What is Hyperemesis Gravidarum and how we treat it

Pregnancy is often described as a joyful time, but for some women, it comes with severe challenges. One of the most difficult conditions is Hyperemesis Gravidarum (HG), a severe form of nausea or vomiting during pregnancy that goes beyond typical morning sickness. This condition can lead to dehydration, weight loss, and serious health risks for both mother and baby. In Jerusalem, Israel, Dr. Abramov is making a difference by offering specialized care for women suffering from HG. Jdoc Israel clinic is the first in the region to provide vitamin B1 through intravenous (IV) therapy, a treatment that has shown promising results in managing symptoms.

Care for pregnant women with Hyperemesis Gravidarum

Understanding Hyperemesis Gravidarum

Hyperemesis Gravidarum affects about 1% to 3% of pregnant women worldwide. Unlike typical morning sickness, which usually resolves by the second trimester, HG causes persistent and severe nausea or vomiting that can last throughout pregnancy. Women with HG may vomit multiple times a day or suffer from severe nausea making it difficult to keep any food or fluids down.

Symptoms of HG include:

• Severe nausea and/or vomiting

• Dehydration

• Weight loss of more than 5% of pre-pregnancy weight

• Hypersalivation

• Electrolyte imbalances

• Fatigue and weakness

• Psychological distress due to prolonged illness

  
  

The exact cause of HG is not fully understood, but it is believed to be caused by genetic susceptibility combined with higher sensitivity to pregnancy hormones. Previous history of HG makes it more likely to develop during a subsequent pregnancy.

How Dr. Abramov’s Clinic Supports Women with HG

In Jerusalem, Dr. Abramov’s clinic stands out for its compassionate and effective approach to treating HG. The clinic focuses on early diagnosis and personalised treatment plans to reduce the impact of this condition on mothers and their babies.

Key aspects of treatment at the clinic include:

• Comprehensive assessment: Each patient undergoes a thorough evaluation to rule out other causes of nausea and vomiting and to assess the severity of HG.

• Hydration and nutrition: The clinic works with Terem to provide IV fluids to restore balance and prevent complications.

• Vitamin B1 IV therapy: The clinic is the first in Jerusalem to offer IV vitamin B1. This treatment helps prevent serious complications and reduce nausea in many patients.

• Medication management: Women are carefully counseled on the safety of anti-nausea medications prescribed, based on individual needs.

• Emotional support: Recognisng the mental strain HG causes, the clinic works with support groups such as Shifra.

  
  

Vitamin B1 IV treatment for Hyperemesis Gravidarum patients

Why Vitamin B1 IV Therapy Matters

Vitamin B1 plays a crucial role in energy production and neurological function. Many women with HG suffer from vitamin deficiencies due to poor intake and absorption. Oral supplements often do not work well because of ongoing vomiting.

Dr. Abramov’s clinic introduced vitamin B1 IV therapy as an well recognised step to address this gap. Delivering B1 directly into the bloodstream bypasses the digestive system, ensuring better absorption and faster relief. Patients report feeling more energetic and experiencing less nausea after treatment.

This approach is based on clinical experience and established research that supports the use of vitamin B1 in managing HG symptoms. While it is not a cure, it significantly improves quality of life during pregnancy.

Practical Tips for Managing HG at Home

While medical treatment is essential, women with HG can also take steps at home to ease symptoms:

• Adding supplements such as vitamin B complex, vitamin D....

• Eat small, frequent meals instead of large ones

• Choose bland, easy-to-digest foods like crackers, rice, and bananas

• Stay hydrated with water, electrolyte drinks, or ginger tea

• Avoid strong smells and triggers that worsen nausea

• Rest often and reduce stress when possible

  
  

It is important to communicate regularly with healthcare providers to adjust treatment as needed.

Supporting Women and Their Partner Through a Difficult Journey

Hyperemesis Gravidarum can feel isolating and overwhelming. Dr. Abramov’s clinic in Jerusalem understands this and offers a supportive environment where couples feel heard and cared for. The combination of medical expertise optimized medical treatments, including vitamin B1 IV, and emotional support creates a comprehensive care model that helps women navigate HG with greater hope and comfort.

If you or someone you know is struggling with severe pregnancy nausea, seeking specialized care early can make a significant difference. The clinic welcomes consultations and provides personalised plans tailored to each patient’s needs. Preventing Hyperemesis Gravidarum starts before conception, if you have had HG during a previous pregnancy, preparations start 3-6 months prior to a further pregnancy.