Morning sickness when to go to hospital

[Kitcat159]

At what point should you go to hospital for a drip?
I have been feeling really dehydrated over the past few days as I have not been able to keep liquid or food down.
My bp has been low but I don't know when it's "too low"

What made you go to hospital?

I'm 12 weeks with my first. I don't have a midwife yet.
Feeling really rubbish.

2 HG pregnancies here and many stays in hospital on the delicious drips. I was generally taken in via the Early Pregnancy Unit but a few times was so bad that my husband phoned 101 and they ended up sending an ambulance because I literally could not stop throwing up fresh air and needed a timely injection to stop me being sick and get me to hospital.

Hospital is almost certainly where you need to be. If not an urgent GP appointment tomorrow.

My midwife told me that if I stopped weeing for 24 hours then I would need treatment. I had 2+ keytones regularly in that pregnancy but I was told by the midwife and hospital that I wasn't bad enough to get anti sickness meds. I have read on mumsnet about people getting help for less sickness than I had though so maybe I was just unlucky to have unsympathetic people looking after me.

Yes, what PPs said- I didn't have to stay overnight. Was put on a drip, had a sickness med injection and was allowed to leave once I'd eaten something and my ketones were down to 1.
Once it all kicked in, it was the best ham sandwich I ever ate I actually sobbed that I could eat something.
It's amazing how quickly you feel better.

Update.
Been to doctors again today.
They gave me Prochlorperazine maleate tablets now.
I have just gone to take them and the leaflet thing (I was looking to see if I need to take it with food etc) and it specifically says "do not take if pregnant"

So do I take it or not???

They also said to stay home for 48 hours.
HR have asked for written proof from the doctor but doctor said as i can self certify I don't need anything written.

This is all getting very stressful!!

Hi Kitcat, all the meds say not to be taken as there are no trials in pregnant women, but they are safe. The RCOG guidelines are helpful - available here www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg69/

You can self certify up to a week, I believe. HR can’t demand a sick note before this. Your GP should sign you off though, if needed.

Do check out the HG support thread—it’s a wealth of support and information there.

Of course you can take them. It has to say that on the leaflet as nothing is tested in pregnancy but they're perfectly safe and thousands of women take them in pregnancy.

Please read the RCOG green top guidelines for the treatment of nausea and vomiting in pregnancy.

www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg69-hyperemesis.pdf

I have also attached a screen shot to show you that they are the first line drugs. Join the hyperemesis support thread.

Why is your husband telling you not to go to hospital!? Get a taxi there and look after yourself.

Hopefully your meds will kick in soon!

Having a meltdown now... work are asking for proof of what the doctor said.
Spoke to my mum and she laid into me about having more time off saying "no wonder work doesn't believe you! I wouldn't either!"
Dad said I'm "unreliable" and work won't keep me on if I'm not reliable.
I have had about 10 days off last year (not including the few at the end of the year because of pregnancy sickness) because my appendix was hurting me, I was signed off with stress and I had migraines.

I am going to try to get a letter from my doctor to pacify my work but will have to pay for it. I'm not being paid while I'm off. I have migraine and keep crying as I feel lost and stressed.

Wish this was easier.

OP, I'm so sorry that you're going through this, and that your family are being so unsupportive. Please please please visit the Pregnancy Sickness Support website - they have lots of information for family and friends of sufferers. Maybe you could send them the links, or print things out, so that they can read this and get a better understanding of how utterly debilitating this condition is.

It is ESSENTIAL in my view that you print off the legal guidelines for employers of pregnant women and refer your employer to these. I'm shocking at links, but here's what you need to read, print, and pass on to your employer:

[ https://www.pregnancysicknesssupport.org.uk/help/employer-information/ ]

And please join the HG thread on here as PP have suggested. I'm going to hunt them down for you in a moment. Back soon.

Key points for your employer from a legal point of view:

Under the Equality Act 2010, it is unlawful discrimination for an employer to treat a woman unfavourably because of her pregnancy or an illness relating to her pregnancy.

An employer is not permitted to take into account any pregnancy-related absences during the protected period for the purposes of attendance management or when deciding whether to dismiss an employee. This would also be unfavourable treatment. For this reason, employers should record separately any sick leave taken for a pregnancy-related illness.

If an employee takes sick leave for a pregnancy-related reason, you must pay her the same sick pay that you would pay to employees who are off sick for other reasons. If she qualifies, she will be entitled to Statutory Sick Pay (SSP). If you normally pay contractual sick pay, over and above SSP, she should be entitled to that in the usual way.

I know it's hard when you're feeling so horrifically unwell, but please know and assert your rights OP. If they discriminate against you because of pregnancy sickness they are opening themselves up to the potential of tribunal action.

Your parents are talking absolute bollocks.

Did you know that severe morning sickness / hyperemesis gravidarum was the LEADING cause of maternal death before anti sickness drugs were administered? It's a serious condition so don't be fooled by people's ignorance.

So sorry you are going through this OP, and that you have had such unsupportive and insensitive comments to deal with as well. HG is an illness, it is not something that you can just grin and bear and push through unfortunately. You will need a lot of rest as trying to push through it will make you feel much worse and trigger more vomiting. The most important thing right now is to look after yourself and your baby. You've had loads of great advice on here, I definitely second the recommendation to look at the pregnancy sickness support website - they also have a helpline you can call. I wrote a blog post about my experience to try to help explain it to people who don't know about the condition or how to support someone with it -
please feel free to share it with friends and family if it might help them to understand a bit more about it and how to support you.

emumusings.blogspot.co.uk/2017/10/hyperemesis-gravidarum-surviving-or.html?m=1#more

I dont know why more to say. There is medical help available for you, and legal protection for you. I know you feel utterly wretched, but you really need to make the most of these.

Thanks for all the advice everyone.
I have printed off the pages that some of you mentioned and will take them with me when I go back in to work.
I am getting a letter from my doctor in the morning to give to my HR etc and I will read through the links posted.
Much appreciated all!!
Thank you for the support!
❤

Here's the HG support thread OP www.mumsnet.com/Talk/pregnancy/3112864-Hyperemesis-Support?msgid=74665432

Did the gp ask for a urine sample?
Please get the support you need. No one understands about hg really until they have had it.
I had it and was hospitalised because I didn't get help quickly enough

So glad you're using the PSS pages OP. Hope the new meds have some effect too.

Thanks Natsku, I wanted to link that for OP but couldn't work out how to do it on my phone!

No problem, tis a bugger trying to link things on a phone!

Kitcat159
I'm so cross on your behalf that you aren't getting the support you need. I was admitted to hospital at 7 weeks with HG. I was dehydrated, collapsing and hallucinating. I also felt scared, incredibly weak and incompetent as I thought this level of sickness was normal.

Test your urine, if you have high ketones presents you need re hydration and continuing anti-emetics.

You also need support from people who have been where you are, after all the medical intervention that was what made the most difference to me. Knowing I wasn't being a wuss and that other people had been through similar experiences. I hope you have got some help and are feeling better (even if it's only slightly!)

Get seen by a medical professional and fight for your case to be taken seriously. HG is not a joke at all and it is defo not "psychological" or normal.

Sometimes women with HG wait until it's too late before they seek help because there is such little convo around it.

Fight to be taken seriously and don't leave the gp/hospital/epu unless you are happy with the advice you get.

If any idiot tells you it's psychological then tell them you know of a tough as old boots/floored by nothing/daughter of wartime parents who developed it really quickly into pregnancy- that is, me. It's real. Pukingly real. Even Kate Middleton has had it.
One of the teachers at my dd's school has it. Another teacher is also pregnant and has had a comparatively easy run. The hg sufferer confided to me that she'd never met anyone with it . I told her she'd met me. It's ghastly. Especially if you are working.

@Emu31
I think your blog post is great and I could have written it myself.

I work on building sites. I climb mountains for fun. I ride my bike all day to see how far I can go. I am rarely ill. I broke my shoulder blade and didn’t realise for 6 weeks. I am archtypally tough as old boots, but HG bowled my over for 8 weeks, twice. When the young, childless hospital Doctor was trying to tell me it was psychological I threw up on her notes. But deliberately, but it wa very satisfying. My GP was much more sympathetic - I later found out that his wife is a midwife.