Monday, 17 June 2013

Off to Washington!

Those of you who have followed my blog from day one, or those who have looked back through the archive to my first post will see that the first link I made in this blog was to the HER Foundation website, www.helpher.org That's because before the relaunch of the PSS website our UK charity had very little web presence and I had suffered through two HG pregnancies without knowledge of any support in the UK at all, despite the fact that both organisations were launched around the same time, 10 years ago!

During my first two pregnancies the help, support and information I got from the HER website was crucial, it got me through them, and ultimately it was via a link on their website that I eventually got in touch with Dr Gadsby at Pregnancy Sickness Support and was able to have my third pregnancy.

Over the last few months I have been in touch with the HER Foundation regarding international collaboration and a burgeoning friendship is developing between myself and Ann Marie, one of the co-founders of the HER Foundation. I am in awe of the work they have done over the last 10 years and am so thankful for their presence during my pregnancies... they have been my inspiration for the work I have done with PSS. Back at the early meetings with the web designers and developers it was the HelpHer website which I kept referring back to as a model of what we wanted to achieve.

That is why I am so MAJORLY excited that I'm about to jet over to Washington to meet Ann Marie King and her husband (also a co-founder) Jeremy!!!

On Thursday I'll be heading to Heathrow for a flight on Friday morning; it's a whirlwind visit of just 3 days before my flight back on Monday evening. I'll be tweeting and facebooking en route and will blog after about the trip. Sad as I am... one of the things I'm really excited about is having a total of 8 hours on a train and 16 hours on a plane in which to work... I'm putting together training and presentations for our supporters conference on 6th July as well as working on various policies and guidelines which will strengthen and develop our incredible supporters network and I can start the analysis of our recent survey data too!

If you want to follow my trip on facebook you can like our PSS page: https://www.facebook.com/PregnancySicknessSupport

the HER Foundation page is:

or follow PSS on twitter: @HGSupportUK or the HER Foundation: @HGmoms

Saturday, 27 April 2013

Two years on...

On 30th April it will be 2 years since I started this blog and first got in touch with Pregnancy Sickness Support (crazy; that's flown by!). In that time the charity and profile of hyperemesis gravidarum has obviously grown exponentially and I now work harder than ever, immersed deeply in the world of HG! My original purpose of the blog was to document my journey with HG for the third time and in particular the pre-emptive treatment I had. This has proved to be of particular interest to so many women and I now spend vast amounts of time talking to women about how they can prepare for the challenges of such a horrendous pregnancy. To that end I have recently produced some documents for the PSS Website including a care plan based on the one that I devised for my own pregnancy with my wonderful GP Dr Harriet Tullberg. She and I are now collaborating to develop further GP education in the region as well as guidelines for Acute Care at Home teams to be able to treat HG sufferers with IV fluids in their own home... Standard practice in America!

I've also recently had an article published in a nursing journal, Nursing in Practice... Wow, I'm literally beaming from ear to ear about that!

The Charity is also involved in developing Greentop guidelines for the NHS, which is really exciting and our online research surveys are going to be closed soon so that we can start trawling and analysing the results to then present at our own conference in September as well as various others throughout the Autumn. The increasingly frequent emails from consultants looking to develop guidelines for their hospitals is thoroughly encouraging too.

One of the key factors that made my third pregnancy so much more bearable and less traumatic was the amazing support I received from woman across the UK via the supporters network we developed 18 months ago. We now have 86 women involved in the network and are hosting another national conference in Birmingham in July for our supporters. I really love meeting the other women who are all working so hard for the cause. Lots of women (now friends) who have holidayed in Cornwall have stopped in to see me and it really is great to meet them, their husbands/partners and their kids. HG seems to create a bond between women which makes us almost automatically friends!

All in all it's a very exciting time for the charity and I can't help but sit back now and then and feel a deep sense of pride with what has been achieved in the last two years by the hard work of a few dedicated people.

I am currently sat in the beautiful home of one of my PSS colleagues, and friend, waiting for the quarterly trustee meeting to start when the others arrive and thinking about how lucky I am to be involved in such a fantastic organisation with such fantastic people.

Thank you everyone who has made the last two years of my life two of the most incredible ones!

Wednesday, 20 March 2013

Very Inspiring Blogger Award

I never knew such a thing existed as the “Very Inspiring Blogger Award” because to be honest I'm not a big blogger... or at least I didn't think I was, in fact I now have 3 different blogs and another waiting in the wings and I've been asked to do guest blogs on other subject and this blog has been read by nearly 12,000 people! Who'd have though hey! I was terrible at writing in school as I'm dyslexic and from a time when no one had heard of, or believed in, dyslexia. Hopefully a few years from now I'll be saying “I had Hyperemesis Gravidarum back in a time when no one had heard of it, not like now when it's diagnosed and treated without issue or stigma”.

I was nominated by Lucinda Elliot who is a very talented and experienced blogger and novelist but who suffered with HG herself. Thank you so much Lucinda for nominating me, I'm honoured! Here is the image I can put on my blog now:


So to claim the award I must now tell you all 7 facts about myself (I'm very glad the award is for this blog an not one of my others which I have gone to great lengths to keep anonymous!), here goes:
  1. I'm passionately Atheist.
  2. I enjoy reading about and imagining a post apocalyptic world... in my imaginations though it is always the sort of  "cosy catastrophe" such as in The Earth Abides and obviously Rob and the kids all survive along with me!
  3. I adore learning about science, evolution and space
  4. I can't much be bothered with housework but I do love cooking, especially for friends... as a result my kids are generally well fed and sociable but grubby!
  5. I think being an adult is great and still get a kick out of being able to by sweets and treats as and when I want, which is partly why I eat a lot of sweets! (and ironically my poor children aren't allow any sweets which are “for grown ups... like alcohol!”
  6. I absolutely abhor homophobia, racism, sexism and any sort of discrimination about matters which are not chosen, but I recognise that such attitudes are usually the result of plain ignorance, whether wilful or not.
  7. I love bush craft and am pretty good at whittling spoons from wood and lighting fires with a flint, I like tracking and plant/tree/bird identification... bit of a geek really! We really are so incredibly lucky to live on a farm in an area of such beauty and abundance.
I must also nominate 15 other blogs which I find inspiring or enjoy, this is hard as I don't actually know many other blogs, but I'll do my best:

Mr Oz Atheist - an inspiring atheist

The Quakometer - Dispelling nonsense about alternative therapies and stuff

Yellow Road Convoy Company - a beautiful couple who have packed up to travel the world whilst using their knowledge and expertise to help not-for-profit organisations and community projects

Martin S Pribble - an inspiring atheist

Homesteading/survivalism - all sorts of bushcraft stuff

Black Dog Tribe - Mental health awareness and support

The good life in practice - keeping it real and self sufficient

The Flockable Lasses - young women striving to become hard core sheep farmers

The Family Patch - Amanda Shortman is a colleague and friend whose writing I enjoy and whose energy and enthusiasm I find inspiring.

I also would like to nominate PeachesGeldof's blog, firstly because I think she is a very good writer and I enjoy her style; she wrote a newspaper article recently about gay marriage which I thought was beautifully written, poignant and powerful. But secondly (and perhaps more relevant to this blog), she blogged in December about her experience with Hyperemesis Gravidarum and in it she specifically credits our Pregnancy Sickness Support website for providing the information and support she needed to get a diagnosis and proper treatment. I find this article inspiring... it gives me the drive to carry on working hard to raise awareness about HG and it's treatments, knowing that women out there suffering, whoever they are and from whatever background or up bringing can find our website and get support and strength from it. If I doubt that my work and passion are worth the effort I read this blog and the comments after and know that it is worth it... I am inspired!

Hmmm... that's only 10, but surely nominating blogs I don't read and find inspiring defeats the purpose of the award so I think I'll leave it here. These are all blogs I enjoy and feel inspired by, I hope you do too!

Wednesday, 13 March 2013

Thinking of others

I'm so immersed in the HG world that it seems to just surround me almost constantly even though I never intend to suffer it again and bar the odd flashback when one of the kids is sick and overwhelming nausea if I'm woken suddenly in the night, I have been lucky enough to come out relatively unscathed. But my thoughts recently have been occupied by those women I call friends, many of whom I have never met, whose suffering is on going and all consuming.

The infuriating thing is that so much of the suffering by women with Hyperemesis Gravidarum (HG) could be avoided if only they were A) treated pro-actively by doctors with the various safe and effective medications available and B) if the general public and their own friends and family had a better understanding and sympathy towards the immense and intense suffering they are experiencing.

There has been yet more, excellent, research published recently about the safety of medications such as Ondansetron as well as research about the dangers to mum and baby if HG is left without sufficient treatment (including placental abruption, small for date birth weight and so on) and in this day and age there really is no good reason why women are being refused treatment other than outright prejudice and ignorance. Even a busy doctor should have the 5 minutes needed to conduct a quick search for the research to satisfy them about safety and the Pregnancy Sickness Support website has made that even easier with all the references and many full text links! So it is just heartbreaking and frustrating to hear this week of yet another woman whose GP refused medication beyond the first step (on the grounds that they don't know they are safe for the foetus), didn't refer her to a consultant and gave her no option but to seek termination as she was too ill and scared to fight. This woman had taken research to her doctor, this was a wanted baby... when you are so ill that you can barely speak without vomiting it is extraordinarily difficult to advocate for ones self. Since when was termination considered safer for the foetus then giving the mother medication?

Moving on to point B... I know I've said it plenty of times before but peoples well meaning comments about trying ginger or sea bands or (my personal favourite) “thinking positively” may well have the intention of trying to help, but they really really really don't. Comments like these add significantly to sufferers feelings of isolation, misery and ultimately of failure. The implication is that they could be doing more to help themselves; do you really think that a woman requesting termination of a desperately wanted and loved child just needed some “alternative therapies”? Most women will have tried these... I certainly did, I tried ginger (in every way, shape and form including strong capsules), accupressure (I have scars on my wrists from seaband wearing for 27 weeks), homeopathy (sorry, I mean sugar pills), hypnotherapy, reflexology, relaxation CDs, aromatherapy and all the other magic cures people suggested left, right and centre.

The problem is not just with the “helpful” suggestions, at least they are well meant! But the lack of understanding that Hyperemesis Gravidarum is not a normal part of pregnancy but a severe complication is just so rife amongst the general public and healthcare professional. It is not like the “Morning Sickness” that plenty of women get (although rarely in the morning) and comparing it so is wilful ignorance. In the early days of my third pregnancy a friend who had three children said to me “I don't understand, I felt a bit sick in mine but I didn't think I was going to get HG and I didn't so why do you think you'll get it?”. This is like me telling a woman with gestational diabetes that because I didn't have it she ought not to!!! Again, the implication is that it is my own fault and a case of mind over matter.

Anyway, back to the point of this blog... so much of the suffering of women with HG is avoidable but suffering they are and right now my thoughts are with them... all of them. I can't take their suffering away yet but I can fight to reduce it and improve their situation. When I think about the months and months I spend lying still, hanging over the edge of the bed in a dark room with vomit trickling out of my mouth after the 25th emetic episode that day, knowing I had weeks if not months of it ahead of me, feeling like my whole body was poisoned and I was dying, wishing I could quench my thirst with just a few drops of water but knowing even sips would induce more vomiting, feeling like an absolute failure as a woman, wife, employee, friend (missing weddings and christenings)... mother! When I think about that stuff and the women who are going through it now and those who are still suffering from complications caused by it and those who will have yet to go through it to fulfil their basic evolutionary function and hearts desire, my heart bleeds... and then it grows stronger!

For it is largely HG that has made me who I am now. It has had significant silver linings in my life, not least the three packages of my genetic material which will go on beyond my meagre lifetime and whom I adore with all my heart and mind, but in so many other ways too. It has made me stronger mentally and emotionally then I thought possible for me (I can't claim physical strength as 27 months of being bed bound has left me pathetically weak, although I am working on that). It has given me endurance and vision for achievement but above all it has given me insight into suffering which is transferable across situations and conditions and insight into how a lack of open-mindedness into conditions can add to suffering in unimaginable ways. The vogue at the moment is to be “open minded” to alternative therapies and the power of the mind and so on, yet these same people who claim to be be open minded are unable to conceive that others may suffer in ways they don't or can't even imagine; everything from mental health conditions to Myalgic Encephalopathy, life after a stroke or suffering migraines, until you have walked a week (let alone months on end) in someone else's shoes you simply can not know their burdens.

Thursday, 21 February 2013

Snowballing...

I must admit I'm not much good at keeping up with the news of the Duchess of Cambridge, mainly because I don't have a TV and I actively avoid news, magazines and so on (weird I know!). Having said that I am aware that she has managed to get out and about, been on holiday and is restarting official work soon... people just love telling me what she has been up to (weird I know!). I am so thrilled for her that she is not still debilitated by Hyperemesis Gravidarum (HG) and I hope so much that she is managing to enjoy the wonder and beauty of pregnancy... something I never managed to achieve during the total 27 months I've been pregnant for.

Luckily, a lot of women, including the Duchess it seems, do recover from HG in the second trimester and go on to have happy and healthy pregnancies. But sadly many women do not and HG can last for the entire 9 months, making the birth and breastfeeding more challenging from the exhaustion and lack of reserves following such intense illness. Personally I was one of the lucky ones who found giving birth and painful breastfeeding a walk in the park after the relentless nightmare of HG. However, the extent to which HG can impact on delivery, recovery and breastfeeding is unknown because no one has every studied it. But recent research that has come out in Sweden has shown a significant link between persistent HG (demonstrated by admission for the condition in the 2nd trimester) and placental problems and low for gestational age babies. I'm not saying this because I want to scare any of the current sufferers who may be reading this or anyone thinking of trying again... that's the last thing I want to do. Rather, I am trying to highlight the need for further research into this little understood condition and it's complications. Furthermore, the notion that it's just unpleasant for the mum during pregnancy but resolves without lasting effects once the pregnancy is over is yet another myth that needs expelling. I know so many women who are having long lasting problems which are clearly a result of severe HG, such as gut motility problems, Hiatus Hernia, LA grade B oesophagitis, Post Traumatic Stress Disorder, emetophobia, flash backs and so on. And yet there is no research about it! Many of these 'side-effects' could be prevented if the HG was prevented from becoming so severe with effective, early treatment.

To that end, this year, my focus for my work with Pregnancy Sickness Support is going to be on Health Care Professional education and working towards research projects. We will soon have a survey on our website which we will need sufferers to fill out, we hope the results will help us apply for further research and highlight specific areas in need of further investigation. We are also holding a national Pregnancy Sickness and Hyperemesis Gravidarum Conference for Healthcare Professionals in September this year and I will have the on-line booking form available soon. We also have our new leaflets about Medications and Treatments available and I have recently written an article for a nursing journal.

It's all rather exciting that so much is happening in the world of Hyperemesis Awareness Raising and I must admit it is thanks to the high profile of a recent sufferer that so many more newspapers and journals are taking an interest in the condition. I have just submitted an article to a practice nursing paper which I'm pretty sure would not have been requested 4 months ago!

Thursday, 6 December 2012

Big News

Well in the light of recent news and reference to this blog in various papers and on the BBC website I'd be crazy not to re-open it and write an update!

Obviously the news that the Duchess of Cambridge is suffering hyperemesis gravidarum is big news in the “HG world” in which I've been immersed for a number of years now and have been working so hard to raise awareness and improve care for.

But the reality is that I just feel so so so sorry for the poor woman who is suffering right now. I remember so clearly the feeling of being poisoned by every morsel of food or sip of fluid that passed my dried out and tired lips. Her excitement of a positive pregnancy test has been cruelly crushed by the torturous nature of hyperemesis gravidarum, and it just feels so unfair.

On top of the sheer living nightmare of hyperemesis she will have the humiliation of the entire world watching her suffer. And I fear that she won't be able to win in terms of what the public want to see. If she manages to put some make up on, force out a smile and feign an appearance of wellness then she will be further criticised for going to hospital for “a bit of morning sickness”. But who wants to see the revolting reality of hyperemesis gravidarum... vomit, pale dry skin, dull lifeless eyes and so on... wouldn't the cruel press love to see that!!!

The isolation that comes with this condition is almost as indescribable as the unrelenting painful nausea and vomiting that defines it. It is genuinely hard for people who have not suffered to understand what it is like and unfortunately terms like 'morning sickness', which the common form of mild pregnancy sickness is generally (and incorrectly) referred to, makes people think that they had what she had... “but they just got on with it; they didn't have time off work to lounge around in bed!”... Just to be absolutely clear; Hyperemesis Gravidarum is NOT morning sickness. It is a serious and debilitating complication of pregnancy. Before intravenous fluids (drips) were invented in the 1930's it was the leading cause of maternal death in early pregnancy. The only reason we no longer die from it is because of IV fluids and safe and effective medication, which I have blogged about before and which there is mountains of information about on www.pregnancysicknesssupport.org.uk

Unfortunately, even well meaning family and friends can accidentally add to the isolation and misery experience by sufferers of this horrendous condition with “helpful” suggestions about trying ginger, sucking a mint, or getting fresh air, or my favourite... “thinking positively”!

So I thought I'd write some practical tips for supporting someone with Hyperemesis Gravidarum:
  • DO NOT MENTION GINGER!!!
  • Don't wear perfume, aftershave or strong deodorant around the sufferer
  • Don't eat garlic for the duration of the pregnancy!
  • Do move slowly around her and talk quietly, don't make the bed bounce; vomit inducing!
  • Bring food to her as soon as possible when she feels like it; the nausea free moment that she feels like eating in will soon pass
  • Don't imply that she is lucky to just be able to chill out and relax and avoid being over excited about the actual pregnancy... it's hard to be excited when you feel like you're dying
  • Just be there for her. Expect that she'll cry and seem down and withdrawn... take one day at a time and try not to project to the future – “only 4 more weeks until you're 12 weeks” is really unhelpful when you don't know how you'll survive one more day.
  • Each evening point out that it's another day done which she never has to do again.
  • Contact our charity and get her support through our national network of volunteers
Right, the news of her discharge has just come through so my phone is ringing like crazy again!

I hope so much that the Duchess has support from someone who has been through it and I hope that she know there are hundreds of thousands of women around the world who have endured this condition are sending her so much love and support – regardless of her name and fame, right now she is one of us... A Spewing Mummy!

Friday, 1 June 2012

A Happy Ending!

Well for the last couple of months of the pregnancy I simply couldn't use the computer at all for more than about 5 minutes and the blog therefore got left behind as I struggled just to get to the end of each day without crying, screaming or trying to cut the baby out of my belly!!! Thank goodness for smart phones allowing me to pass the days on facebook and so on!

But... Orla, our beautiful daughter, is here at long last! She was born at home in water (that's the easy bit!) and is absolutely perfect! I can not thank the women who supported me through out the pregnancy enough and I really do believe that effective support is just as important as effective medication when it comes to surviving a hyperemetic pregnancy.

Which is why I am now planning to work super hard on further developing the support network that I started almost a year ago with the Pregnancy Sickness Support Trust. It's nearly time for their annual conference again (21st June) and I am so excited to be attending and speaking on the developments that have happened over the last year, our website, resources and the support network. Just this week we received the first run of our new information leaflets from the printer with the fantastic logo and design by revival design. They look so good and more importantly will make such a difference to women suffering pregnancy sickness and their long suffering carers.

Because of the time and energy I plan to dedicate to PSS I am not going to continue with this blog as my time is better spend elsewhere but if you have just come across it I am contactable via the PSS support network for the South West.

Finally I would like to thank a few people who made it possible for me to survive this pregnancy and complete my family (and I do feel thoroughly complete now!). Firstly my amazing GP Dr Tullberg and all her colleagues at Carnewater Practice. Her pro-active approach to treatment and her supportive and understanding attitude towards the condition made such a huge difference. It is just such a shame that the excellent care I received this time is not the norm throughout the country. Secondly, all my HG friends; Jo, Rachael, Kerry, Anaya and many more on facebook, to have the understanding of women who truly know what the day in day out suffering is like makes such a huge difference! But most of all, my amazing husband who has been so supportive (despite only wanting 2 kids in the first place!), he has pretty much been a single dad for the last 9 months doing all the night time and morning stuff with the boys, looking after me and going out to work as well. Luckily, HG has ultimately brought us closer together and we know if we can survive that ordeal, 3 times, we can survive pretty much anything!!!