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Journey into the world of hyperemesis gravidarum...
15Apr 15

Rocking My Home Turf Improving HG Services in Cornwall

I had a fantastic meeting yesterday with a midwifery team leader at the main hospital here in Cornwall, the Royal Cornwall Hospital. Having had hyperemesis gravidarum (HG) care transferred from gyne to maternity in the last few years departments are starting to take more notice of the condition and, perhaps particularly, it's cost!

As an inpatient HG is an expensive condition to treat for already over stretched and under paid maternity departments and it's really showing in their annual budgets when before it was swallowed up by gyne wards where the cost was less obvious. Hyperemesis is a bit of a funny one though in terms of it's appropriate placement – it's a medical condition which needs medical treatment, yet it's caused exclusively by pregnancy, which is normally a normal part of life. Which is perhaps where much of the misunderstanding comes from. Pregnancy is not an illness, but hyperemesis clearly is a significant illness with serious complications and long term physical and mental impacts. Anyway, I digress...

Now that it's coming under Maternity Departments the condition is being taken notice of more and more and ways to improve care and reduce costly in-patient stays are being embraced across the country. And this is exactly what's happening here in Cornwall. They are looking to re-write the guidelines, which are due for review now and they want to get their IV Day service established and utilised (they've had Day IV guidelines for a while but it's not really being well used). And that's where I've come in... to help with their guidelines, do some staff training and look at how we can engage GPs in the county to treat earlier in the community and refer for fluids before an inpatient stay is necessary.

You'll all be pleased to know they'll be removing the word “ginger” from their guidelines!

So having collaborated with the team in Nottingham to improve care and treatment across their county (where, ironically, I trained but moved from before having kids), I'm now getting my teeth into local services. We are hoping ultimately to be able to set up satellite IV Day Services at Penrice (the midwifery led birth unit in St Austell) and then perhaps at the small hospitals in the county such as Bodmin and Camborne. After that I'll have my sights set on IV at Home for the county.

If you would like to learn more about these services and how you can engage your local hosptial maternity department to get them interested in providing these cost effective services then come to the Pregnancy Sickness Support Conference in Birmingham in May where I'll be presenting some of my recent research along with presentations from:

  • The IV at Home Nurses from Bath

  • IV Day Unit from Birmingham Women's Hospital

  • The GP and Consultant from Nottingham who have joined together Primary and Secondary care in their county with Early Intervention GP Guidelines.

You'll also be able to meet the Pregnancy Sickness Support Team who provide support for sufferers across the UK and pick up a signed copy of my book!

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Hyperemesis Gravidarum - The Definitive Guide by Caitlin Dean

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Hoe to be an HG Hero by Caitlin Dean

About Me

I am mother of three beautiful children and wife to a fantastic and supportive husband. I am a nurse, a farmer and a trustee for Pregnancy Sickness Support. I love working hard and spending time with my kids.

About this blog

Information and support for pregnancy sickness and hyperemesis gravidarum. Views are my own and do not represent those of any other organisation. Information provided here should not be a substitute for medical advice. My aim is to raise awareness and encourage sufferers to know they are not alone.

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