Let's Talk Hyperemesis and When It's Important to Get Help
Author: Joann Thelusma, Aila Birth Village
Early in your pregnancy, particularly during your first trimester, you may experience morning sickness. According to the American College of Obstetricians and Gynecologists (ACOG) morning sickness affects a majority of women. Morning sickness is typically characterized by nausea and vomiting and resolves itself by the beginning of the second trimester. However, for some women, nausea and vomiting is persistent and can lead to a Hyperemesis gravidarum diagnosis. Hyperemesis gravidarum goes beyond traditional nausea and vomiting and can be quite debilitating. Resulting in weight loss and dehydration, Hyperemesis must be treated by a healthcare provider.
How do I know if I have Hyperemesis?
With morning sickness, you may experience nausea and vomiting, but typically feel better by the second trimester. For the most part, you will not experience dehydration and can continue to consume liquids and solids like normal. With Hyperemesis, nausea and vomiting is severe. It does not resolve itself by the second trimester and dehydration and weight loss can occur. You cannot consume liquids and solids like normal without vomiting soon after. Other symptoms of Hyperemesis include:
Headaches
Dizziness
Confusion/disorientation
Jaundice
Persistent fatigue
Electrolyte imbalance
Why do I have Hyperemesis? Can I prevent it?
It is not clear yet why women develop Hyperemesis, though some research has indicated that it may be related to a rise in hormones during pregnancy, such as human chorionic gonadotropin (hCG). Certain women are more likely to experience Hyperemesis. For example, women who are having multiples or who have a history of Hyperemesis are more likely to be affected. Hyperemesis cannot be prevented, but it can be managed.
What treatments can improve Hyperemesis symptoms?
Most women who are hospitalized early in their pregnancy are treated for Hyperemesis. If you are unable to consume liquids and solids, your healthcare provider may recommend intravenous (IV) fluids or a feeding tube so you can consume nutrient-rich supplements. This treatment is common when you are dehydrated and losing weight. If you find that you unable to comfortably get through your day without severe nausea or vomiting, hospital treatments can allow for some relief.
Certain woman have also reported relief with a combination of the following:
Antinausea medication
Antihistamine medications
Prenatal multivitamins
Ginger tea and candy
Rest
How will Hyperemesis affect my baby?
Generally, Hyperemesis is not expected to cause harm to your baby. At least one review study has indicated that women with Hyperemesis may have have babies with low-birthweight, but early treatment can help reduce this likelihood.
When will I feel better?
Generally, during the mid-pregnancy mark (20 weeks), you should feel better. Though some women experience symptoms well into their third trimester, this does not happen often.
Bottom Line
If you are experiencing Hyperemesis, treatment is available. Talk to your healthcare provider to learn more about your options so you can experience relief today. Be kind to yourself and your body during this time.
Disclaimer: I do not offer medical advice, services, or treatments. If you have specific medical questions regarding your pregnancy, please reach out to your doctor or midwife.