NVP Counselor
Date: 2003-09-05

Question:
I suffered from severe hyperemesis gravidarum during my 1st two pregnancies. As I was blessed with two beautiful, healthy children I would love to have more. And I would REALLY like to at least tolerate the pregnancy rather than be deathly ill, IV scarred, and hospitalized! What are the most current treatments for hyperemesis? Can it be avoided? How can I find an OB that specializes in this condition in the Cincinnati area?

Answer:
Our suggestion for anyone planning a pregnancy who has experienced difficult pregnancies in the past (with hyperemesis gravidarum - HG) is to start treatment immediately at the very first hint of symptoms. Taking a Vitamin B6 supplement before becoming pregnant might also be beneficial (i.e., 25 to 75 mg daily).
Should hyperemesis gravidarum occur, a treatment algorithm is posted on this website in our February 2002 Update. We would also like to mention that numerous reports have come to our attention of women with severe symptoms similar to HG, who have tested positive for the H. Pylori stomach bacteria. H. Pylori requires a different course of treatment.

With regard to referrals in your area, we can only suggest that you contact your local hospital's obstetrics unit, birthing centres, prenatal classes, etc.