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If HG continued past mid-pregnancy, did you experience complications during delivery related to your poor health such as a strained ligaments/joints, pelvic floor damage, prolonged or weak pushing, fainting, low blood pressure, low pain tolerance, forceps/assisted delivery, broken bones, nerve damage, low amniotic fluid, fetal problems due to difficult delivery, etc.?


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Signs & Symptoms

Your symptoms will usually begin around week 4-6 and peak between 9-13 weeks. However, they may start before the pregnancy is confirmed by a pregnancy test. Some women feel changes within days of conception. If onset is later than the first trimester, you do not have HG. Rather, you may need to have your liver and gall bladder function checked, or it may just be the physical changes of pregnancy. There are many other conditions that can cause similar symptoms.

Typically, you will find symptoms end or at least improve significantly somewhere around 14-20 weeks, however, some women (10-20% or more) continue to have symptoms for their entire pregnancy. Occasionally, a woman will have a worsening or return of symptoms later in pregnancy. This is uncommon if you have had several weeks without any nausea/vomiting. Symptoms may increase and decrease throughout pregnancy and as long as you feel any nausea, go very slowly when trying to go off of (wean) a medication. Unfortunately, HG often recurs and follows similar patterns in future pregnancies, though severity may vary each time. See the Merck ManualsExternal Link for more information on the below conditions:

Common symptoms you may notice and should mention to your obstetrician:

  • Vomiting, mucus, bile or blood**
  • Food aversions
  • Increased sense of smell
  • Sensitive gag reflex
  • Excessive salivation
  • Constipation (If severe**)
  • Difficulty sleeping
  • Fainting** or dizziness
  • Ketosis**
  • Vomiting small amounts food/drink**
  • Dry, furry tongue, thirst
  • Loss of skin elasticity
  • Pale, waxy, dry skin
  • Body odor (from rapid fat loss & ketosis)
  • Rapid heart rate**
  • Headache
  • Confusion**
  • Extreme fatigue
  • Rapid weight loss (2+ lbs/wk)**
  • Secondary anxiety/depression
  • Intolerance to motion/noise/light

Signs & Symptoms your health professional may note:

  • Ketosis
  • Vitamin/electrolyte deficiency
  • Anemia
  • Liver enzyme elevation
  • Gall bladder dysfunction (stones)
  • Dehydration
  • Low blood pressure
  • Jaundice
  • Rapid heart rate
  • Overactive thyroid
  • Weight loss of 5% or more (from pre-pregnancy weight)

** Report this to your health professional immediately

Updated on: Apr. 18, 2013

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