Midwifery Care / Hyperemesis Gravidarum

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.

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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.

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.

1

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.

2

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.

3

Ongoing, Caring Follow-Up

In clinic, at home, or by telehealth, reviewed roughly every one to two weeks until things settle.

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With the right care, most 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

Hyperemesis Gravidarum · In Clinic

Clinic Appointment

45 minutes. In-person assessment and management at The Gathering Space, Paddington.

$185 · Medicare rebate $75.65

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Hyperemesis Gravidarum · At Home

Home Visit

45 minutes. For women too unwell to leave home.

$270 (including travel fee) · Medicare rebate $75.65

Contact to Arrange

No referral needed for any of these appointments.

Additional Support — Fluid Therapy

Available at the infusion clinic or via home visit, subject to availability. Standard appointment fee plus $20.

Contact to discuss and 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
Morning SicknessOccasional, you can keep some food and water down over the day
Hyperemesis GravidarumFrequent, hard to keep anything down, can cycle for weeks or months
Weight
Morning SicknessRarely lose weight
Hyperemesis GravidarumWeight loss from being unable to eat or drink enough
Tiredness
Morning SicknessDoesn't usually stop daily life
Hyperemesis GravidarumExhausted, unable to work, care for yourself, or care for others
Hydration
Morning SicknessYou can usually stay hydrated
Hyperemesis GravidarumMay need treatment for dehydration
Emotional impact
Morning SicknessSome ups and downs, but you feel mostly like yourself
Hyperemesis GravidarumIsolation, 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.

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.

Read the full guidelines breakdown on Birth Notes →