Почему при беременности тошнит: Тошнота во время беременности — почему возникает и как лечить?

«Меня тошнит при беременности что делать?» – Яндекс.Кью

Действительно! Наукой доказано, что в возникновении и изменении вкусовых пристрастий и привычек в организме беременных в результате гормональной перестройкой виноват гормон прогестерон, который особенно активен в первый триместр беременности. Следует отметить, что во время беременности пищевые предпочтения не только меняются и появляется желание съесть на взгляд, так сказать, «адекватных» людей несъедобное, но и появляются совершенно новые потребности и желания.

Как уже известно, прогестерон — гормон беременности, который отвечает за её сохранение и развитие плода. Вырабатывается прогестерон в трех местах: это яичники, кора надпочечников и плацента, которая формируется на 16 неделе беременности. С момента имплантации начинается повышенный синтез прогестерона, то есть прикрепления эмбриона к слизистой оболочке матки. Помимо таких эффектов, как расслабления тонуса гладкой мускулатуры, в том числе и матки, «гормон беременности» также принимает участие в стимуляции роста молочных желез и препятствует отторжению плода непосредственно организмом.

Влияя на центральную нервную систему, данный гормон формирует в головном мозгу очаг возбуждения — доминанту беременности. Из-за повышенного содержания гормона в организме происходит ряд биохимических изменений, которые включают «поисковую машину» с целью определения и использования необходимых для беременности веществ из тела женщины.

Из этого следует, что именно прогестерон определяет норму или недостаток полезных веществ, а в случае дефицита последних запускает специальную команду для удовлетворения необходимых потребностей (микроэлементов, витаминов, белков и так далее). Таким образом, становится понятным желание женщины съесть мел при дефиците кальция или выпить кружечку пива при недостатке витаминов группы В.

Но отнюдь не следует сбрасывать со счетов и психологические факторы, которые играют роль, и немалую, в изменениях вкусовых ощущений у женщин. Во многих случаях беременная желает своей прихотью бессознательно, а нередко и осознанно, привлечь к себе внимание мужа или близких, будучи уверенной в том, что желаемое ей принесут на тарелочке.

Одним из главных виновников изменения пищевых привычек у беременных, доходящих до извращения вкуса, является анемия беременных. Чаще всего развивается железодефицитная анемия, обусловленная недостатком железа, фолиевой кислоты и витамина В12.

Вкусовые предпочтения проявляются в виде желания съесть лед или глину. Лечение анемии заключается в назначении железосодержащих препаратов, витаминов (группы В, фолиевой кислоты, витамина С). В рационе беременной должны преобладать продукты с повышенным содержанием железа (печень, яйца, творог, говядина, рыба, гречка).

Как объясняют ученые, категорический отказ от употребления некоторых ранее употребляемых продуктов связан с защитной реакцией организма. Тело матери пытается предотвратить влияние токсинов на плод. Как было уже сказано, отвращение к тем или иным продуктам возникает в первом триместре беременности, когда происходит закладка основных органов и систем ребенка.

Этим можно объяснить и нежелание употреблять в пищу горькие продукты (перец, пряности). Как у всех млекопитающих, уже на уровне инстинктов организм все горькие вещества расценивает как яды (что действительно верно, привлекательные на вид, например, волчьи ягоды не только опасны, но и обладают выраженной горечью).

Что же делать беременной, если наступила полная или частичная потеря вкуса? Самое главное: необходимо обратиться за помощью к врачу. Даже малейшее изменение способностей воспринимать вкус продуктов, которое наступает внезапно, либо быстро развивающееся извращение вкуса — первый признак того, что надо обратиться за помощью к своему акушеру-гинекологу и получить квалифицированную медицинскую помощь, возможно, с участием других специалистов. Только после того, как точно будет установлена причина такого явления, назначается курс лечения.

Помните, что самолечение может быть опасным для вашего здоровья! Консультируйтесь с вашими специалистами! Будьте здоровы!

90000 If You Are Pregnant, Breastfeeding, or Caring for Young Children 90001 90002 Protect yourself and your family from COVID-19 90003 90004 90005 Based on what we know at this time, 90006 pregnant people 90007 90006 might be at an increased risk for severe illness from COVID-19 90007 compared to non-pregnant people. Additionally, there may be an increased risk of adverse pregnancy outcomes, such as preterm birth, among pregnant people with COVID-19. Therefore, if you are pregnant, be mindful about reducing your risk of getting sick.If you are caring for children, you can teach them everyday steps (such as proper handwashing) to help them stay healthy and, in turn, help protect yourself and your family. 90010 90011 90006 Reduce your risk of getting COVID-19. 90007 90014 90005 90006 It is especially important for people at increased risk for severe illness 90007 90006 from COVID-19, and those who live with them, to protect themselves from getting COVID-19. 90007 90010 90005 The best ways to protect yourself and to help reduce the spread of the virus that causes COVID-19 are to: 90010 90005 If you start feeling sick and think you may have COVID-19, call your healthcare provider within 24 hours.90010 90005 90006 Venturing out into a public setting? What to consider before you go. 90007 90010 90005 As communities and businesses across the United States are opening, you may be thinking about resuming some activities, running errands, and attending events and gatherings. 90006 There is no way to ensure you have zero risk of infection, 90007 so it is important to understand the risks and know how to be as safe as possible. 90010 90005 People who are pregnant, and those who live with them, should consider their level of risk before deciding to go out and ensure they are taking steps to protect themselves and others.Consider avoiding activities where taking protective measures may be difficult, such as activities where social distancing can not be maintained. 90006 Everyone should take steps to prevent getting and spreading COVID-19 90007 to protect themselves, their communities, and people who are at increased risk of severe illness. 90010 90005 In general, 90006 the more people you interact with, the more closely you interact with them, and the longer that interaction, the higher your risk of getting and spreading COVID-19.90007 90010 90041 90042 If you decide to engage in public activities, continue to protect yourself by practicing everyday preventive actions. 90043 90042 Keep these items on hand and use them when venturing out: a cloth face covering, tissues, and a hand sanitizer with at least 60% alcohol, if possible. 90043 90042 If possible, avoid others who are not wearing cloth face coverings or ask others around you to wear cloth face coverings. 90043 90048 90002 COVID-19 and pregnancy considerations 90003 90005 Based on what we know at this time, 90006 pregnant people 90007 90006 might be at increased risk 90007 for severe illness from COVID-19 compared to non-pregnant people.Additionally, there may be an increased risk of adverse pregnancy outcomes, such as preterm birth, among pregnant people with COVID-19. 90010 90005 90006 Actions to take if you are pregnant 90007 90010 90041 90042 Do not skip your prenatal care appointments. 90043 90042 Limit your interactions with other people as much as possible. 90043 90042 Take precautions to prevent getting COVID-19 when you do interact with others. 90043 90042 Make sure that you have at least a 30-day supply of your medicines.90043 90042 Talk to your healthcare provider about how to stay healthy and take care of yourself during the COVID-19 pandemic. 90043 90042 If you do not have a healthcare provider, contact your nearest community health centerexternal icon or health department. 90043 90042 Call your healthcare provider if you have any questions related to your health. 90043 90042 Seek care immediately if you have a medical emergency. 90043 90042 You may feel increased stress during this pandemic. Fear and anxiety can be overwhelming and cause strong emotions.Learn about stress and coping. 90043 90042 Learn more about how to reduce your risk of getting COVID-19. 90043 90048 90005 90006 Vaccines during pregnancy 90007 90010 90005 Although there is no vaccine available to protect against the virus that causes COVID-19, routine vaccines are an important part of protecting your health. Receiving some vaccines during pregnancy, such as the influenza (flu) and Tdap vaccines, can help protect you and your baby. If you are pregnant, you should continue to receive your recommended vaccines.Talk with your healthcare provider about visits for vaccines during pregnancy. 90010 90005 90006 Prenatal and postpartum care 90007 90010 90005 It is important to take care of yourself and your baby during pregnancy and after delivery. 90010 90005 90006 Do not skip your prenatal care appointments or postpartum appointments 90007. If you are concerned about attending your appointment due to COVID-19, talk to your healthcare provider. 90010 90041 90042 Ask your healthcare provider how they are taking steps to separate healthy patients from those who may be sick.90043 90042 Some healthcare providers might choose to cancel or postpone some visits. Others may switch certain appointments to telemedicine visits, which are appointments over the phone or video. These decisions will be based on the circumstances in your community as well as your individual care plan. 90043 90042 Call your healthcare provider if you have an urgent medical question. 90043 90042 In case of emergency, call 911 or go to your local emergency department. If you are not driving, call the emergency department on the way to explain that you are pregnant and have an emergency.They should have an infection prevention plan to protect you from getting COVID-19 if you need emergency care. 90006 Do not delay getting emergency care because of COVID-19. 90007 90043 90048 90005 90006 Delivery locations during the COVID-19 pandemic 90007 90010 90005 Delivering your baby is always safest under the supervision of trained healthcare professionals. If you have questions about the best place to deliver your baby, discuss them with your healthcare provider. 90010 90002 Newborns born to mothers with suspected or confirmed COVID-19 90003 90005 Much is still unknown about the risks of COVID-19 to newborns.90010 90041 90042 Newborns can be infected with the virus that causes COVID-19 after being in close contact with an infected person. 90043 90042 Some babies have tested positive for the virus shortly after birth. It is unknown if these babies got the virus before, during, or after birth. 90043 90042 Most newborns who have tested positive for COVID-19 had mild or no symptoms and have recovered fully. However, there are a few reports of newborns with severe illness. 90043 90042 A small number of other problems, such as preterm (early) birth and other problems with pregnancy and birth, have been reported in babies born to mothers who tested positive for COVID-19.We do not know if these problems were related to the virus. 90043 90048 90005 CDC recognizes that the ideal setting for the care of a healthy, full-term newborn during the birth hospitalization is within the mother’s room. Temporary separation of the newborn from a mother with suspected or confirmed COVID-19 should be considered to reduce the risk of spreading the virus to the newborn. The risks and benefits of temporary separation of the mother from her newborn should be discussed with the mother by her healthcare team.Decisions about temporary separation should be made with respect to the mother’s wishes. If the mother chooses a temporary separation to reduce risk of spreading the virus and would like to breastfeed, she should express breast milk and have a healthy caregiver who is not at high-risk for severe illness from COVID-19 bottle feed the newborn the expressed breast milk if possible. 90010 90005 If the mother with suspected or confirmed COVID-19 does not choose temporary separation in the hospital, she should take precautions to avoid spreading the virus to the newborn, including washing her hands and wearing a cloth face covering when within 6 feet of her newborn .The newborn should be kept ≥6 feet away from the mother, as much as possible, including the use of physical barriers (e.g., placing the newborn in an incubator). 90010 90005 Mothers who are discharged from the hospital but have not met criteria to discontinue isolation may choose to continue to separate from the newborn at home to reduce the risk of spreading the virus, if a healthy caregiver is available. If a healthy caregiver is not available, a mother with COVID-19 can still care for her infant if she is well enough while using precautions (for example, hand washing, wearing a cloth face covering).90010 90005 Separation from the newborn may make it harder for some new mothers to start or continue breastfeeding. Frequent hand expression or pumping, ideally with a hospital-grade pump, is necessary to establish and build milk supply during temporary separation. Pumping every 2-3 hours (at least 8-10 times in 24 hours, including at night), especially in the first few days, signals the breasts to produce milk and prevents blocked milk ducts and breast infections. Mothers who are unable to establish milk production in the hospital after birth, or who have to temporarily stop breastfeeding, can relactate with skilled assistance from a lactation support provider.Additional information on relactation is available. 90010 90002 COVID-19 and breastfeeding 90003 90005 90006 Mothers who choose to breastfeed: 90007 90010 90041 90042 Breast milk provides protection against many illnesses and is the best source of nutrition for most infants. Learn more about breastfeeding. 90043 90042 You, along with your family and healthcare providers, should decide whether and how to start or continue breastfeeding. 90043 90042 We do not know for sure if mothers with COVID-19 can spread the virus to babies in their breast milk, but the limited data available suggest this is not likely.90043 90042 If you have COVID-19 and choose to breastfeed: 90041 90042 Wear a cloth face covering while breastfeeding and wash your hands with soap and water for at least 20 seconds before each feeding. 90043 90048 90043 90042 If you have COVID-19 and choose to express breast milk: 90041 90042 Use a dedicated breast pump (not shared). 90043 90042 Wear a cloth face covering during expression and wash your hands with soap and water for at least 20 seconds before touching any pump or bottle parts and before expressing breast milk.90043 90042 Follow recommendations for proper pump cleaning [Español] after each use, cleaning all parts that come into contact with breast milk. 90043 90042 If possible, expressed breast milk should be fed to the infant by a healthy caregiver who does not have COVID-19, is not at high-risk for severe illness from COVID-19, and is living in the same home. 90043 90048 90043 90042 Parents and other caregivers should follow recommendations described in the Discontinuation of Isolation for Persons with COVID-19 Not in Healthcare Settings.90043 90048 90005 Additional CDC resources to support infant nutrition include: 90010 90005 Other Important Information for New Parents: 90010 90002 COVID-19 and children 90003 90005 There is much more to be learned about how this disease affects children. While some children and infants have been sick with COVID-19, most illnesses have been among adults. Some reports suggest that infants under 1 year old and those with underlying medical conditions might be at higher risk of serious illness from COVID-19 than other children.90010 90041 90042 Children with COVID-19 generally have mild, cold-like symptoms, such as fever, runny nose, and cough. Vomiting and diarrhea have also been reported in some children. 90043 90042 Children with certain underlying medical conditions, such as chronic lung disease or moderate to severe asthma, serious heart conditions, or weak immune systems, might be at higher risk for severe illness from COVID-19. Call your child’s healthcare provider if you are worried about your child’s health or if your child has symptoms of COVID-19.90043 90042 In case of emergency, call 911 or go to your local emergency department. Emergency departments have infection prevention plans to protect you and your child from getting COVID-19 if your child needs emergency care. 90006 Do not delay getting emergency care for your child because of COVID-19. 90007 90043 90048 90002 Face shields for newborns and infants 90003 90005 90006 Plastic face shields for newborns and infants are NOT recommended. 90007 There are no data supporting the use of infant face shields for protection against COVID-19 or other respiratory illnesses.An infant face shield could increase the risk of sudden infant death syndrome (SIDS) or accidental suffocation and strangulation. Infants, including newborns, move frequently, which could increase the possibility of their nose and mouth becoming blocked by the plastic face shield or foam components. The baby’s movement could also cause the face shield to become displaced, resulting in strangulation from the strap. 90010 90005 Information for how to protect newborns from becoming sick with COVID-19 while in the hospital can be found in CDC’s Considerations for Inpatient Obstetrics Healthcare Settings.Additional information on how to protect yourself and others, including newborns and infants, from COVID-19 illness is also available. 90010 90002 Cloth face coverings for children, parents, and other caregivers 90003 90005 CDC recommends that everyone 2 years and older wear a cloth face covering that covers their nose and mouth when they are out in the community. 90006 Because of the danger of suffocation, do NOT put cloth face coverings on babies or children younger than 2 years 90007. Cloth face coverings should also not be worn by anyone who has trouble breathing, is unconscious, can not move, or is otherwise unable to remove the face covering without assistance.90010 90005 Parents and other caregivers should keep in mind that wearing a cloth face covering is not a substitute for social distancing, frequent hand washing, or other everyday preventive actions – please wear your cloth face covering in addition to practicing other prevention steps. A cloth face covering is not intended to protect you, the wearer, but it may prevent you from spreading the virus to others. This would be especially important if you are infected but do not have symptoms of COVID-19.Please remember that medical face masks and N95 respirators are reserved for healthcare personnel and other first responders. 90010 90002 Safe sleep for infants during the COVID-19 pandemic 90003 90005 During the COVID-19 pandemic, parents of infants may experience increased stress and fatigue that could affect their infants ‘sleep practices. Safe sleep is an important part of keeping infants healthy, including during the COVID-19 pandemic. If you have an infant, you can help reduce your baby’s risk of sudden infant death syndrome (SIDS) and other sleep-related deaths by doing the following: 90010 90041 90042 Place your baby on his or her back for all sleep times – naps and at night.90043 90042 Use a firm, flat sleep surface, such as a mattress in a crib, covered by a fitted sheet. 90043 90042 Have the baby share your room but not your bed. Your baby should not sleep on an adult bed, cot, air mattress, or couch, or on a chair alone, with you, or with anyone else. 90043 90042 Keep soft bedding such as blankets, pillows, bumper pads, and soft toys out of your baby’s sleep area. 90043 90042 Do not cover your baby’s head or allow your baby to get too hot. Signs your baby may be getting too hot include if he or she is sweating or if his or her chest feels hot.90043 90042 Do not smoke or allow anyone to smoke around your baby. 90043 90048 90002 Well visits and routine vaccine visits for children during the COVID-19 pandemic 90003 90005 Routine well child visits and vaccine visits are still important during the COVID-19 pandemic. 90010 90005 90006 Newborn visits. 90007 Ideally, newborn visits should be done in person so that your pediatric healthcare provider can check your baby’s growth and feeding, check your baby for jaundice, make sure your baby’s newborn screening tests were done, and get any repeat or follow-up testing, if necessary.At the newborn visit, your pediatric healthcare provider will also check how you and your baby are doing overall. Newborn screening tests include a bloodspot, hearing test, and test for critical congenital heart defects. Learn more about newborn screening tests. 90010 90005 90006 Well child visits. 90007 Your pediatric healthcare provider will check your child’s development at well child visits. You can track your child’s developmental milestones with CDC’s free Milestone Tracker app. 90010 90005 90006 Vaccine visits.90007 Vaccines are an important part of keeping your child healthy, especially if your child is under 2 years old. Vaccines help provide immunity before being exposed to potentially life-threatening diseases. Although there is not yet a vaccine to help protect against COVID-19, vaccines for illnesses such as measles, influenza (flu), whooping cough (pertussis), and other infectious diseases are important for your child’s health. This will help to prevent outbreaks of vaccine-preventable diseases among young children during the COVID-19 pandemic.90010 90005 Ask your healthcare provider how they are taking steps to separate healthy patients from those who may be sick. Some health care providers may choose to delay visits like well child checks and routine vaccine visits. These decisions will be based on circumstances in your community and your child’s individual care plan. Call your provider’s office to ask about any upcoming appointments or about when your child’s vaccinations are due. 90010 90002 Coping with stress 90003 90005 Pandemics can be stressful for everyone.Fear and anxiety about a disease can be overwhelming and cause strong emotions in both adults and children. 90006 Coping successfully with stress will make you, the people you care about, and your community stronger. 90007 90010 90005 Talk with your children about the pandemic. It is important to try to stay calm and to give children information that is truthful and appropriate for their ages and developmental levels. Children respond differently to stressful situations than adults. CDC offers resources to help you talk with your children about COVID-19.90010 90005 Depression during and after pregnancy is common and can be treated. Postpartum depression is depression that can happen after having a baby. If you think you may be experiencing depression, seek treatment from your health care provider as soon as possible. Find more information on depression during and after pregnancy. 90010 90005 Pregnant people and parents caring for young children may be experiencing increased stress due to the COVID-19 pandemic. CDC offers resources to help with Stress and Coping.90010 .90000 Why was a pregnant, sick mother of 3 mistakenly kicked off Medi-Cal? – Press Enterprise 90001 90002 90003 By Yesenia Amaro, USC Center for Health Journalism News Collaborative 90004 90005 90002 Sylvia Valenzuela was in bed for two months early in her pregnancy because of severe nausea and vomiting caused by a rare condition. At a time when she desperately needed ongoing medical care, the Fresno resident says she suddenly lost her Medi-Cal coverage through no fault of her own. 90005 90002 The 32-year-old mother of three, who comes from the Pascua Yaqui Tribe in Arizona, tried to stop herself from crying as she recalled the “difficult” and “unfair” process of trying to obtain Medi-Cal, California’s Medicaid program for low-income residents.90005 90002 Medi-Cal informed Valenzuela, now eight months pregnant, in a letter in late August that she was indeed eligible based on her family income and that her coverage was retroactive to February, when she had first applied. 90005 90002 But the delay in processing her original application and apparent error in dropping her coverage in July left Valenzuela without medical insurance during a significant stretch of her pregnancy, when she became sicker and sicker. 90005 90002 Experts and government officials say problems such as this continue to occur throughout the state, and are often connected to outdated and disparate computer enrollment systems.90005 90002 “It was pretty upsetting,” Valenzuela said. “I do not know how they got tangled up, but (the Medi-Cal representative) was calling to tell me they made a mistake on my case.” 90005 90002 A county health care official declined to discuss the specifics of Valenzula’s case but did acknowledge that there had been “issues” related to Medi-Cal’s enrollment systems that might have affected her coverage, and that she had been eligible for pregnancy-related coverage all along. 90005 90002 In many instances, a statewide system will show cases as discontinued or puts them on hold, “but in reality cases are still open and approved,” according to Chester Prince, program manager at the Fresno County Department of Social Services, which oversees Medi -Cal in the county.90005 90002 People who believe their coverage has been wrongly dropped or denied should contact a county caseworker to review their eligibility, Prince said. 90005 90002 “Historically, there have been issues with enrollment that have been caused by the state and county IT systems not talking to each other well,” said Laurel Lucia, health care program director at the UC Berkeley Center for Labor Research and Education. 90005 90002 90005 90002 Valenzuela says she first discovered that her Medi-Cal coverage had been dropped when her benefits card was denied at an ultrasound appointment in July.When she called, she was told she had been dropped from Medi-Cal after having been approved in May. 90005 90002 Prince asked for a patient consent form signed by Valenzluela in order to discuss the details of her case further. When provided with the form, he said he could not discuss her case after all, citing confidentiality laws. 90005 90002 Prince did say the problem was caused mainly by inconsistencies in Valenzuela’s information across Medi-Cal enrollment systems. That has since been addressed, he said.90005 90002 “She’s been eligible from the beginning,” Prince said. But he would not confirm whether Valenzuela’s coverage had indeed been dropped during her pregnancy, citing confidentiality laws, and directed a reporter to ask her. 90005 90002 That’s what the Center for Health Journalism News Collaborative did. 90005 90002 Valenzuela says she can not count the number of times she called Medi-Cal. She says she first applied sometime in February, when she was nearly two months pregnant. 90005 90002 “I even cried to (a Medi-Cal staffer), and told him my situation, spoke to numerous supervisors, and all they could tell me is that they had a heavy load,” she said.90005 90042 Paperwork error, medical nightmare 90043 90002 Valenzuela had been receiving primary care through an Indian Health Service clinic, but she applied for Medi-Cal because she needed to see an OB-GYN and specialty care was not available to her through the IHS-tribal clinic. She began experiencing symptoms similar to her previous pregnancies, when she had a condition known as hyperemesis gravidarum, or HQ, which causes extreme nausea and vomiting. 90005 90002 During her previous pregnancy, she required a nurse at home to administer IV fluids.90005 90002 While she waited for months for Medi-Cal to process her application, Valenzuela says, she spent two months in her room, unable to get out of bed and sometimes vomiting up to 50 times a day. She lost about 50 pounds in four weeks, she said 90005 90002 “I can not even remember how my children lived. I could not care for my children, “she said. “Even to get up and go to the restroom, I had to wait for my husband or wait for my mom to get me there. That’s how weak I was. I could not move.I could not stand on my own two feet. ” 90005 90042 Delayed care 90043 90002 Valenzuela says that after initially applying for Medi-Cal in February, her coverage finally began in May, when she was almost five months pregnant. But she says her coverage lasted only about a month and a half before she was notified she no longer qualified based on her income. 90005 90002 She did not get any prenatal care for the critical first four months of her pregnancy. 90005 90002 Despite the gains in health care coverage since the implementation of the Affordable Care Act, Valenzuela’s situation is far from unique.From 2015-17, one in three women nationally who became pregnant experienced a disruption in health insurance from preconception to postpartum, researchers recently reported in a HealthAffairs blog post. 90005 90002 Regular Medi-Cal applications must be processed within 45 days, but if someone has an immediate need for care, counties can process the application to allow the person to access medical care the same day, said Anthony Cava, spokesman for the California Department of Health Care Services.90005 90042 Systems not on the same page 90043 90002 In California, Medi-Cal enrollment increased by 35% between 2013 and 2014 as a result of its expansion under the Affordable Care Act, according to a 2015 study. At that time, issues with the various enrollment systems came to light. 90005 90002 Counties use three systems to determine eligibility and manage cases, UC Berkeley’s Lucia said. Two of those systems feed into a third statewide system, which consolidates all information and tracks who’s enrolled.But the integration has been uneven, creating problems like Valenzuela’s. 90005 90002 “The state is in the process of moving toward a single consolidated system, CalSAWS (Statewide Automated Welfare System),” she said. “I think there has been acknowledgement that there needs to be improved communication between different IT systems in the state.” 90005 90002 Neighborhood Legal Services of Los Angeles filed two lawsuits over wrongful Medi-Cal terminations across the state, in 2015 and 2016. 90005 90002 “We do hear from time to time that something goes wrong,” said Jen Flory, a policy advocate at the Western Center on Law and Poverty, adding that a “county worker can not always figure out what’s going on.”90005 90002 Her organization recommends that people go to a local nonprofit legal service agency if they are concerned that their cases are being mishandled. Problems navigating the enrollment systems could mean delayed access to care. 90005 90002 “For somebody, that can be a life-and-death situation,” she said. 90005 90002 90079 The Uncovered California project results from an innovative reporting venture – the USC Center for Health Journalism News Collaborative – which involves print and broadcast outlets across California, all reporting together on the state’s uninsured.Outlets include newspapers from the McClatchy Corp., Gannett Co., Southern California News Group, and La Opinion, as well as broadcasters at Univision and Capital Public Radio. 90080 90005 .90000 Routine Tests During Pregnancy | ACOG 90001 90002 Why are tests done during pregnancy? 90003 90002 What tests are done early in pregnancy? 90003 90002 What does a complete blood count test for? 90003 90002 Will I be tested for blood type? 90003 90002 What is the Rh factor? 90003 90002 Why is it important to know your Rh status? 90003 90002 What will happen if I am Rh negative? 90003 90002 What is a urinalysis? 90003 90002 What is a urine culture? 90003 90002 Why is testing for rubella done? 90003 90002 What if I’m not immune to rubella? 90003 90002 What is hepatitis? 90003 90002 What if I have hepatitis during pregnancy? 90003 90002 Why should I have tests for STIs? 90003 90002 What if I have an STI? 90003 90002 Why is it important to have a test for HIV? 90003 90002 What if I have HIV? 90003 90002 Who should be tested for tuberculosis? 90003 90002 What tests are done later in pregnancy? 90003 90002 What is a glucose screening test? 90003 90002 When is a glucose screening done? 90003 90002 What is GBS? 90003 90002 Why is GBS a concern for pregnant women? 90003 90002 How can GBS affect a newborn? 90003 90002 How is the test for GBS done? 90003 90002 What is the first step to screen for birth defects during pregnancy? 90003 90002 What factors increase the risk of birth defects? 90003 90002 What is the difference between screening and diagnostic testing for birth defects? 90003 90002 Am I required to have screening or testing for birth defects? 90003 90002 Glossary 90003 90062 Why are tests done during pregnancy? 90063 90002 Certain lab tests are part of routine care during pregnancy.Some of these tests are done with a blood sample. Others use a urine sample or a sample of tissue taken from your 90065 90066 vagina 90067 90068, 90065 90066 cervix 90067 90068, or 90065 90066 rectum 90067 90068. These tests can help find conditions that may increase the risk of 90065 90066 complications 90067 90068 for you and your 90065 90066 fetus 90067 90068. Many problems found by these tests can be treated during pregnancy. 90003 90002 90003 90062 What tests are done early in pregnancy? 90063 90002 Several routine lab tests are done early in pregnancy, including: 90003 90092 90093 Complete blood count (CBC) 90094 90093 Blood type and 90065 90066 Rh factor 90067 90068 90094 90093 Urinalysis 90094 90093 Urine culture 90094 90105 90002 Also, pregnant women typically are tested for specific diseases and infections early in pregnancy, including: 90003 90092 90093 90065 90066 Rubella 90067 90068 90094 90093 90065 90066 Hepatitis B 90067 90068 and 90065 90066 hepatitis C 90067 90068 90094 90093 90065 90066 Sexually transmitted infections (STIs) 90067 90068 90094 90093 90065 90066 Human immunodeficiency virus (HIV) 90067 90068 90094 90093 90065 90066 Tuberculosis (TB) 90067 90068 90094 90105 90002 90003 90062 What does a complete blood count test for? 90063 90002 A CBC counts the number of different types of 90065 90066 cells 90067 90068 that make up your blood.The number of red blood cells can show whether you have a certain type of 90065 90066 anemia 90067 90068. The number of white blood cells can show how many disease-fighting cells are in your blood. The number of platelets can reveal whether you have a problem with blood clotting. 90003 90002 90003 90062 Will I be tested for blood type? 90063 90002 Yes, during the first 90065 90066 trimester 90067 90068 of pregnancy you will have a blood test to find out your blood type, such as type A or type B.Also, your blood will be tested for the Rh factor. 90003 90002 90003 90062 What is the Rh factor? 90063 90002 The Rh factor is a protein that can be found on the surface of red blood cells. If your blood cells have this protein, you are Rh positive. If your blood cells do not have this protein, you are Rh negative. 90003 90002 90003 90062 Why is it important to know your Rh status? 90063 90002 If a woman is Rh negative and her fetus is Rh positive, the woman’s body can make 90065 90066 antibodies 90067 90068 against the Rh factor.These antibodies can damage the fetus’s red blood cells. This usually does not cause problems in a first pregnancy, when the body makes only a small number of antibodies. But it can cause issues in a later pregnancy. 90003 90002 90003 90062 What will happen if I am Rh negative? 90063 90002 If you are Rh negative, you may be given medication during pregnancy to help prevent the development of Rh antibodies. If you are Rh negative and have already made a certain number of Rh antibodies, you might need special tests and monitoring throughout pregnancy.Your baby also may need treatment after birth. See The Rh Factor: How It Can Affect Your Pregnancy to learn more. 90003 90002 90003 90062 What is a urinalysis? 90063 90002 A urinalysis is a test of your urine for: 90003 90092 90093 Red blood cells, to see if you have a urinary tract disease 90094 90093 White blood cells, to see if you have a 90065 90066 urinary tract infection (UTI) 90067 90068 90094 90093 90065 90066 Glucose 90067 90068, because high levels of blood sugar can be a sign of 90065 90066 diabetes mellitus 90067 90068 90094 90105 90002 This test also measures the amount of protein in your blood, which can be compared to levels later in pregnancy.High protein levels may signal 90065 90066 preeclampsia 90067 90068, a serious complication that can occur later in pregnancy or after the baby is born. 90003 90002 90003 90062 What is a urine culture? 90063 90002 This test looks for 90065 90066 bacteria 90067 90068 in your urine, which can be a sign of a UTI. Sometimes UTIs do not cause symptoms. Your urine will be tested early in pregnancy and later in pregnancy. If the test shows bacteria in your urine, you will be treated with 90065 90066 antibiotics 90067 90068.After you finish treatment, you may have a repeat test to see if the bacteria are gone. 90003 90002 90003 90062 Why is testing for rubella done? 90063 90002 Rubella (sometimes called German measles) can cause 90065 90066 birth defects 90067 90068 if a woman is infected during pregnancy. Your blood can show whether you have been infected with rubella or if you have been vaccinated against this disease. If you had this infection before or you have been vaccinated against rubella, you are 90065 90066 immune 90067 90068 to the disease.90003 90002 90003 90062 What if I’m not immune to rubella? 90063 90002 Rubella is easily spread. If your blood test shows you are not immune, avoid anyone who has the disease while you are pregnant. There is a 90065 90066 vaccine 90067 90068, but it contains a live virus and is not recommended for pregnant women. If you have not been vaccinated, you can get the 90065 90066 measles-mumps-rubella (MMR) vaccine 90067 90068 after the baby is born. 90003 90002 90003 90062 What is hepatitis? 90063 90002 Hepatitis is a virus that infects the liver.Pregnant women who are infected with hepatitis B or hepatitis C can pass the virus to their fetuses. All pregnant women are tested for hepatitis B virus infection. If you have risk factors, you also may be tested for the hepatitis C virus. 90003 90002 90003 90062 What if I have hepatitis during pregnancy? 90063 90002 If you are infected with hepatitis B or hepatitis C, you might need special care during pregnancy. Your baby also may need special care after birth. You can breastfeed if you have either infection.A vaccine is available to protect the baby against hepatitis B. The vaccine is given as a series of three shots, with the first dose given to the baby within a few hours of birth. See Hepatitis B and Hepatitis C in Pregnancy to learn more. 90003 90002 90003 90062 Why should I have tests for STIs? 90063 90002 STIs can cause complications for you and your fetus. All pregnant women are tested for 90065 90066 syphilis 90067 90068 and 90065 90066 chlamydia 90067 90068 early in pregnancy.Tests for these infections may be repeated later in pregnancy if you have certain risk factors. You will also be tested for 90065 90066 gonorrhea 90067 90068 if you are 25 or younger or you live in an area where gonorrhea is common. 90003 90002 90003 90062 What if I have an STI? 90063 90002 If you have an STI, you will be treated during pregnancy and tested again to see if the treatment has worked. Your sex partner or partners also should be treated. 90003 90002 90003 90062 Why is it important to have a test for HIV? 90063 90002 HIV attacks cells of the body’s immune system and causes 90065 90066 acquired immunodeficiency syndrome (AIDS) 90067 90068.If you have HIV, there is a chance you could pass it to your fetus. 90003 90002 90003 90062 What if I have HIV? 90063 90002 While you are pregnant, you can take medication that can greatly reduce the risk of passing HIV to your fetus. You also can get specialized care to ensure that you stay as healthy as possible throughout your pregnancy. See HIV and Pregnancy to learn more. 90003 90002 90003 90062 Who should be tested for tuberculosis? 90063 90002 Women at high risk of TB should be tested for it.Those at high risk include people who are infected with HIV or who live in close contact with someone who has TB. 90003 90002 90003 90062 What tests are done later in pregnancy? 90063 90002 The tests done later in pregnancy include glucose screening and 90065 90066 group B streptococcus (GBS) 90067 90068 screening. 90003 90002 90003 90062 What is a glucose screening test? 90063 90002 This test measures the level of glucose, or sugar, in your blood. A high blood sugar level may be a sign of 90065 90066 gestational diabetes, 90067 90068 which can cause problems during pregnancy.For this test, you drink a special sugar mixture. An hour later, a blood sample is taken and sent to a lab. If your blood sugar level is high, you will have another type of glucose test to confirm the results. 90003 90002 90065 90068 90003 90065 90068 90062 When is a glucose screening done? 90063 90002 This test usually is done between 24 and 28 weeks of pregnancy. This test might be done in the first trimester of pregnancy if you have risk factors for diabetes or had gestational diabetes in a past pregnancy.90003 90002 90003 90062 What is GBS? 90063 90002 GBS is one of the many bacteria that live in the body. It usually does not cause serious illness in adults, and it is not an STI. 90003 90002 90003 90062 Why is GBS a concern for pregnant women? 90063 90002 In women, GBS most often is found in the vagina and rectum. This means that GBS can pass from a pregnant woman to her fetus during labor. This is rare and happens to 1 or 2 babies out of 100 when the mother does not receive treatment with antibiotics during labor.The chance of a newborn getting sick is much lower when the mother receives treatment. 90003 90002 90003 90062 How can GBS affect a newborn? 90063 90002 Even though it is rare for a baby to get GBS, it can be very serious when it happens. A small number of babies with GBS die even with immediate treatment. 90003 90002 90003 90062 How is the test for GBS done? 90063 90002 The test for GBS is called a culture. It is done between 36 and 38 weeks of pregnancy. For this test, a swab is used to take a sample from the vagina and rectum.90003 90002 If the results show that GBS is present, most women will receive antibiotics through an 90065 90066 intravenous (IV) line 90067 90068 once labor has started. This is done to help protect the fetus from being infected. The best time for treatment is during labor. See Group B Strep and Pregnancy to learn more. 90003 90002 90003 90062 What is the first step to screen for birth defects during pregnancy? 90063 90002 Screening for birth defects begins by assessing your risk factors.Early in your pregnancy, your 90065 90066 obstetrician-gynecologist (ob-gyn) 90067 90068 or other 90065 90066 obstetric care provider 90067 90068 may give you a list of questions to find out whether you have risk factors. If you do have risk factors, you might want to see a 90065 90066 genetic counselor 90067 90068 for more detailed information about your risks. 90003 90002 90003 90062 What factors increase the risk of birth defects? 90063 90002 Most babies with birth defects are born to couples without risk factors.But the risk of birth defects is higher when certain factors are present. Risk factors include: 90003 90092 90093 Having a personal or family history of birth defects 90094 90093 Belonging to certain ethnic groups 90094 90093 Being 35 or older 90094 90093 Having diabetes before pregnancy 90094 90105 90002 90003 90062 What is the difference between screening and diagnostic testing for birth defects? 90063 90002 When done during pregnancy, screening tests assess the risk that the fetus has certain common birth defects.A screening test can not tell whether the fetus actually has a birth defect. There is no risk to the fetus from screening tests. 90003 90002 Diagnostic tests can detect many, but not all, birth defects caused by defects in a 90065 90066 gene 90067 90068 or 90065 90066 chromosomes 90067 90068. Diagnostic testing may be done instead of screening if a couple has a family history of a birth defect, belongs to a certain ethnic group, or already has a child with a birth defect. Diagnostic tests also are available as a first choice for all pregnant women, including those who do not have risk factors.Some diagnostic tests carry risks, including a small risk of pregnancy loss. 90003 90002 90003 90062 Am I required to have screening or testing for birth defects? 90063 90002 No, screening and testing are a personal choice. Some couples would rather not know if they are at risk of having a child with a birth defect or whether their child will have a birth defect. Others want to know in advance. 90003 90002 Knowing beforehand allows the option of deciding not to continue the pregnancy. If you choose to continue the pregnancy, knowing beforehand gives you time to prepare for having a child with a disorder.This means you can organize the medical care your child may need. Talk with your ob-gyn, other obstetric care provider, or genetic counselor about your test results. 90003 90062 Glossary 90063 90002 90065 90066 Acquired Immunodeficiency Syndrome (AIDS) 90067 90068: A group of signs and symptoms, usually of severe infections, in a person who has human immunodeficiency virus (HIV). 90003 90002 90065 90066 Anemia 90067 90068: Abnormally low levels of red blood cells in the bloodstream.Most cases are caused by iron deficiency (lack of iron). 90003 90002 90065 90066 Antibiotics 90067 90068: Drugs that treat certain types of infections. 90003 90002 90065 90066 Antibodies 90067 90068: Proteins in the blood that the body makes in reaction to foreign substances, such as bacteria and viruses. 90003 90002 90065 90066 Bacteria 90067 90068: One-celled organisms that can cause infections in the human body. 90003 90002 90065 90066 Birth Defects 90067 90068: Physical problems that are present at birth.90003 90002 90065 90066 Cells 90067 90068: The smallest units of structures in the body. 90003 90002 90065 90066 Cervix 90067 90068: The lower, narrow end of the uterus at the top of the vagina. 90003 90002 90065 90066 Chlamydia 90067 90068: A sexually transmitted infection caused by bacteria. This infection can lead to pelvic inflammatory disease and infertility. 90003 90002 90065 90066 Chromosomes 90067 90068: Structures that are located inside each cell in the body.They contain the genes that determine a person’s physical makeup. 90003 90002 90065 90066 Complications 90067 90068: Diseases or conditions that happen as a result of another disease or condition. An example is pneumonia that occurs as a result of the flu. A complication also can occur as a result of a condition, such as pregnancy. An example of a pregnancy complication is preterm labor. 90003 90002 90065 90066 Diabetes Mellitus 90067 90068: A condition in which the levels of sugar in the blood are too high.90003 90002 90065 90066 Fetus 90067 90068: The stage of human development beyond 8 completed weeks after fertilization. 90003 90002 90065 90066 Gene 90067 90068: Segments of DNA that contain instructions for the development of a person’s physical traits and control of the processes in the body. The gene is the basic unit of heredity and can be passed from parent to child. 90003 90002 90065 90066 Genetic Counselor 90067 90068: A health care professional with special training in genetics who can provide expert advice about genetic disorders and prenatal testing.90003 90002 90065 90066 Gestational Diabetes 90067 90068: Diabetes that arises during pregnancy. 90003 90002 90065 90066 Glucose 90067 90068: A sugar in the blood that is the body’s main source of fuel. 90003 90002 90065 90066 Gonorrhea 90067 90068: A sexually transmitted infection that can lead to pelvic inflammatory disease, infertility, and arthritis. 90003 90002 90065 90066 Group B Streptococcus (GBS) 90067 90068: A type of bacteria that many people carry normally and can be passed to the fetus at the time of delivery.GBS can cause serious infection in some newborns. Antibiotics are given during labor to women who carry the bacteria to prevent newborn infection. 90003 90002 90065 90066 Hepatitis B 90067 90068: An infection caused by a virus that can be spread through blood, semen, or other body fluid infected with the virus. 90003 90002 90065 90066 Hepatitis C 90067 90068: An infection caused by a virus that can be spread by sharing needles used to inject drugs. 90003 90002 90065 90066 Human Immunodeficiency Virus (HIV) 90067 90068: A virus that attacks certain cells of the body’s immune system.If left untreated, HIV can cause acquired immunodeficiency syndrome (AIDS). 90003 90002 90065 90066 Immune 90067 90068: Protected against infectious disease. 90003 90002 90065 90066 Intravenous (IV) Line: 90067 90068 A tube inserted into a vein and used to deliver medication or fluids. 90003 90065 90066 90067 90068 90002 90065 90066 Measles-Mumps-Rubella (MMR) Vaccine: 90067 90068 A shot given to protect against measles, mumps, and rubella. The shot contains live viruses that have been changed to not cause disease.The shot is not recommended for pregnant women. 90003 90002 90065 90066 Obstetric Care Provider: 90067 90068 A health care professional who cares for a woman during pregnancy, labor, and delivery. These professionals include obstetrician-gynecologists (ob-gyns), certified nurse-midwives (CNMs), maternal-fetal medicine specialists (MFMs), and family practice doctors with experience in maternal care. 90003 90002 90065 90066 Obstetrician-Gynecologist (Ob-Gyn): 90067 90068 A doctor with special training and education in women’s health.90003 90002 90065 90066 Preeclampsia: 90067 90068 A disorder that can occur during pregnancy or after childbirth in which there is high blood pressure and other signs of organ injury. These signs include an abnormal amount of protein in the urine, a low number of platelets, abnormal kidney or liver function, pain over the upper abdomen, fluid in the lungs, or a severe headache or changes in vision. 90003 90002 90065 90066 Rectum: 90067 90068 The last part of the digestive tract. 90003 90002 90065 90066 Rh Factor: 90067 90068 A protein that can be found on the surface of red blood cells.90003 90002 90065 90066 Rubella: 90067 90068 A virus that can be passed to the fetus if a woman becomes infected during pregnancy. The virus can cause miscarriage or severe birth defects. 90003 90002 90065 90066 Sexually Transmitted Infections (STIs): 90067 90068 Infections that are spread by sexual contact. Infections include chlamydia, gonorrhea, human papillomavirus (HPV), herpes, syphilis, and human immunodeficiency virus (HIV, the cause of acquired immunodeficiency syndrome [AIDS]).90003 90002 90065 90066 Syphilis: 90067 90068 A sexually transmitted infection (STI) that is caused by an organism called 90066 Treponema pallidum 90067. This infection may cause major health problems or death in its later stages. 90003 90002 90065 90066 Trimester: 90067 90068 A 3-month time in pregnancy. It can be first, second, or third. 90003 90002 90065 90066 Tuberculosis (TB): 90067 90068 A disease that affects the lungs and other organs in the body. TB is caused by bacteria.90003 90002 90065 90066 Urinary Tract Infection (UTI): 90067 90068 An infection in any part of the urinary system, including the kidneys, bladder, or urethra. 90003 90002 90065 90066 Vaccine: 90067 90068 90066 A substance that helps the body fight disease. Vaccines are made from very small amounts of weak or dead agents that cause disease (bacteria, toxins, and viruses). 90067 90003 90002 90065 90066 Vagina: 90067 90068 90066 A tube-like structure surrounded by muscles. The vagina leads from the uterus to the outside of the body.90067 90003 90680 90681 If you have further questions, contact your obstetrician-gynecologist. 90682 90002 FAQ133. Copyright June 2020 by the American College of Obstetricians and Gynecologists 90003 90680 90002 This information is designed as an educational aid to patients and sets forth current information and opinions related to women’s health. It is not intended as a statement of the standard of care, nor does it comprise all proper treatments or methods of care. It is not a substitute for a treating clinician’s independent professional judgment.Read ACOG’s complete disclaimer. 90003 90002 90003 .90000 Severe vomiting in pregnancy – NHS 90001 90002 Sickness in pregnancy (sometimes called morning sickness) is common. Around 8 out of every 10 pregnant women feel sick (nausea), are sick (vomiting) or both during pregnancy. This does not just happen in the morning. 90003 90002 For most women, this improves or stops completely by around weeks 16 to 20, although for some women it can last longer. 90003 90002 Some pregnant women experience very bad nausea and vomiting.They might be sick many times a day and be unable to keep food or drink down, which can impact on their daily life. 90003 90002 This excessive nausea and vomiting is known as hyperemesis gravidarum (HG), and often needs hospital treatment. 90003 90002 Exactly how many pregnant women get HG is not known as some cases may go unreported, but it’s thought to be around 1 to 3 in every 100. 90003 90002 If you are being sick frequently and can not keep food down, tell your midwife or doctor, or contact the hospital as soon as possible.There is a risk you may become dehydrated, and your midwife or doctor can make sure you get the right treatment. 90003 90014 Coronavirus update 90015 90002 If you’re well, it’s really important you go to all your appointments and scans for the health of you and your baby. 90003 90002 Hospitals and clinics are making sure it’s safe for pregnant women to go to appointments. 90003 90002 If you get symptoms of coronavirus, or you’re unwell with something other than coronavirus, speak to your midwife or maternity team.They will advise you about what to do. 90003 90002 Find out more about pregnancy and coronavirus 90003 90024 Symptoms of hyperemesis gravidarum 90025 90002 HG is much worse than the normal nausea and vomiting of pregnancy. 90003 90002 Signs and symptoms of HG include: 90003 90030 90031 prolonged and severe nausea and vomiting 90032 90031 being dehydrated. Symptoms of dehydration include, feeling thirsty, tired, dizzy or lightheaded, not peeing very much, and having dark yellow and strong-smelling pee 90032 90031 weight loss 90032 90031 low blood pressure (hypotension) when standing 90032 90039 90002 Unlike regular pregnancy sickness, HG may not get better by 16 to 20 weeks.It may not clear up completely until the baby is born, although some symptoms may improve at around 20 weeks. 90003 90002 See your GP or midwife if you have severe nausea and vomiting. Getting help early can help you avoid dehydration and weight loss. 90003 90002 There are other conditions that can cause nausea and vomiting, and your doctor will need to rule these out first. 90003 90002 See the healthtalk.org website for videos and written interviews of women talking about their experiences of hyperemesis gravidarum and how they coped.90003 90024 What causes hyperemesis gravidarum? 90025 90002 It’s not known what causes HG, or why some women get it and others do not. Some experts believe it is linked to the changing hormones in your body that occur during pregnancy. 90003 90002 There is some evidence that it runs in families, so if you have a mother or sister who has had HG in a pregnancy, you may be more likely to get it yourself. 90003 90002 If you have had HG in a previous pregnancy, you are more likely to get it in your next pregnancy than women who have never had it before, so it’s worth planning in advance.90003 90024 Treating hyperemesis gravidarum 90025 90002 There are medicines that can be used in pregnancy, including the first 12 weeks, to help improve the symptoms of HG. These include anti-sickness (anti-emetic) drugs, vitamins (B6 and B12) and steroids, or combinations of these. 90003 90002 You may need to try different types of medicine until you find what works best for you. 90003 90002 You can visit the Bumps website to find out which medicines are safe to use in pregnancy.90003 90002 If your nausea and vomiting can not be controlled, you may need to be admitted to hospital. This is so doctors can assess your condition and give you the right treatment to protect the health of you and your baby. 90003 90002 Treatment can include intravenous fluids, which are given directly into a vein through a drip. If you have severe vomiting, the anti-sickness drugs may also need to be given via a vein or a muscle. 90003 90002 The charity Pregnancy Sickness Support has information and tips on coping with nausea and vomiting, including HG.90003 90024 Will hyperemesis gravidarum harm my baby? 90025 90002 HG can make you feel very unwell, but it’s unlikely to harm your baby if treated effectively. 90003 90002 However, if it causes you to lose weight during pregnancy, there is an increased risk that your baby may be born smaller than expected (have a low birthweight). 90003 90024 Other symptoms you may experience 90025 90002 Pregnancy Sickness Support is in touch with many women who have had HG, and who report having some or all of the following symptoms in addition to the main symptoms listed above: 90003 90030 90031 extremely heightened sense of smell 90032 90031 excessive saliva production 90032 90031 headaches and constipation from dehydration 90032 90039 90002 If you experience these symptoms, you are not alone.Many women have them and they will go away when the HG stops or the baby is born. 90003 90024 How you might feel 90025 90002 The nausea and vomiting of HG can impact your life at a time when you were expecting to be enjoying pregnancy and looking forward to the birth of your baby. 90003 90002 It can affect you both emotionally and physically. The symptoms can be hard to cope with. Without treatment HG may also lead to further health complications, such as depression or tears in your oesophagus.90003 90002 Severe sickness can be exhausting and stop you doing everyday tasks, such as going to work or even getting out of bed. 90003 90002 In addition to feeling very unwell and tired, you might also feel: 90003 90030 90031 anxious about going out or being too far from home in case you need to vomit 90032 90031 isolated because you do not know anyone who understands what it’s like to have HG 90032 90031 confused as to why this is happening to you 90032 90031 unsure about how to cope with the rest of the pregnancy if you continue to feel very ill 90032 90039 90002 If you feel any of these, do not keep it to yourself.Talk to your midwife or doctor, and explain the impact HG is having on your life and how it is making you feel. You could also talk to your partner, family and friends if you want to. 90003 90002 If you want to talk to someone who has been through HG, you can contact Pregnancy Sickness Support’s help section. They have a support network across the UK and can put you in touch with someone who has had HG. 90003 90002 Bear in mind that HG is much worse than regular pregnancy sickness. It is not the result of anything you have or have not done, and you do need treatment and support.90003 90024 Another pregnancy 90025 90002 If you have had HG before, it’s likely you will get it again in another pregnancy. 90003 90002 If you decide on another pregnancy, it can help to plan ahead, such as arranging child care so you can get plenty of rest. 90003 90002 You could try doing things that helped last time. 90003 90002 Talk to your doctor about starting medicine early. 90003 90024 Blood clots and hyperemesis gravidarum 90025 90002 Because HG can cause dehydration, there’s also an increased risk of having a blood clot (deep vein thrombosis), although this is rare.90003 90002 If you are dehydrated and immobile, there is treatment that you can be given to prevent blood clots. 90003 90002 Read more about how to prevent deep vein thrombosis. 90003 90002 Page last reviewed: 30 September 2019 90135 Next review due: 30 September 2 022 90003 .