Midwifery Care · Antenatal Support
Hyperemesis Gravidarum
Severe nausea and vomiting in pregnancy, taken seriously, from the very first conversation. This isn't something to push through, and it's not something you should ever have to prove.
I'm Jennifer, a Registered and Endorsed Midwife in Paddington. I've been where you are, and I built this part of my practice for exactly this moment.
If you're vomiting blood, can't keep any fluids down, feel faint or confused, or have a fever, severe abdominal pain, or a headache that won't go away — please go straight to your nearest Emergency Department rather than waiting for an appointment.
Jennifer Hazi · Registered and Endorsed Midwife · 11 years in practice
Why I Take This Seriously
I had hyperemesis in every one of my own pregnancies. For the first ones, I was mostly told to try ginger and wait it out. It wasn't until my last two that I finally had care which matched how unwell I actually was, and even then, I felt I had to keep proving it to those around me.
Since then, the guidelines have changed, and there's now real research pointing to a possible genetic contributor to hyperemesis gravidarum. There's a clearer, evidence-based path for treatment today, and I built this part of my practice around the care I wish I'd had.
As an Endorsed Midwife, you don't need a referral to see me directly. I can offer a proper assessment, real treatment options, and, where needed, prescribe medication or arrange IV fluids myself.
Here's exactly what happens when you reach out.
What Happens When You Book With Me
No confusion about what to do first. Just three simple steps.
Reach Out
Book directly, by telehealth or in person. Most women start with telehealth, since leaving the house can be the hardest part. No referral needed.
We Build a Plan Together
Medication if it helps, fluid replacement if you need it, or simply a clear next step and someone checking in on you.
Ongoing, Caring Follow-Up
In clinic, at home, or by telehealth, reviewed roughly every one to two weeks until things settle.
With the right care, many women find they can eat properly again, get their days back, and actually be present for the rest of their pregnancy, not just surviving it, but living it.
How to Be Seen
No referral needed for any of these appointments.
Telehealth Review
45 minutes. Assessment, medication prescription or review, and a management plan. Available from home, which matters when leaving the house feels impossible.
$185 · Medicare rebate $75.65
Book Your Appointment →Clinic Appointment
45 minutes. In-person assessment and management at The Gathering Space, Paddington.
$185 · Medicare rebate $75.65
Book Your Appointment →Home Visit
45 minutes. For women too unwell to leave home.
$270 (including travel fee) · Medicare rebate $75.65
Contact to Arrange →Not Sure This Is You?
Every pregnancy is different, and it isn't always obvious where normal morning sickness ends and something more serious begins. Here's how to tell.
| Morning Sickness | Hyperemesis Gravidarum | |
|---|---|---|
| Vomiting | Occasional, you can keep some food and water down over the day | Frequent, hard to keep anything down, can cycle for weeks or months |
| Weight | Rarely lose weight | Weight loss from being unable to eat or drink enough |
| Tiredness | Doesn't usually stop daily life | Exhausted, unable to work, care for yourself, or care for others |
| Hydration | You can usually stay hydrated | May need treatment for dehydration |
| Emotional impact | Some ups and downs, but you feel mostly like yourself | Isolation, anxiety, and depression are common |
Adapted from NSW Health's hyperemesis gravidarum vs. nausea and vomiting in pregnancy comparison table.
And please hear this: none of this is your fault. Current research points to GDF15, a protein linked to nausea and appetite regulation, as a likely biological driver of HG. Not stress. Not a weak stomach. Not "just" anxiety about the pregnancy.
Take the Free COPE Self-Check →If You're Also Struggling With Your Mood
HG doesn't stop at your body. The exhaustion, the isolation, and the feeling of not being taken seriously can tip into something bigger. Perinatal anxiety and depression are common alongside severe nausea and vomiting in pregnancy, whether or not you've experienced anxiety or depression before, and it's a normal part of what we'd talk through together, not a separate issue.
PANDA National Helpline · 1300 726 306
Monday to Friday, 9am–7.30pm · Saturday, 9am–4pm (AEST/AEDT) · open all public holidays except Christmas Day.
PANDA is not a crisis service. If you're having suicidal thoughts or feeling disoriented, call Lifeline on 13 11 14 (24/7). Call 000 for police and ambulance if you or someone else is in immediate danger.
What the Guidelines Say
Australian and New Zealand clinicians follow the SOMANZ position statement on managing NVP and HG. The short version: you don't need a specialist referral, waiting it out isn't the recommended approach, treatment escalates only as needed, and fluid replacement often doesn't require hospital admission.
More Support, Beyond This Practice
MotherSafe
Free NSW telephone counselling on managing nausea and vomiting in pregnancy and medication safety. Call 1800 647 848.
Download their NVP/HG factsheet →Fees and Medicare
| Appointment | Length | Fee | Rebate | Out of pocket |
|---|---|---|---|---|
| Telehealth Review | 45 min | $185 | $75.65 | $109.35 |
| Clinic Appointment | 45 min | $185 | $75.65 | $109.35 |
| Home Visit | 45 min (incl. travel) | $270 | $75.65 | $194.35 |
| Fluid Therapy | — | Standard fee + $20 | Varies | Contact to confirm |
Rebates shown are estimates. For full description see Medicare. Yours may be higher once your family's Medicare Safety Net threshold is reached.