Hyperemesis Gravidarum: Surviving Severe Morning Sickness

Hyperemesis Gravidarum (HG) is more than just “bad morning sickness”—it’s a debilitating condition marked by relentless nausea, vomiting, and weight loss. If you’re struggling to keep down water or prenatal vitamins, this guide offers practical tips, medical solutions, and emotional support to help you cope.


Hyperemesis Gravidarum

1. What is Hyperemesis Gravidarum?
Key Symptoms:
  • Severe nausea and vomiting (10+ times daily).
  • Weight loss of 5% or more of pre-pregnancy weight.
  • Dehydration, dizziness, and ketosis.
  • Doesn’t improve with typical morning sickness remedies.
Causes & Risk Factors:
  • High hCG levels (common in multiple pregnancies).
  • History of HG or motion sickness.
  • Genetic predisposition (family history).

HG Symptoms

2. Medical Treatments for HG
Prescription Medications:
  • Diclegis (doxylamine + B6): First-line anti-nausea drug.
  • Zofran (ondansetron): For severe cases (discuss risks with your OB).
  • IV fluids and electrolytes for dehydration.
Hospital Care:
  • Nasogastric (NG) or PICC lines for long-term nutrition.
  • Thiamine (vitamin B1) supplements to prevent deficiencies.


3. At-Home Management Tips
Diet & Hydration:
  • Eat small, bland meals (crackers, rice, bananas).
  • Sip electrolyte drinks or ginger tea in tiny amounts.
  • Avoid triggers like strong smells or prenatal vitamins with iron (switch to gummies).
Comfort Hacks:
  • Wear loose maternity leggings to avoid stomach pressure.
  • Use acupressure wristbands or cold compresses on the neck.
  • Rest in a dark, quiet room to reduce sensory overload.
4. Emotional & Mental Health Support
Challenges:
  • Guilt or isolation due to inability to “enjoy pregnancy.”
  • Increased risk of prenatal depression and anxiety.
Resources:
  • Join HG support groups (HER Foundation, online communities).
  • Therapy to process trauma or fears about postpartum depression.
5. When to Seek Emergency Care
Red Flags:
  • Inability to keep down liquids for 24+ hours.
  • Dark urine, rapid heartbeat, or confusion (severe dehydration).
  • Blood in vomit or weight loss >10% of body weight.
6. Looking Ahead: Post-HG Recovery
Postpartum Tips:
  • Gradually reintroduce foods and prenatal vitamins.
  • Address nutrient deficiencies (iron, B12) with your doctor.
  • Celebrate milestones with a heartfelt baby announcement—you’ve survived HG!
Final Thoughts

HG is a marathon, not a sprint. Whether you’re hooked to an IV or surviving on crackers, know you’re not alone. Lean on your care team, advocate for yourself, and remember: This storm will pass. When it does, your baby announcement will be a testament to your strength! 

Are you battling HG? Share your story or ask questions below—we’re here for you.

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