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Apr 29, 2008

What is HG?

Im copy and pasting from the site so you guys know what I have! the pumps I have are continous pumps of meds so I dont throw up! and more hydration is coming today! Im really bad!

Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting in pregnancy. It is generally described as unrelenting, excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids. If severe and/or inadequately treated, it is typically associated with:

loss of greater than 5% of pre-pregnancy body weight (usually over 10%)
dehydration and production of ketones
nutritional deficiencies
metabolic imbalances
difficulty with daily activities
HG usually extends beyond the first trimester and may resolve by 21 weeks; however, it can last the entire pregnancy in less than half of these women. Complications of vomiting (e.g. gastric ulcers, esophageal bleeding, malnutrition, etc.) may also contribute to and worsen ongoing nausea.

There are numerous theories regarding the etiology of hyperemesis gravidarum. Unfortunately, HG is not fully understood and conclusive research on its potential cause is rare. New theories and findings emerge every year, substantiating that it is a complex physiological disease likely caused by multiple factors.

Diagnosis is usually made by measuring weight loss, checking for ketones, and assessing the overall condition of the mother. If she meets the standard criteria and is having difficulty performing her daily activities, medications and/or other treatments are typically offered.

Treating HG is very challenging and early intervention is critical. HG is a multifaceted disease that should be approached with a broad view of possible etiologies and complications. When treating mothers with HG, preventing and correcting nutritional deficiencies is a high priority to promote a healthy outcome for mother and child.

Most studies examining the risks and outcomes for a pregnant woman with nausea and vomiting in pregnancy find no detrimental effects long-term for milder cases. Those with more severe symptoms that lead to complications, severe weight loss, and/or prolonged nausea and vomiting are at greatest risk of adverse outcomes for both mother and child. The risk increases if medical intervention is inadequate or delayed.

The list of potential complications due to repeated vomiting or severe nausea is extensive, all of which may worsen symptoms. Common complications from nausea and vomiting include debilitating fatigue, gastric irritation, ketosis, and malnutrition. Aggressive care early in pregnancy is very important to prevent these and more life-threatening complications such as central pontine myolinolysis or Wernicke's encephalopathy. After pregnancy and in preparation of future ones, it is important to address any resulting physical and psychological complications.

Hyperemesis Gravidarum impacts societies, families and individuals. Recent, conservative estimations suggest HG costs nearly $200 million annually just for inpatient hospitalization. Considering many women are treated outside the hospital to save costs, the actual cost is likely many times greater. Beyond financial impact, many family relationships dissolve and future family plans are almost always limited. Women often lose their employment because of HG, and women are frequently undertreated and left feeling stigmatized by a disease erroneously presumed to be psychological

Apr 28, 2008

Ultrasound



so today went well! baby is measuring good! we got to hear the heartbeat 165bpm! yay.. come on team pink!!!!

Apr 25, 2008

All hooked up!



Here i am all hooked up to the Iv and the regnal pump which is in my leg.. thats not fun.. but hopefully ill feel better soon!

Apr 23, 2008

freaking out

I think Im high... no shit.. I took the ambien and zofran and ail i m seein is like these movements and glitters. you should see me startin at my baby.. i swear I saw my grandmamma in the u/s in the white stuff .. holy fuck im flipping out I think Im not goinbg =========g to combine these again...

HOME IV care

So i went to the OB today and because Im so sick and my history of HG I am getting Home IVs and a reglan pump sometime in the next few days! yay!~ i know to most people having IVs at home doesnt sound pleasant but for me its great because hopefully I will start to feel more human! so ill definetly post a photo whenever it comes! lol..me at home with and IV! all for having a baby.. 100% worth it!

Apr 21, 2008

My u/s

YAY
By the way my cervix is nice and closed. the ER doc was a crock! and im still on modified bed rest as im still cramping and the emisis.. but baby has a heartbeat and is fine

Apr 19, 2008

Back

Hey ladies.. its late

I just got home from the ER and I am balling my eyes out!

Im an emotional mess

so I go in and they did the pelvic and the guy says .. well your cervix is a bit open so its possible you will miscarry.. or are on your way to miscarry. so that threw me through a loop..

but the reason im still in tears is because they did an ultrasound and
my baby..yes my baby has a most beautiful heartbeat. I was just tearing up so bad on that u/s table. the tech was amazing and showed me it all and saw that beautiful flicker... ohhh just made my day

my numbers are in the 30 thousand and im still nauseous and cramping.. and I have an ambien so have to make it quick... this was just scary but I feel better now till my new appt time 830 instead of 430 for Monday. so Im hoping that they will have good news as well and perhaps know why im cramping so bad and why the guy thinks my cervix is starting to open...

okay night all.. I will catch up when im not doped up on ambien and semi normal..lol.. dont forget I have my mother daughter brunch in the am.. so after that Ill be on!
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OH and my babys first early hb was 114 bpm!! the ones arund 7 weeks are the sex ones.. so I hope that this means a girl as its so high for this stage... ha ha ha

Apr 18, 2008

MONDAY IS DRAGGING

I know its only friday but man I cant wait till monday gets here! im going insane. really. I keep telling myself something is wrong. If I cramp too much or not enough or if I happen to feel better instead of nauseous then I get sad. if my bbs dont hurt enough.. im pinching them just to see if they still hurt! Im so scared that Ill go in on monday and have them not find the baby! I know Ive been super nauseous so it seems as though everything is okay.. but I cant help with all the what ifs! This weekend Im going to moms for a mother daughter breakfast.. with my sister and my brothers gf and her mom at the church. so thankfully the weekend will be keeping me busy. but man my appt isnt till 430 so its going to drag on monday! anyhow. Just obsessing like usual and worrying like usual!

Apr 16, 2008

NAUSIA

Okay its the second day in a row that I am feeling this sick. Its really bad. not to mention the constipation. Im just going to take it as a blessing and that it means the baby is doing well! I have had to take Zofran 2x already and looks like today again. I cant seem to get out of bed and function. my poor son is watching cartoons laying in bed with me. oh and what about the sneezing causing horrible round ligament pain.. ackkkk. okay anyhow. Monday cant get here soon enough!

Apr 14, 2008

Results

k girls Im back from the doctor! and everything looks good! the sac is measuring good and the yolk sac is good! only the sac is differently shaped.. they wouldnt let me take a copy home..boo.. but I do have another u/s next monday at 430. but doc doesnt seemed worried! I am on modified bed rest and upped my suppositores.. but that should be okay.. so yaya

appt at 330 today

and when i called it seemed like they were irritated or mad at me. Like uhhh why is she calling again.. I hate that. My old RE didnt care when i called like that. they saw me right away and calmed my fears. I am just hoping that they see what they are supposed to see this early and everything is okay. and that I can go back to my OB soon. I miss him. He knows my history and is so understanding. wont get mad if i call cause of bad cramping or bleeding.. shit.. wouldnt you be scared if youve had several losses in the past and then had cramping and bleeding.. arghhhh so i dont know how today will go~

Apr 13, 2008

ER day

So I woke up to cramping.. I went to the ER as I was scared shitless! and hours upon hours later they do an u/s and beta, they come back saying that they are concerned that with my beta at 11 thousand, they should have seen a fetal pole, they did see the gestational sac, but now Im starting to think that maybe they just dont know what they are talking about.. im only 5.4 weeks. isnt it too early to see the fole? i have to call the doc in the am and see what they say.. im totally freaked out now though!

Apr 11, 2008

5 week belly shot

Apr 9, 2008

Small update

My first beta came back at 220 on 15 dpo. then sunday I was really crampy and felt like something was wrong.. so I got an u/s where they saw nothing.. its was early.. and another beta which came back at 1495! so woo hoo.. It should have been in the 800s so im well on my way. I get another on monday and then will probably have an u/s scheduled if the numbers are still good! Im thinking they are. even though Im still cramping im sure its just ligament pain as my boobs have started to get really sore and the nausia is slowly coming on! woo hoo BRING IT ON! if it makes this baby stick and healthy.. Im all for it!