Hyperemesis Gravidarum: Questions Answered by a Midwife
Understanding Hyperemesis Gravidarum
Hyperemesis Gravidarum (HG) is a severe form of nausea and vomiting during pregnancy that can lead to dehydration and weight loss. Unlike typical morning sickness, HG is more intense and can significantly impact daily life. In this blog post, we will address common questions about Hyperemesis Gravidarum with insights from a midwife, who has had 2 HG pregnancies.

What Causes Hyperemesis Gravidarum?
The exact cause of Hyperemesis Gravidarum is not well understood, but research is quickly catching up. In 2023, scientists discovered a protein called GDF-15 and found that women with both increased levels of this, and an increased sensitivity had a higher chance of developing Hyperemesis Gravidarum. HG is NOT caused by stress, anything you ate and is a real condition often needing medical intervention. Genetics and a history of HG in previous pregnancies may also increase the risk.
How Can Hyperemesis Gravidarum be Diagnosed?
Diagnosis of Hyperemesis Gravidarum often involves evaluating symptoms, medical history, and ruling out other causes of severe nausea and vomiting. Healthcare providers may conduct blood tests and urine analysis to assess for dehydration and nutritional deficiencies.
Managing Hyperemesis Gravidarum
We won't lie - it can be difficult to treat HG. Managing HG typically requires a combination of lifestyle changes, medications, and sometimes hospitalization. The goal is to control symptoms and maintain adequate nutrition and hydration, so that you can function in day to day life. Early intervention can help prevent complications.

What Treatments are Available?
Treatment options for HG may include:
- Dietary adjustments such as eating cold, bland meals and learning what times of day you feel more able to eat and drink.
- Medications like antiemetics and antihistamines to control nausea.
- Intravenous fluids to prevent dehydration.
- In severe cases, hospitalization for more intensive care.
Can Diet Help Alleviate Symptoms?
While diet alone may not cure HG, certain dietary changes can help manage symptoms. Consuming bland foods, avoiding triggers, and staying hydrated are essential strategies. It is important for those with HG to work closely with their healthcare provider to develop an individualized plan.

Impact on Pregnancy
Hyperemesis Gravidarum can affect both the mother and the developing baby if not properly managed. Potential complications include weight loss, nutritional deficiencies, and electrolyte imbalances. With appropriate care, most women with HG can have healthy pregnancies.
How Can Partners and Family Support?
Support from partners and family members is crucial for those experiencing HG. Simple actions like helping with household tasks, providing emotional support, and attending medical appointments can make a significant difference in coping with this challenging condition.
If you suspect you might have Hyperemesis Gravidarum, consult your healthcare provider for a thorough evaluation and personalized treatment plan. Early diagnosis and management are key to ensuring a healthy pregnancy journey.