"Can the short duration of the HG be attributed to my very aggressive treatment protocol? I suspect that was a part of it. I started taking the Zofran orally from the moment I started feeling not quite right. Once I started feeling nauseated and having trouble eating and drinking, we started rehydrating very aggressively at 3 liters of fluids per day right off the bat. While, ultimately, the IVs and PICC didn’t work out, I think having that kind of very aggressive treatment allowed me to reach the point where my mom could push enough fluids orally. In the midst of all that, I was receiving the Zofran via the pump in very high doses, with my maximum dosage at around 39 mg per day (most doctors are only willing to go up to 32 mg per day). We did not rely on Zofran alone, but attacked the nausea from all angles: Meclazine for the motion sick aspect of it, Nexium to prevent any potential reflux from contributing, and Benadryl to deal with any potential allergy aspects or side effects."She also writes:
"Here is the bottom line: If you know someone who has HG and you are in a position to help advocate for them, please do. Early, aggressive intervention seems to have made a remarkable difference for me. Will every woman respond to treatment the way I did? No. But every woman deserves a doctor who is willing to treat her the way mine did for me because that level of treatment gives women the very best chance at relief."Absolutely!
I whole-heartedly agree with the concept that aggressively-treated HG can be a shorter-lived monster than the HG which is allowed to spiral out of control, because this was exactly my experience.
(As you know, I had what could be called "borderline HG" - not the monster that some of you have had to deal with (*shudder*).)
With my first HG pregnancy, which was completely untreated and allowed to get out of control, the "begging for death" part only lasted for the first 20 weeks or so, but the nausea and vomiting stayed strong and present up until birth. I also dealt with extreme exhaustion that didn't really go away until baby was about 15 months old. I also had residual postpartum nausea that stayed around for a good two years.
With my second time through, I was prepared and was able to receive homemade Bendectin and Zofran. Even though the NVP presented sooner and stronger, it did not spiral out of control into that ugly place of fear and despair that HG mamas know so well - it stayed in the "I feel like death" range, as opposed to the "somebody please kill me" range. Moreover, it left sooner, my energy levels returned sooner, and I dealt with little to no residual nausea (except for the parts I have written about in the past that I think are permanent changes to my body).
So my conclusion is the same, namely, that early, aggressive treatment of HG can make an enormous difference in outcomes for HG mothers. Unfortunately, so many, many doctors require a woman to be at a certain level of illness (i.e. should have started treating weeks ago) before handing out a prescription. It's unfortunate.