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Pregnancysicknesssupport.org.uk

Preparing for an HG pregnancy
Personal Worksheet
Disclaimer: None of the information provided on this website is meant to suggest any medical course of action. Instead the information is intended to inform and to raise awareness so that these issues can be discussed by / with qualified Healthcare Professionals with their patients. The responsibility for any medical treatment rests with the prescriber. The intention of this work sheet is to help you prepare for a pregnancy and think through your previous experience to help make a plan in advance of this one.
Think about your care providers:
Did you see a consultant and was he/she helpful? Yes * If your consultant previously was good than ask to be referred for a pre-pregnancy consultation If no is there the option of other midwives in the area? Yes No *There is helpful information for midwives on our website Were your family and friends helpful and supportive? Have you got plans for childcare in place if required? Your current state of health:
Height _________________Weight _________________ Use google to work out your BMI ______________Do you need to put on weight or lose some weight before this pregnancy? It is good to have some reserves to loose but it is not good to be overweight – write your own plan here: ________________________________________________________________________________ ______________________________________________________________________________________________________________________________________________ In your last pregnancy what medications helped and what didn't:
Last pregnancy I tried: Buccastem, Pyridoxine (vitamin B6), Promethazine, Cyclizine,
Stemetil, Metoclopramide, Ranitidine, Omeprazole, Domperidone, Ondansetron
(alongside lactulose), steroids, other………………. …………………………………….(delete/add as a appropriate) Other things I tried: Hypnotherapy, acupuncture and acupressure bands, ginger capsules
(250mg X 4 per day), other…….
What worked……………………………………………….….
What did not work………………………………………………….
I do not want to try ……………………………………. again.
The most helpful medications were ….
…………………………………………………………….
Medications I did not try last time but would like to discuss with the doctor this time are Were you able to keep oral medications down? Yes No Were you offered dissolvable medications or suppositories? Hospital admission:
If you were admitted to hospital during your last pregnancy how did you find it? I.e A relief to be in hospital and receiving fluid and medication IV or Distressing and stressful If you found it stressful and distressing then can you pin point why? i.e. admission via a&e, unsympathetic staff, disturbed sleep, busy ward, smel s, sensory stimulation, separation from husband/children etc., side effects from treatments, needle phobia If you had the option of IV as a day patient did you prefer that? Do you know about other services in your local area, such as Hospital at Home, Acute Care at Home as an alternative to hospital admission? ….
Preparing for your next pregnancy:
Do you hope to try pre-emptive medication? • Diclectin. Used as a pre-emptive treatment has been found to lessen severity and shortens length of sickness, KOREN, G. & MALTEPE, C. (2004) Pre-emptive therapy for severe nausea and vomiting of pregnancy and hyperemesis gravidarum. J Obstet Gynaecol, 24, 530-3.)
Starting treatment early is found to be most effective. It is a Canadian drug but the procedure of how to get this in the UK at Effectively treating symptoms early in pregnancy can make a woman less sick and decrease the time it takes to recover. Delaying treatment until you have been vomiting for several weeks makes it harder to gain control over the vomiting cycle.
• Realistical y it is unlikely a GP wil obtain Diclectin for you but the components of Diclectin are an old fashioned antihistamine such as cyclizine (50mg 3 x a day) or promethazine (Avomine) (25mg 3 x a day) in combination with pyridoxine (vitamin B6) (10 mg 4 X a day). A GP should be able to prescribe these. You can point them to research on our website if they need further information.
Other medications I wish to be considered: Buccastem, Pyridoxine (vitamin B6), Promethazine,
Cyclizine, Stemetil, Metoclopramide, Ranitidine, Omeprazole, Domperidone, Ondansetron
(alongside lactulose), steroids, other………………. …………………………………….(delete/add as a appropriate) Hospital admission:
Do you want to request day patient treatment if it is available? Bear in mind there are pros and cons, such as extra travel ing and extra needles for new IV sites! If you went through a&e last time can you avoid that this time? Do you have a preferred hospital to go to? Any other things for you to consider such as child care, managing house work, cooking and shopping, employment (information about rights on our website) and any other factors which need to be planned for in this pregnancy:….
….
….

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Source: http://www.pregnancysicknesssupport.org.uk/documents/Prep-worksheet.pdf

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