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Pregnancy

Talk about every stage of pregnancy, from early symptoms to preparing for birth.

Hyperemesis Support

970 replies

LucindaE · 10/07/2014 18:08

I hope everyone suffering from the Horrors of Hyperemesis will find this thread useful as a source of support and information.

There's no TMI on here - can't be by definition - and nobody should feel ashamed of moaning as much as they feel the need to.

MOH's wonderful website is full of useful information on this illness:
sites.google.com/site/pregnancysicknesssos/
Another invaluable website is:
www.pregnancysicknesssupport.org.uk/
If you need help in obtaining medication, this phone number is
brilliant:
024 7638 2020

Lastly, the NICE guidelines on treatment are useful:
cks.nice.org.uk/nauseavomiting-in-pregnancy#!prescribinginfosub

I would like to thank Everyone who has given such invaluable support and advice on this and on previous threads.

Remember when you are at your worst, 'This Too Shall Pass'. It really will.
So many women on this thread have thought they couldn't get through this, but they did.

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kalidasa · 10/08/2014 21:46

Yes good point about mix feeding, we did this last time from about 4 or 5 months because I went back to work early, but I think I will do it more systematically next time. There is lots of scaremongering about how if you introduce a bottle early they won't breastfeed - I'm sure this does happen with some babies but we used the occasional bottle right from the beginning and DS never had a problem. He did go on bottle strike a few times though! It is a big help to be able to delegate the odd feed and I think it's nice for fathers too, everyone says 'but they can do everything else' but with really small babies feeding is often by far the most satisfying/interactive thing they do. For little DS all other things - dressing, changing, bathing etc - were just a scary ordeal for him to start with, whereas he obviously really enjoyed his feeds. Some things haven't changed!

kalidasa · 10/08/2014 21:50

Some - totally agree about expressing, it is marketed as this great convenient solution to make breastfeeding more flexible but I found it totally unrelentingly hideous! Definitely won't be trying that again. (Though later on when DS was about 9 months old and only having a couple of feeds a day I was away from him for a week and just hand expressed in the shower - that was ok.)

Meerka · 10/08/2014 21:59

elle someone mentioned a drug-information helpline, if that can be tracked down it's worth mentioning.

YOu do have to be careful with meds when preg and post-partum but there's also an insane amount of hysteria. If you can find a pharmacist trained in the whole preg / post partum thing they will be able to give you informed advice. Pharmacists are more trained in the effect of drugs on the human system than doctors; doctors are trained in detection and treatment of disease, not specialists in the effects of meds.

Meerka · 10/08/2014 22:01

I think mixed feeding is the way to go for me. I can't quite bear to give up bfíng completely til 6 months unless I absolutely have to but it's unworkable atm. It's worth trying mixed as a half-way thing. Thanks a lot for the advice guys.

mrsnec · 11/08/2014 05:48

Mixed feeding is what I've always thought I'd do without question. The one bottle of formula a day idea. Having said that I am getting an even worse reaction to that plan from my friends than if I was just planning to feed formula on its own! Apparently I have to choose one or the other.I'm relieved it's definitely an option.

Anyway I'll find out in due course what's going to work for us and you have helped my concerns a lot. My problem is that with my previous pg and subsequent mc happening very soon before this one and suffering during that too, I've had this for more than a year now so very much looking forward to the end!

Can I ask, did any of you bf after a c section? If so can you tell me your experiences. I find out at my next appointment if I need one. They only feed formula here and I was reading about a lady who had a section in the same hospital recently and had no supply by the time she went home so thats a concern too.

Kali, I feel that way about expressing too.

sunny glad you're having a nice time.

Meerka, I hope it works out and great advice for elle.

SomeSunnySunday · 11/08/2014 09:11

I breastfed after both of my c-sections, mrsnec. With DS1 it was harder and I didn't have much milk so he also had some formula top ups for the first week. But I think that was more to do with me being knackered after a 36 hour labour and him being unwell with an infection, rather than the c-section per se. After my elective c-section with DS2 it was fine (well, as fine as it would have been after a normal delivery, I think! Only the usual learning curve for us both).

Fraggle31 · 11/08/2014 09:14

Morning ladies, sorry to have been mostly lurking recently. Work has been knackering and I've only really had energy to lie on the sofa and sleep when coming home.

Up till now I've been doing well, 20 weeks yesterday and off all anti emetics for a week - great times I thought. Until yesterday......out of the blue came a whole day (and night) of vomiting (9 times), only managing to keep down half a glass of flat lemonade. I feel like someone has hit me with a truck......I haven't dared attempt to try some breakfast this morning.......

Glad to hear you're doing better kali and have stayed out of hospital
basgetti - hope you're going to the hospital today xx

kalidasa · 11/08/2014 09:21

I know lots of women who breastfed after sections, including my mum with my youngest sister. The only thing I've read is that especially with an elective - where you hadn't gone into labour - the milk can be slightly delayed coming in.

Really good to have this honest discussion about the cons as well as pros of breastfeeding - there is such a lot of pressure about it at the moment at least in the UK, I really think it's too much.

Oklahoma · 11/08/2014 09:26

Great to hear all the BF stuff have been really worrying about it!

basgetti · 11/08/2014 09:38

Hi all, bag packed and seeing GP in an hour. DS off to my parents for a little holiday. I'll update when I can.

Hope everyone is feeling well today, Kali hope you continue to improve and are able to remain at home. Thanks everyone for the great advice and support x

mrsnec · 11/08/2014 09:40

Fraggle, sorry to hear about that. Hope you can stomach something later. But 9 times is a lot. I was told straight to hospital if more than 4 times in 12 hours.

Some and Kali, thanks for the info. Very reassuring. Kali I like the tip about hand expressing in the shower. And sunny I agree that it's going to be a learning curve either way. If I want to bf I'm going to have to try it on my own when I'm home.

It surprises me the attitude to bf here. They favour a natural birth with minimal intervention. (my potential section is due to my anatomy and she's transverse at the moment) yet they favour ff. I agree it's refreshing. If I was in the UK and had to put up with some of the propaganda my friends had to put up with it would drive me nuts. I'm not ashamed to admit my main reason for considering bf is the economics of it although I get the health benefits side of things too. But I was researching the best brand of formula I could get here. I need one that's available in the UK too so I can get dm to bring some over with the info in English, anyway I was shocked that even on some formula websites you can't enter the website until you click to accept you understand that bf is better.

Fraggle31 · 11/08/2014 09:48

mrsnec that's interesting to know, I've never been told anything like that. I did consider calling MAU and seeing what they said, but I figured the initial advice would be to restart my anti emetics and see how I went so thought I'd do that and wait it out abit

mrsnec · 11/08/2014 10:37

Well it's a very different system here fraggle. You don't get prescribed anything unless you've been admitted with it too so I've not taken anything the whole way through because my sickness never got to that level although I was very close to it. I think it's because the biggest concern is with dehydration but I have times when trying to drink more just makes me feel worse so it's easier said than done. I think you know what's best for you. Those that have been hospitalised have known themselves when its the right time to go in. If you still have the meds and they'll help you feel well enough to get fluid down I'd be tempted to try that.

freneticfox · 11/08/2014 11:55

Huge milestone yesterday, gang. I made it through an entire 24-hr period without taking Ondansetron, first time in a good few weeks. I still had my bedtime Promethazine, but that was it. And I don't feel horrendous this morning.

Could that be a corner I see approaching the horizon? The distant horizon of course, I don't want to speak TOO soon.

Meerka · 11/08/2014 13:43

congratulatoins frenetic! fingers crossed for you :)

and fingers crossed fraggle that it was just one bad day and you will be better tomorrow. It can happen, the hormones are weird like that.

basgetti good luck at the doctors.

kali still thinking of you and wishing you all strength. Glad you have stayed out of hospital!!

mrsnec god ... not being prescribed anything ... all too familiar and just ... horrendous

Booboostoo · 11/08/2014 14:29

Goodness fraggle 9 times! I hope it was a one off, awful day.

Well done frenetic!

mrsnec there is a 30% chance of having problems with bf after a CS, especially in cases where the mother has not gone into labour beforehand. However, these problems can be addressed, the main thing is to get help from someone who really knows what they are talking about and not one of the many people who will spout rubbish at you. Colostrum gets produced in the third trimester and the milk starts 2-7 days after the birth. There are two possible complications with mixed feeding from the very start: some babies experience 'nipple confusion' because the bottle is easier and may refuse the breast so it is generally recommended one waits 4-6 weeks before giving a bottle. BF supply depends on demand so feeding often, especially through the night, is important to establish supply - giving too many bottles may affect supply. Expressing seems to be a personal thing, some people express a lot very quickly, others struggle for hours for a tiny amount.

FloweryBoots · 11/08/2014 20:23

Fraggle hope it was just a one of bad day and you do better again tomorrow.

basgetti hope you're doing OK at the hospital.

Well done frenetic fab news. Light at the end of the tunnel, if just a little one!

I'm doing far better than I was a few weeks ago. Managing without anti emetics appart from an odd one now. I still feel nauseuas most of the time which isn't fun but I was too exhausted on the meds now I'm only being sick occasionally. Just hope it continues to improve becuase I got to about this level at 20 ish weeks last time and was stuck with it then to the end. Though it did leave immediately after birth, and then I felt fabulous!

I've heard milk can take longer to come in after a difficult labour/birth eithr vginal or C section. Certainly after a tricky time with my 1st my milk came in at least a couple of days later than with the 2nd, but it could have been nothing to do with it. My 1st also just wouldn't latch for the first 36 hours so I was expressing colostrum wich could have affected things. But we got there.

Elle I contacted breast feeding network's 'drugs in breast milk' help line about my anti emetics as I'm still feeding DC2 and the GP said I couldn't take them while feeding. There is a phone number you can leave a message and they will call back or an email address. I emailed and tey were really great. Very fast response with a really helpful thorough reply and extracts of all the various studdies on that drug and breastfeeding so I could read the results for myself.

AllOutOfNaiceHam · 11/08/2014 20:32

Fairly newly pregnant with dc4, two out of my three pregnancies were horrendous HG ones, last time I was on max doses of ondansetron, cyclizine, omeprazole and ranitidine right up until labour.
I saw my GP to beg for preventative meds now before nausea turns into HG with ketosis and admissions, but he was really unhelpful. I'm currently 5+3 and HG always kicked off just after 6 weeks for me.

kalidasa · 11/08/2014 21:08

Wow you are very brave All - this is my second shocker of a pregnancy and I will NOT be doing it again! Do you have any idea why one of your pregnancies was better than the others? Can you see a different GP? With your history it is crazy not to give you drugs now - not to mention a false economy!

Fraggle - that sounds dreadful, and late on too. Had you done more than usual? Or any chance you might have a UTI or something? I hear they can cause vomiting and often you don't have as many early symptoms when you are pregnant.

Basgetti - how are you doing? I'm assuming you are in hospital.

I am doing quite well, even managed a short walk today, definitely finally feel that I am making progress. Struggling with the nausea and general weakness/exhaustion after months entirely in bed, but the vomiting is much reduced and I am eating pretty well (albeit a rather restricted diet).

Really interesting about different feeding advice mrsnec - sorry, I've forgotten where you are? Do you have a sense why it is different? Is it just pragmatism or do they feel that the health advantages are not that significant where there is good hygiene etc?

Weird thing about colostrum - my breasts started leaking it very early in this pregnancy, at 6 or 7 weeks. I told the docs and they were briefly v interested in that way that senior doctors are when they think you might have something awful but v rare! Asked me various odd questions about headaches and vision then lost interest and said my hormones were obviously just generally weird. Still don't know what they were ruling out but my Dad said probably some v rare kind of brain/pituitary tumour! Anyway, last preg they just started leaking towards the end; I still had a bit of milk in there for AGES after I stopped breastfeeding though, quite weird. Maybe that's why this time they went 'wahey, pregnant!' and kicked into action immediately.

I didn't find expressing particularly difficult, I just found it degrading and horrible! All the worst bits of breastfeeding with none of the nice parts, though I do know people who've made it work over long periods and obviously it is useful to know how to do it so that you can skip the odd feed in those early days without agony. I was briefly in hospital when DS was about six weeks old and the pump they gave me in hospital was at least quick so perhaps it is worth shelling out for a really fancy electric one if you really want to do it.

DS never had 'nipple confusion' although he had the odd bottle (and a dummy a lot) from the beginning. He did make his preference for the breast v clear though! In fact, we got married when he was three months old (exactly) and we had to go without a cocktail after the ceremony because he totally refused to take the bottle we'd brought with us for him (my dress was not compatible with feeding). Personally next time I will mix feed a small amount from the start and accept the possibility that it might been breastfeeding doesn't work out, because the advantages outweigh that risk for me. Obviously everyone has to weigh it up for themselves though.

Fraggle31 · 11/08/2014 21:18

kali congrats in your walk! It's nice to start doing 'normal' things again isn't it. I did wonder re: UTI although I have no other symptoms. May call the gp tomorrow and see if they will dip a urine for me to check. The only problem if it comes back positive is that the antibiotics they gave me for the last one I had made me feeling horrendously sick too!! There is no winning lol

allout sorry to hear your gp hasn't been very helpful. Perhaps you could give the pregnancy sickness support people a call for some advice?

AllOutOfNaiceHam · 11/08/2014 21:23

Oh this pregnancy was a total whoopsie. I ovulatedate and we were somewhat careless. HG terrifies me, and not enough time has passed since dc3 was born for me to have gotten over it in the slightest.
Even last pregnancy I had to be hospitalised several times before I got prescribed ondansetron, and my GP made a point of telling me how expensive each bottle of suspension was, and would only prescribe two at a time without repeat slip. I spent stupid amounts of time traipsing between the surgery for new scrips and the pharmacy to preorder the stuff then come back the next day when they had ordered it in.. Took them until I was 30-odd weeks pregnant to keep some in stock.

I don't feel brave, really. At the moment I'm trying to not deal with what is most likely going to happen very soon.

No, I don't know why my pregnancy with dc2 was fairly normal in terms of sickness, as my first two dcs are the same sex. Dc3 taught me it was possible to vomit through your eyes. :(

Meerka · 11/08/2014 22:33

oh god allout. Can you get a new doctor? that situation is beyond ridiculous and the doctor is without compassion. Seriously, is there anyone else?

and welcome!

kali delighted to hear you managed a short walk!

btw, our Pipsqueak will accept both bottle and nipple without argument, we've discovered. Have milk, will drink. Perfectly happy with whatever form it comes in.

wishing everyone a quiet and deep sleeping night.

Oklahoma · 11/08/2014 23:39

Welcome Allout your Dr sounds like a d**k! What sort of idiot makes someone traipse into the surgery every 2 weeks when they're that sick!?

There have been some very mixed experiences of GPs on here. Some of them just need shaking. Or a good talking to by Sunny (I think it was Sunny anyway...)

Meerka glad W is eating well. You deserve a break after everything you've been through. How are you feeling these days?

I have nothing to report. Still puking everyday (29 weeks now!!) but starting to believe I might survive this pregnancy. And the look on DH's face every time he feels her kick helps a lot. I couldn't have done this without his support.

Kali so glad things are looking up for you.

Can't remember what everyone else wrote - sorry, blame the baby brain! .

Lottiedoubtie · 11/08/2014 23:51

Welcome allout and yes, what they all said re. finding a new GP.

Glad you are feeling more positive okla is it a once a day puke at a predictable time?

kali it's wonderful to hear that you are seeing improvements, hope it continues!

Booboostoo · 12/08/2014 05:03

Welcome Allout. Can you change GPs? He sounds really awful.

LactMed is a good online resource for information on bf and drugs:
toxnet.nlm.nih.gov/newtoxnet/lactmed.htm