51³Ô¹ÏÍø

Dr Nicola Mitchell-Jones speaks to Caroline Brogan on helping women with hyperemesis gravidarum, and we hear from her former patient Tanya Wood.

Severe sickness, or (HG), is a debilitating condition that begins in early pregnancy. It is characterised by severe and constant , often resulting in that requires hospital treatment. For this reason, many women with HG will require several hospital admissions during their pregnancy.

Nine in ten women experience sickness in early pregnancy that generally goes away within 14 weeks. One in 100 pregnant women experience HG - extreme sickness that can last for many weeks or months, often triggering  such as .

Treatment involves via a fluid drip in hospital, and is supportive until symptoms resolve on their own. However, the British charities and the reported that one in ten women with HG because of the severity of their symptoms.

from , in collaboration with at 51³Ô¹ÏÍø’s Department of Surgery & Cancer, works with HG patients and advocates for improving the services available to sufferers of the condition.

They recently in that compared inpatient hospital treatment with outpatient care, where women attend daily for rehydration and can be at home between treatments. They found that outpatient care works just as well as inpatient treatment and may suit many women, depending on personal preference.

Many sufferers feel isolated.

The experts are currently researching the psychological effects of the illness, including the and that can persist after symptoms of HG have resolved, and even after pregnancy is completed.

Dr Mitchell-Jones said: “Sadly, extreme morning sickness is often overlooked, and women suffer in silence as they feel they are not taken seriously. At present we don't have sufficient specialist services available to women suffering with HG.”

“” by Nicola Mitchell-Jones, Jessica Alice Farren, Aurelio Tobias, Tom Bourne, Cecilia Bottomley. Published 8 December 2017 in .