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Sickness in pregnancy (sometimes called morning sickness) are common. About 8 out of every 10 pregnant women feel sick (nausea), sick (vomiting) or both during pregnancy. This does not only happen in the morning.
For most women, this increases or stopped altogether around weeks 16 to 20, although for some women can last longer.
Some pregnant women experience nausea and vomiting were very bad. They may be sick many times a day and can not keep food or drink down, which could have an impact on their daily lives.
It is excessive nausea and vomiting known as hyperemesis gravidarum (HG), and often require hospitalization.
Exactly how many pregnant women get HG are not known as some cases may not be reported, but it was estimated to be about 1 to 3 in every 100.
If you're sick often and could not save food down, tell your midwife or doctor, or call the hospital as soon as possible. There is a risk you may be dehydrated, and the midwife or doctor can make sure you get the right treatment.
HG much worse than normal nausea and vomiting of pregnancy.
HG Signs and symptoms include:
Unlike a normal pregnancy sickness, HG may not get better with 16 to 20 weeks. This may not be fully apparent until the baby is born, although some symptoms may increase about 20 weeks.
See your doctor or midwife if you have nausea and vomiting. Getting help early can help you avoid dehydration and weight loss.
There are other conditions that can cause nausea and vomiting, and your doctor will need to rule this out first.
See healthtalk.org sites for video and written interviews of women talk about them and how they were overcome.
It's not known what causes HG, or why some women get it and others do not. Some experts believe this is related to hormonal changes in the body that occur during pregnancy.
There is some evidence that it runs in families, so if you have a mother or sister who has had HG in pregnancy, you may be more likely to get it themselves.
If you have HG in previous pregnancies, you are more likely to get in a subsequent pregnancy than women who have never had it before, so it worth planning in advance.
There are medications that can be used in pregnancy, including the first 12 weeks, to help improve the symptoms of HG. This includes anti-sickness (anti-emetic) drugs, vitamins (B6 and B12) and steroid, or a combination of these.
You may need to try different types of medicines until you find what works best for you.
You can visit to find out the drug is safe for use in pregnancy.
If nausea and vomiting can not be controlled, you may need to be hospitalized. This is so the doctor can assess your situation and give you the right treatment to protect your health and your baby.
treatment may include intravenous fluids, which is given directly into a vein through an IV. If you have severe vomiting, hangover also may need to be given through a vein or muscle.
charity has information and tips on dealing with nausea and vomiting, including HG.
HG can make you feel very unwell, but it is unlikely to harm your baby if treated effectively.
However, if it causes you to lose weight during pregnancy, there is an increased risk of your baby can be born smaller than expected (having a low birth weight).
Pregnancy Disease Support is associated with many women who have had HG, and who reported having some or all of the following symptoms in addition to the primary symptoms listed above:
If you are experiencing symptoms this, you are not alone. Many women have them and they will go away when HG stop or the baby is born.
nausea and vomiting of HG can impact your life when you expect to enjoy the pregnancy and looking forward to the birth of your baby.
It can affect you both emotionally and physically. The symptoms can be difficult to overcome. Without treatment HG can also lead to further health complications, such as or tear in your esophagus.
Severe disease can be tiring and stop you perform everyday tasks, such as going to work or even get out of bed.
In addition to feeling very unwell and tired, you also may find it:
If you feel all of this, do not keep it to yourself. Talk to youmidwife or doctor, and explain the impact of HG is having on your life and how it makes you feel. You can also talk to your spouse, family and friends if you want.
If you want to talk with someone who has been through HG, you can contact. They have a network of support throughout the UK and can put you in touch with someone who has had HG.
Remember that HG is much worse than usual pregnancy sickness. It was not the result of anything you have or have not done, and you do need care and support.
If you have previously HG, chances are you'll get it again in another pregnancy.
If you decide another pregnancy, can help to plan ahead, such as arranging child care so you can get plenty of rest.
You can try to do things that help the last time.
Talk to your doctor about starting treatment early.
Since HG can lead to dehydration, there is also an increased risk of having a blood clot (deep vein thrombosis), although this is rare.
If you're dehydrated and move, there are treatments that can be given to prevent blood clots.
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Page last reviewed: 30 September 2019 the next review due: 30 September 2022
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