Here it is Cin. I had it saved from my last pg!
Some notes on “crackering”
“Crackering” is foisting ignorant advice and expectations on a patient with hyperemesis gravidarum (HG), from people who know nothing about the disease and think it is morning sickness, or by people with outdated information. Some examples:
• “Have you tried…?” Yes, of course I have tried eating gluten free crackers in bed and protein and ginger and everything else. I would love to do these things rather than take all these medications. But the home remedies don’t work for HG patients.
• Sometimes crackering involves attributing the disease to a woman’s mental state, such as “you must not want this pregnancy subconsciously” or “your body is trying to expel the baby.” The latest research indicates HG is most likely a violent reaction against HcG, for reasons unknown. It is not the patient’s fault.
• “Vomiting means everything is going well with baby, at least.” People usually say this as a way of comforting the suffering HG patient. Sometimes it’s said to delay treatments.
o First off, many babies are not all right. The second trimester miscarriage rate for HGers is about 3 times as high as other pregnant women, according to the Hyperemesis Education and Research Foundation (as reported by Moderator Cin on www.hyperemesis.org
). The babies’ hearts stop because they starve to death.
o Secondly, even if baby is fine, delaying treatments will have short-term consequences for the woman (misery, secondary depression, weight loss, dehydration, malnutrition) and may affect her lifelong health and well-being (extensive damage to teeth, esophagus, stomach, bowels, kidneys, liver, etc.) Not to mention PPD and PTSD once the baby is born.
o Finally, HG can kill the mother. One of the HER Foundation’s members, Maria Giani, died from complications of HG a few years ago. Her twins died in utero as well.
• Sadly, the worst crackering is often at the hands of nurses, and they often scold the patient for taking meds the doctor has prescribed, because “it might hurt the baby.” I must warn you, this makes me very upset; dehydration and malnutrition will certainly hurt or even kill the baby. Zofran will not.
I won’t tolerate crackering. It is unprofessional. It is often condescending. It causes me stress and anxiety, which increase my illness. I must respectfully state that any health professional who crackers me will no longer be permitted to treat me. Repeated crackering will be reported.