may need a friend or spouse to advocate for you while you are sick.

Medications v. Parenteral Nutrition

While nutritional support is important, some physicians initiate home TPN without having first attempted an adequate trial of antiemetic medications. Serious complications are possible when central venous lines are placed, as well as metabolic and infectious complications. These are usually due to insertion technique, improper care of the IV site or line, or inadequate monitoring of your metabolic and nutritional status with blood tests. However, these problems are estimated to occur in only a small percentage of women with HG, even when TPN is given at home.

Before TPN is begun, consideration should be given to aggressive anti-vomiting medications and home IV therapy with vitamins, which do not put you at risk for any life-threatening complications. A growing number of women report that drugs from the serotonin antagonist category (e.g. Zofran, Anzemet, Kytril) have been used in higher doses in their subsequent pregnancies, eliminating the need for TPN and even IV's in some cases. Many physicians (and midwives) are not familiar with the use of these drugs during pregnancy, and are reluctant to offer them in adequate doses (and early enough) to give mothers relief from incessant vomiting. Feel free to refer your health professionals to our site for assistance or find a physician up-to-date on caring for mothers with hyperemesis.



Medication For The Battery Acid Heartburn:

Zantac
(Ranitidine) 50 mg IV every 8 hours or 150 mg orally daily or twice a day

Pepcid
(Famotidine) 20 mg IVP/orally every 12 hours

Prevacid
(Lansoprazole) 30-60 mg/day

        FACT:

HG can cause lifelong health issues for mother and baby after HG is over. Often mothers are left to suffer alone and not have understanding and feel depressed and suffer from PTSD, PPD,PPA.

                   FACT:

1 out 3 babies do not make it to a live birth. we believe this number is much higher, because we have personally known so many HG mothers who have lost their babies due to HG. Are you aware? The research we have done is more like 3 out 5 dont make it to a life birth.








-Severe nausea and or vomiting that you are unable to eat and drink or function. 
-Food aversions.
-Weight loss of 5% or more of pre-pregnancy weight.
-Decrease in urination.

- Brown or orange urine.

-Dehydration.
-Headaches.
-Confusion.

-Hallucinations due to severe dehydration.

-Fainting.
-Jaundice.
-Extreme fatigue.
-Low blood pressure.
-Rapid heart rate.

-Sweating and or chills.

-Body ache.

-Stomach pain severe. 

-Burning pain in throat from vomiting/ throat raw due to extreme vomiting.

-Battery acid heartburn. 
-Loss of skin elasticity.
-Anxiety/depression.

-Content nausea that affects everyday life.

-Unusual thoughts or behaviors. 

- Vomiting and unable to hold food or fluids down.

-Ketones in your urine.

-Everything you drink or eat comes back up.

-Unable to eat or drink due to severe nausea. 

-Anemia.

-Body odor (from rapid fat loss & ketosis)
-Decreased urination.

- Feeling pressure you have to pee and only pee a drop.
-Dehydration/Malnourishment. 
-Dry, furry tongue.

-Cracked corners of lips or chapped cracked lips, that can bleed.
-Excessive salivation you must spit out.
-Extreme fatigue more than normal.
-Fainting or dizziness combined
-Gall bladder dysfunction
-Hypersensitive gag reflex
-Increased sense of smell( Like a hound dog)
-Intolerance to motion/noise/light.
-Ketosis.
-Liver enzyme elevation.
-Loss of skin elasticity.
-Low blood pressure.
-Overactive thyroid or -parathyroid.
-Pale, waxy, dry skin.
-Rapid heart rate.
-Vitamin/electrolyte deficiency.
-Vomiting of mucus, bile or blood.

- The need to chug water or liquid so you' not vomiting acid/bile/Blood.

-Extreme thirst,hunger

Intense nightmares or odd dreams.

​​It really depends on how sick you are with HG. There are many types of medications as there are different levels of HG. Every mother is different so what works for one may not work for the other. If one doesn't work, keep trying to find a combo that works, it may be 2-4 different kinds. There are many treatments that can ease HG symptoms, it won't take away all of HG but it's important to have a good doctor and a advocate to help speak for you. Many mothers are to sick and weak to fight for good health care. Below is a list of medications that can help before having to ask for home health care.


LIst Courtesy of www.helpher.org click the picture below to visit HelpHer.Org 

TPN- Total Parenteral Nutrition

Hyperemesis Gravidarum Before, During And The Aftermath. 
           The Rare Side Of Pregnancy You Haven't Seen...
Is A Worldwide Awareness Organization Of HG Activist Dedicated To Advocacy For HG Mothers and Offering HG Support Sisters and Ongoing Support To Mothers During An HG Pregnancy Or In The Aftermath of Hyperemesis Gravidarum  .

How do I know this is HG and not morning sickness?

Medications that have not been fully study in HG women fully. Some studies going on now.


Gabapentin (Neurontin):

In trials for use in HG. Considered as last resort in patients who have exhausted other medication categories. There are some facebook groups with mothers trying this, message if you need a link.