#Hyperemesis Gravidarum

[doulayogimama]

My Mimi is 3 days post getting knocked to the ground + arm shattered by a car backing out in a parking lot where she was walking. She/we are so lucky, I can't believe it. The lady that hit her was on the phone. Of course.

I have spoken to my Mimi on the phone the last two days and she sounds so good and is already doing so much better. She just wants her surgery to fix her arm ASAP.

In pregnancy news, I’m 18 weeks and still relying on Zofran, GasX, and acid reflux meds to be functional. I still get sick at night a few times a week. It’s slowing down, very slowly, week by week, but it is. The acid reflux though is starting to kick my ass. I’m just sad for myself, as ridiculous as that sounds. I know I should be more grateful and happy but physically I’m so tapped out. I need to go live in a spa and hotel for 2 weeks and not take care of anybody else but myself. (Of course this will not happen, but that is the dream)

I just want it to be February and I want this boy in my arms (and to maybe never be pregnant ever again 🫠).

[grits-galraisedinthesouth]

It's been almost 12 years since Catherine's first publicized hospitalization but the international talking heads and print media have learned nothing.

Published Dec 14, 2012  

The duchess had been hospitalized for severe morning sickness. [hyperemesis gravidarum]

Australian DJs Mel Greig and Michael Christian impersonated Queen Elizabeth II and Prince Charles, and tricked Saldanha, 46, into transferring the call to another nurse caring for the duchess, who revealed private details about her condition.

The radio station later said they were “deeply saddened” by the tragedy

Prince William wrote the family a letter of condolence from both him and Kate in which he said, “We were both very shocked to hear about Jacintha, and have been thinking a lot about her recently. Many of the nurses in the hospital spoke highly of her and I’m sure you know how great a nurse she was.”

Nurse who died after royal prank call left suicide note criticizing hospital staff.

[GRITS: It's clear this hospital was unprepared for a VIP admission. The person who answered the call (on air) was already suffering with mental health issues & dark thoughts. Perhaps her employer's reaction to the honest mistake was the straw that broke her back...]

National Post Staff, The Associated Press

Jacintha Saldanha. 46, left behind three notes, copies of which were handed over to her family after she apparently committed suicide

Among the three notes left behind by Jacintha Saldanha, the nurse in Britain who apparently killed herself after falling for a prank call about the Duchess of Cambridge, one detailed her criticisms of staff at the hospital at which she worked.

Saldanha’s family was given typed copies of the notes, two of which were found at the scene and one among the nurse’s belongings, The Guardian reported.

One of the notes from Saldanha contained details about funeral arrangements and another addressed the prank call, several sources told The Guardian. The third note contained criticism of staff at London’s King Edward VII Hospital.

In the U.K., Coroner’s officer Lynda Martindill said Saldanha was discovered hanging by a scarf from a wardrobe in her nurses’ quarters on last week by a colleague and a member of security staff at the hospital. She also had injuries to her wrists.

Martindill said an attempt to revive Saldanha failed. The case is being treated as an apparent suicide.

He said there were no suspicious circumstances, meaning nobody else was involved in Saldanha’s death.

Harman said that police were examining the notes, interviewing the nurse’s friends, family and colleagues and looking at emails and phone calls to establish what led to her death.

He also said detectives would be contacting police in the Australian state of New South Wales to collect “relevant evidence.”

Staff at the radio station behind the prank call have been moved to a safehouse, according to reports.

Radio station 2Day FM has also hired 24-hour bodyguards for some employees after reports said staff were receiving death threats.

Australian news website News.com.au reported that about a dozen staff have been put up in safehouse accommodations and 10 executives now have bodyguards.

The website says Christian was specifically targeted in a death threat.

Published Dec 14, 2012 

Nurse who died after royal prank call left suicide note criticizing hospital staff: report

Jacintha Saldanha. 46, left behind three notes, copies of which were handed over to her family after she apparently committed suicide

Among the three notes left behind by Jacintha Saldanha, the nurse in Britain who apparently killed herself after falling for a prank call about the Duchess of Cambridge, one detailed her criticisms of staff at the hospital at which she worked.

Saldanha’s family was given typed copies of the notes, two of which were found at the scene and one among the nurse’s belongings, The Guardian reported.

Australian DJs Mel Greig and Michael Christian impersonated Queen Elizabeth II and Prince Charles, and tricked Saldanha, 46, into transferring the call to another nurse caring for the duchess, who revealed private details about her condition.

The duchess had been hospitalized for severe morning sickness.

One of the notes from Saldanha contained details about funeral arrangements and another addressed the prank call, several sources told The Guardian. The third note contained criticism of staff at London’s King Edward VII Hospital.

In the U.K., Coroner’s officer Lynda Martindill said Saldanha was discovered hanging by a scarf from a wardrobe in her nurses’ quarters on last week by a colleague and a member of security staff at the hospital. She also had injuries to her wrists.

Martindill said an attempt to revive Saldanha failed. The case is being treated as an apparent suicide.

He said there were no suspicious circumstances, meaning nobody else was involved in Saldanha’s death.

Harman said that police were examining the notes, interviewing the nurse’s friends, family and colleagues and looking at emails and phone calls to establish what led to her death.

He also said detectives would be contacting police in the Australian state of New South Wales to collect “relevant evidence.”

Staff at the radio station behind the prank call have been moved to a safehouse, according to reports.

Radio station 2Day FM has also hired 24-hour bodyguards for some employees after reports said staff were receiving death threats.

Australian news website News.com.au reported that about a dozen staff have been put up in safehouse accommodations and 10 executives now have bodyguards.

The website says Christian was specifically targeted in a death threat.

5 Years After the Suicide of Kate Middleton's Nurse, Her Family Shares Their Grief

"It's just been a case of having to keep going," her son tells PEOPLE

By Phil Boucher December 6, 2017

Five years after the suicide of royal nurse Jacintha Saldanha cast a dark shadow over Kate Middleton’s pregnancy with Prince George, her family continues to struggle with their grief.

Working as a night nurse at London’s King Edward VII Hospital in London, Saldanha answered the phone one night when a pair of Australian DJs called.

The two radio hosts, Mel Greig and Michael Christian, impersonated Queen Elizabeth and Prince Charles and inquired about Kate.

Not realizing it was a prank, Saldanha accidentally revealed details of the royal mom’s severe morning sickness.

Overwhelmed with guilt and shame, the 46-year old nurse hanged herself three days later, on Dec. 7, 2012.

COURTESY BARBOZA FAMILY

“The first few years were the hardest,” Saldanha’s daughter, Janice Pinto, 20, tells Australia’s WHO magazine. She describes her family as “coping and getting on with our lives” as the fifth anniversary of the tragedy approaches on Dec. 7. (They will quietly commemorate the anniversary in church.) “She would call me every day at 6 p.m., just before she went to work. To check up. You know, ‘How are you doing? How was school?’ That phone call is what I miss every day.”

“It has just been perseverance,” says her son, Junal Barboza, 21. “It’s just been a case of having to keep going. Keep going for her.”

The family is now funneling their grief into a new project that they hope will help the lives of others. Along with Saldanha’s widower, Benedict Barboza, 53, her children are helping to establish a hospital in Mangalore, India, in her honor.

Scheduled for completion in mid-2018, the hospital will “take care of the poor people, the sick people from the roadsides,” says Benedict, who has already built a playground for orphans in his wife’s name at the nearby Maria Nivas convent.

“My dad’s idea is really amazing,” Pinto says of the 200-bed facility in her mother’s hometown and final resting place. “She had plans to open a nursing home or do something for the elderly or the sick, so it’s something she would really want.”

Adds Junal: “She was the sort of person who would always go the extra mile to help a family member, and we’ve had a number of significant letters from people within the medical profession telling us just how good she was at her job.

“Learning about her was a real eye-opener and has provided the stepping stone for what we want to achieve,” he adds. “Whatever I do now, any achievement, will be for her and for my dad and for my family. That is the way that I kind of live my life.”

If you or someone you know is considering suicide, please contact the National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

[eva-knits12]

Steve and the Puppy

Trigger warning: Steve Rogers, mention of animal abuse, rescue dogs, puking, pregnancy reveal, fluff

Summary: Steve and you move into your lake house and adopt a puppy.

Steve is carrying the last few boxes from the moving van into the house. We spent the night at a motel, and left promptly before sunrise. I'm busy making sure that each box is in each room. I'm busy unpacking the kitchen boxes, and putting the plates in the dishwasher. Then, I unpack the silverware and load that in the dishwasher.

Steve contacted the water company and the electric company to turn on the water, the heat and the air conditioning, and the electricity.

The lake house Steve and I purchased is in a nice, little area that's close to the newer compound upstate. The house across the lake has just been sold to Tony. Tony and Pepper recently got married, and we were in the wedding. Steve and I have been together for four years, and Steve is home more often now. I'm home more often these days, too. I took a back seat from missions, and it feels nice. Steve and I just want to enjoy this time right now.

"That should be the last of it," says Steve, who is carrying the last box.

I look at the engagement ring on my finger. I look at the matching wedding band on Steve proposed last fall on my birthday, and he proposed with his mother's ring.

Steve's wedding band briefly catches the sunlight, and we're standing in our kitchen. We just returned from our honey moon in Rome, and we're moving from the city into a lake house. I slept on the ride up here, and I had to tell Steve to stop a few times so that I could throw up. I've been feeling very queasy and nauseous.

"Doll, are you okay?" asks Steve, as he's rubbing soothing circles on my back.

"I think it's something I ate. But I should have kicked this ages ago. Don't these things last 24 hours, and your better?" I ask.

Steve picks me up, and carries me bridal style to the bedroom. He puts a trash can next to me, and I sleep for a bit. I wake up, feeling even more queasier and nauseated than I already have. I throw up in the trash can.

Steve comes back from his morning jog, carrying a dog in his arms.

"Steve, is that what I think it is?" I ask

"Yes. I think he's hurt", says Steve.

I immediately tell Steve to get in the car, and we're taking the dog to the vet. The dog is shaking, and moaning. It's too thin, and it's fur is all mattified. It looks pretty knocked around. If I could find his owners, I have no idea what I'd do, but to abuse an animal in this way is unforgivable. There's a special place in hell for animal abusers.

Steve and I take the dog to the local ASPCA. They thank us, and we just wait. I just start crying, and I have no idea why.

"Shh. It's okay, doll. They'll report this to the police," says Steve.

"But, I just want him to be okay," I say.

"He will be. The volunteer said that we found him in time. He looked pretty knocked around," says Steve.

"How can people be this cruel?" I say.

Steve puts his arms around me and holds me close. I sob for a little while longer, and then ask where the bathroom is. The kind volunteer points me to the bathroom. I throw up, and I'm sobbing on top of this.

We just wait. The vets that volunteer there do the exam, and they have various other tests that they have to put the dog through.

I throw up again. The next day at work, Tony finds me passed out, and immediately runs me to the medical bay, with me unconscious in his arms. He immediately gets Steve.

Steve is busy training new recruits when Tony calls him to the medical bay.

Tony made sure that Dr. Cho kept him updated at all times. Steve refused to leave my side.

"Oh, doll. I didn't know it was this bad," says Steve.

"I'll be-BLARGH!" I throw up in the barf bin.

"Well, (y/n), we found out why you've been so sick lately. You just returned from your honeymoon in Rome, correct?" asks Dr. Cho.

"Yes, but that was weeks ago," I say.

"When was your last period?" asks Dr. Cho.

"Two weeks before the wedding," I answer.

"According to your chart, that's correct," says Dr. Cho.

"Wait, Tony has JARVIS keep track of everyone's vitals?" says Steve.

"Yes, Mr. Rogers, including yours. For female employees, he even makes sure that JARVIS tracks their menstrual cycles," says Dr. Cho.

"We actually discovered a heart beat," says Dr. Cho.

Steve and I look at each other in confusion.

Dr. Cho shows me the ultrasound. I look at it still doesn't seem real.

"But, that can't be. Steve and I were careful," I say.

"Wait, she's pregnant? That can't be. We were being very careful," says Steve.

Steve leaves the room to collect himself. Tony stays, while Bruce makes sure that Steve is okay.

"Wait, so Capsicle's swimmers are still working?" says Tony.

"TONY!" everyone says

"Yes. Steve's altered DNA combined with (y/n) unaltered DNA made (y/n)'s symptoms intensify. Hyperemesis gravidarum is why (y/n) has been so sick lately," says Dr. Cho.

"Wait, I'm gonna be a mom? It still doesn't seem real," I say.

"How's Steve doing?" I ask.

"Steve is still trying to process all of this," says Dr. Banner.

"Okay. Can I have a photo of the ultrasound? Steve's birthday is in a few days, and I want to surprise him," I say.

"Sure," says Dr. Cho.

Dr. Cho gives me an envelope with the ultrasound inside it.

Bruce explains that my symptoms will be intensified, but that shouldn't stop me from carrying to term.

"As long as you keep your stress low, get plenty of rest, and eat plenty of food, and get plenty of exercise, you should be okay," says Bruce.

Steve kisses your hand, and you know that you'll be okay. It's such a small, but romantic gesture.

"I want to keep her overnight, just to be on the safe side. I gave her some doxylamine, and pyridoxine. That will help reduce the symptoms. I'm giving her a prescription for that," says Dr. Cho.

I'm released the next morning, with my new prescription in hand. Steve and I spend the night in the tower, so if I need to go to the hospital, me and Steve are right there.

Luckily, we don't have to make another hospital trip, yet. So, that afternoon, we head back to the lake house. When we get back, and get settled in, Steve and I nap. My phone rings, waking both of us up.

"Hello," I say.

"Is this (y/n) Rogers?" asks the volunteer.

"Yes, this is she," I say.

"The dog you and Steve Rogers found is fine. He's ready to be adopted by you guys. We tried to contact the owners, but they don't want him. We were wondering if you and Mr. Rogers would like him," says the volunteer.

Steve takes the phone from my hand, and speaks.

"Sure. I'll pick him up in an hour," says Steve.

"Great. See you then, Mr. Rogers," says the volunteer.

"Did you hear that, doll? We'll have a dog," says Steve.

"Steve, that's wonderful!" I say.

"I'll go pick him up, just go to the pharmacy and get that prescription filled," says Steve.

"Okay, but bring him home safe. Remember, you're carrying precious cargo," I say.

"Doll, you're carrying precious cargo inside you. Our baby is going to be the first baby of the Avengers," says Steve.

"Okay, I'll have Natasha take me to the pharmacy," I say.

"Nope, I'm taking you to the pharmacy," says Agent Coulson, who I didn't realize had been in the house.

"Steve let me in," says Coulson.

"Oh, Agent Coulson, I didn't realize you were here," I say.

"Yes, when you passed out suddenly, we were concerned. When it's was announced that you're carrying Steve's baby, I immediately insisted that I be informed immediately of anything you needed. Since you need to go the pharmacy, that's where I'm taking you. Steve and Tony insisted that I be informed of everything, including daily updates of your precious cargo," says Coulson.

"Okay, let me get my purse and the prescription slip," I say.

"Steve, I'll see you when I get home," I say.

"See you then, doll," says Steve, giving me a quick kiss.

I get in Phil's car, and Steve get's in our SUV. Agent Coulson takes me to Target, and I give them my prescription. I go to the pet department, and get a leash, a collar, a water bowl, a food bowl, a mat, and some potty pads. I even get some Blue Buffalo kibble, and some wet dog food. Phil helps me pick out some dog toys, and loads everything into the cart. My prescription is ready, and I pay for it.

"Phil, you didn't have to do this," i say.

"It's no problem. Anything for the mother of Steve's baby," says Phil.

"Can you help me pick out some onesies? Steve and I are going to Costco later, and I really want to break the news to him. I really want to do this my way," I say.

I already made some booties in pink, blue, and white that will go in the package.

I even get some pregnancy tests. I got some blank onesies, two white ones, a pink one, and a blue one. I got some acrylic pain in red, blue and white, and some brushes. Phil helps me paints them when we get home, and we put them out on the card table that had a large towel on it so that they can dry properly.

"Phil, I hope this goes over well. Steve's birthday is in a few days, and I'm super nervous about it," I say.

"Knowing Steve, he'll take the news well. You helped him adjust to the modern world, and you even helped him use the computer and a smart phone," says Phil.

"Thanks, Phil," I say, with a smile on my face.

I go to the bathroom to relieve myself, and I look a the tests. I'll take those in the morning when Steve goes out for his jog.

Meanwhile, Steve is busy picking up our new dog. He calls me to give me an update, they're just busy making sure that he's clean, and they're finishing up the vet check.

"It'll be a little while longer, they're just finishing up the vet check, to make sure that he doesn't have any diseases, or anything that would bring up immediate concern. The shelter kept him longer because he needed some calories, and they even bathed him. When the volunteers brought the dog out, the dog ran right up to Steve.

"Ready to go, pal?" asks Steve.

"Woof, woof," the dog barks.

Steve loads the dog in the SUV, and the dog is nervous. Eventually, he sees the his old house, and sinks down on the seat, a small growl escaping him.

"It's okay, pal," says Steve. The dog stops, and starts to look at Steve, with worry in his eyes.

"Nobody, and I mean nobody has the right to hurt you," says Steve.

'Shh, wait till you meet Mrs. Rogers," says Steve.

"In nine months, you'll meet our precious baby," says Steve.

The dog perks up when he hears the word baby, now he has all the more reason to protect someone smaller than he his.

Steve arrives home while Phil and I are prepping for dinner. Phil mentioned that Tony bought the house across the lake, and it's great that Tony cares. You knew that Tony cared, but never showed it. I thought he was the most arrogant, selfish jerk, but he was a softie deep down.

"Tony feels that since you're carrying Capsicle's baby, he feels the need to keep an eye on you. Capsicle's baby is precious cargo," says Phil.

"Knowing Tony, he probably called our baby Capsicle's spawn," I say.

"You can say that. He also wondered since given Caps age, it can't be easy having a baby with someone old enough to be a pensioner," says Phil.

Phil and I both laugh, because well, that's typical for Tony.

"Doll, I'm home," says Steve.

"Hi, Steve," says Phil.

"Agent Coulson, how are you?" says Steve.

"(y/n) and I are fine. I'm just helping her with some household chores," says Phil, who's helping me load the dishwasher.

"Who's this?" says Phil, kneeling down to pet our dog.

"This is the dog we rescued," says Steve.

"He needs a name," I say.

"How about Liberty?" says Phil.

"Okay, Liberty," says Steve.

"No, how about Freedom?" I say

"I like Liberty better?" says Steve.

"Wait, how about Phil?" I say.

"Phil does sound better," says Steve.

"Wait, no. Coulson!" I say.

Coulson barks, and he seems to love his name.

"I think Coulson loves his name," says Phil.

"Hi, Coulson," I say.

Coulson runs up to me, and plants himself on my feet. It's as if he knew immediately that I was carrying his new playmate.

"Someone likes you," says Steve.

"Bark," says Coulson.

"Steve, why don't we let Coulson get settled in here, and then we'll have dinner," I say.

"I better get going," says Phil.

"Please stay for dinner, Phil," I say.

"I don't want to impose," says Phil.

"Agent Coulson, you're not imposing, we'll have plenty," says Steve.

"No, I got to get back to the Tower, I have a meeting with Fury tomorrow," says Phil.

"I did get your invitation. I'll be here tomorrow for the Fourth," says Phil.

I'm feeling drowsy, so Steve picks me up, and carries me to the bedroom, and lays me in bed. Steve falls asleep next to me, holding me close to him. Coulson jumps up, and parks himself at my feet, and doesn't even leave my side.

After, Steve and I wake up. Steve fixes me some dry toast and some ginger ale to help me keep things down. Before bed, I'll take another pill.

Tomorrow, I'll finish wrapping Steve's present. Right now, Steve and I are going to make a Costco run, and I want him to have the pizza and a hot fudge sundae. We go, and get water, pop, seltzer water, toilet paper, some more dog kibble, some wet food, and tons of potty pads. We also get the burgers, hot dogs, and the chicken to grill. We get two huge bags of chips, some muffins, some potato salad, tons of ears of corn, and we then pay for the purchase. I get some pizza and hot fudge sundaes for both me and Steve. Steve loves the pizza, and I'm actually able to keep something down. It feels nice to eat without throwing up after twenty minutes. Steve is amazed with the size of the store.

Phil is watching Coulson, and when we come back home, Phil and Coulson are having a nice game of fetch, even though Coulson is more invested in it than Phil.

Steve and Phil tell me to go inside, and put my feet up, and eat. I put the pizzas in the house, and I put the sundaes in the freezer. I take one quick look at the onesies, and they're dry. I'll wrap them up in the morning.

Steve and I have our dinner and our dessert, and we start to discuss names. Steve and I agree on James Joseph if I'm having a boy, and we agree on Sarah Anne if I'm having a girl. Luckily, it's a boy. Steve is giving me a foot rub while I read my book. I fall asleep, and Steve carries me to the bedroom, and puts me in bed.

I wake up earlier than Steve. I have to pee, so I open the tests, and I take them. I cap them, and wait the three minutes to see the results. It's clearly positive, so I put the test back in the box, tape it back up, and I put it with Steve's present. I even wrap up the onesies, and put them in their properly colored packages. One package is blue, and the other package is pink. I place each bootie in the packages. One pair is pink and the other pair is white, and one pair is blue and the other pair is white. I put the onesies in the package, and I'll present them when we're ready to celebrate Steve's birthday after we have dinner.

Coulson follows me everywhere. He even follows me to the kitchen, where I make myself a piece of dry toast and some tea. Steve wakes up, and fixes himself some coffee.

"Good morning, doll," says Steve.

"Good morning Captain Handsome," I say.

"Still not feeling better?" says Steve.

"I will by September," I say.

"You mean, you have to wait this out," says Steve.

"For the most part, and I need to take my anti-nausea meds," I say.

Steve and I take Coulson for his morning walk. I make myself some peppermint tea. That helps my nausea, and Steve carries the poop bags. We come back, and I sleep for a bit. Later, Agent Coulson and Tony come over to help me set up. Pepper and I spend time together, but not without me throwing up at a few points. I take another anti-nausea pill.

The cookout goes well. Everyone is here

I present Steve with the packages, and he looks at me, in confusion, but gives me a knowing wink. He then opens the packages and removes the onesies. He then opens the envelope, and he sees the ultrasound. He puts his hand on my stomach, and gives me a loving kiss.

Everyone gathers around this small photo, and congratulates the both of you. Even Phil, who helped named Coulson.

Everyone leaves when all is said and done. Steve and I are so looking forward to this next chapter. Now with Coulson, our rescue dog, makes everything even better, and we have a lot more to look forward to. I think Coulson chose us, we didn't choose him. I chose Steve as my husband, and I chose Steve to be the father to our baby.

Steve and I fall in love even more.

[mcatmemoranda]

Stuff from OB:

At 38 weeks, induce moms who have GDM so baby doesn't get too big.

Edinburgh Postnatal Depression Scale (EPDS) = depression scale for postpartum pts.

Giving Tdap vaccine at 28 weeks is optimal to give the baby time to absorb the antibodies and not have it wane too much prior to birth.

Between 18-22 weeks, you should be able to feel the baby kick. It takes longer for the mom to feel it if the placenta is more anterior because the placenta can act as a cushion, preventing mom from feeling the kicks.

Hypertensive Moms Love Nifedipine = Hydralazine, Methyldopa, Labetalol, Nifedipine can be used for gestational hypertension. Labetalol and nifedipine are the best.

At 20 weeks the fundal height is at the level of the umbilicus, and then it grows 1 cm per week. If it's greater than or less than 2 cm of expected height, get ultrasound.

Vitamin B6 can help with migraines. Riboflavin and magnesium help with migraines in pregnancy. At 20 weeks, you may start feeling the baby kick. The goal is 20 kicks per hour. If less than 20 kicks/hour, you can not eat or drink something cold, lie down to try to get the baby to move.

Doxylamine (Unisom) and pyridoxine (vitamin B6) can help with nausea after taking every day. Phenergan (Reglan) is first-line for hyperemesis gravidarum. There is a theoretical risk of fetal death in utero with use of Zofran, which has been seen in animals, but not in humans. Zofran a second-line for hyperemesis gravidarum.

Zoloft and Lexapro seem to be best for depression in pregnant women.

If a pt has Nexplanon in and is bleeding for an extended period, you can try an OCP or depot contraceptive for 2 months rather than just taking out Nexplanon.

GDM A1 = diet controlled gestational DM

GDM A2 = insulin controlled gestational DM

Gestational diabetes increases the risk of preeclampsia. Gestational hypertension develops at 20 weeks GA and increases the risk for preeclampsia. An increased BMI and lupus can increase the risk for preeclampsia. Previous history of preeclampsia also increases the risk of preeclampsia. There was a patient who had gestational diabetes which increases her risk of preeclampsia, so is not baseline labs including CMP, urine protein to Cr ratio, started her on aspirin.

Hepatitis C cannot be treated during pregnancy. You can treat the patient postpartum and you test the baby at 3 months. If the viral load is heavy, pt has symptoms, send to peds hepatologist.

The 1st trimester ultrasound is accurate to +/-1 week and in the 2nd week it is accurate 2+/- 2 weeks.

It is safe to treat a yeast infection in a pregnant woman with fluconazole 100 mg once.

You want to obtain the GBS swab at 34-36 weeks. It expires 5 weeks after it is done. Penicillin should be given 2 hours before delivery in patients who are GBS positive.

1st trimester screening includes sexually transmitted infections, Pap only if they need a Pap, CBC, type and screen, Rh factor. Any time you have vaginal bleeding or abortion in a pregnant woman you should give RhoGAM. RhoGAM at 28 weeks and after delivery. Rubella and varicella titers, ultrasound.

if the patient has an increased BMI or glucosuria usually get an early oral glucose tolerance test.

Pregnant women can eat deli meat if they cook it up to 165°, which will kill listeria.

Spotting is normal during the 1st 7-9 weeks of pregnancy.

GDM blood glucose goals: fasting should be less than 95 mg/dL; post-prandial should be 90-140 mg/dL. You should do a 2-hour oral glucose tolerance test 6 weeks after delivery for moms who had GDM (you can also just check a HgbA1c).

Things to know for tests: identifying preeclampsia, gestational vs chronic HTN, risk factors for GDM, management of postpartum hemorrhage, management of hypoglycemia in newborns, management of transient tachypnea of the newborn

[chantel-divinity]

Being pregnant has really been fucking with my body image issues. Then these old ass people made some negative comments about the weight gain and sent me into an absolute fucking spiral. I know it's important and healthy for the baby, but it's been hard. Doesn't help that I'm only 5'1 and basically have no torso, so there's no room for the baby to grow other than out. I also have to eat every two hours because of the Hyperemesis Gravidarum. 😞

As of yesterday, I'm 24 weeks. 16 more weeks to go until I get to meet my little guy.

[joannmathews]

Women and Adversity: Marlena Fejzo, Ph.D., Geneticist, One of Time’s 2024 Women of the Year

Marlena Fejzo, Geneticist (fw24-science-summit-ls-marlena-fejzo.jpg) Women and Adversity Marlena Fejzo, Ph.D. Geneticist One of Time’s 2024 Women of the Year   Pregnant women can thank Marlena Fejzo (Fay⸍zō), Ph.D. for connecting their extreme nausea and vomiting to genetics. Time magazine recognized her achievement and named Fejzo one of its 2024 Women of the Year. Forbes magazine named her in…

[bharatifertilitycentre]

Hyperemesis gravidarum (HG) is a less common yet severe condition that can occur during pregnancies, characterized by persistent nausea and intense vomiting. Unlike typical morning sickness, HG symptoms do not subside easily and can lead to significant dehydration due to the inability to retain any food or fluids. This relentless vomiting can greatly impact the overall well-being of the expectant mother, requiring medical attention to manage symptoms and prevent complications. HG poses challenges in maintaining proper nutrition and hydration levels during pregnancy, necessitating careful monitoring and intervention to ensure the health and safety of both the mother and the developing fetus.

[doulayogimama]

With Sky, I vomited 8-12x per day but by week 11, I was okay. I ate like freaking Lance Armstrong preparing for a Tour de France once the first trimester was over. I lost 10 pounds but then I gained 75 😅

With Baby boy, I’ve been sick since 5 weeks and I’m 17 weeks now. I still can’t go 24 hours without at least 4-8mg of Zofran. He is growing perfectly on track but I’m nearly halfway through this pregnancy and still down 5 pounds from when I got pregnant.

I think literally not being able to eat AT ALL with Sky for 6 weeks just made me psychologically like… obsessed with food. I couldn’t get enough. With this baby, I’m just like… whatever. I eat because I have to.

It’s just mind boggling how different these pregnancies are looking. I think I will be able to keep this pregnancy weight gain below 30 pounds which is amazing because I can’t tell you how much I suffered being 5’0 and 75 pounds overweight. Walking literally hurt - I just want to stay as physically in shape as possible and I’m looking at the silver lining of my situation 😬

[hyperemesiscanfuckoff]

Baby is 9.5 months old

I saw a couple notes and wanted to update. I took my last Zofran the morning I went into labor. Labor was very tough. I was in triage for 2-3 hours quickly dilating while waiting for a doctor to check my cervix. The health provider shortage in this country is Bad. I almost didn't have time for an epidural. But through it all I just kept thinking, "I'll be able to eat again!!!"

Being a working mom to an infant and preschooler is unbelievably hard. Some days I cry from the stress and overwhelm. My husband is still unemployed and has untreated ADHD. A lot of the time I hate everything.

But I am me again. And I can eat food.

To anyone suffering with HG: your suffering is real. It's not made up. You didn't do anything to cause it and you probably can't make it go away. If you have to make it through ten minutes at a time, do that. I'm sorry society has failed you. I'm sorry your doctor and your family have failed you. HG Survivors understand. Do whatever it takes to make it through and don't beat yourself up. Sending love and may your postpartum period be gentle, and may you find healing from this traumatic experience.

[elternhandbuch]

Extreme Schwangerschaftsübelkeit (Hyperemesis gravidarum)

Schwangerschaftsübelkeit ist unangenehm, aber harmlos. Anders sieht es bei der schweren Form, der Hyperemesis gravidarum aus

[mcatmemoranda]

Diclegis = doxylamine + pyrodoxine (vitamins B6)

[chantel-divinity]

I dry heave and throw up so hard that it causes cramping. Then I worry if little man is okay in there. Like, baby, we need to keep the food down for your sake. 😩

[authortobenamedlater]

Can confirm, I did this when I was pregnant.

Lemon extract or EO works just as well and also smells better.

here is a life hack for throwing up: sniffing isopropyl alcohol (like an alcohol swab or basic bathroom alcohol) often works to prevent vomiting when you are about to barf and do not want to. anxiety nausea, need to keep pills down, motion sickness etc. i learned this in the ICU and it really works, a nurse ripped open an alcohol swab under my nose and suddenly i wasn't about to throw up anymore. it's research supported too!

[duchessofostergotlands]

I mean from what we know of the British royals health has always been fine until this year

I mean, the Queen did die before this year and I haven’t looked it up but I believe death is a pretty serious health issue