Built on the HER Foundation HELP Score and the published PUQE-24 instrument. Plain language. No "just eat crackers."
Persistent nausea and vomiting in pregnancy, weight loss ≥ 5% of pre-pregnancy weight, dehydration, ketonuria, and inability to keep down food or fluids. It has diagnostic criteria. It has a treatment ladder. It is a medical condition, not a personality.
Read the full guide →Inability to keep fluids down for 12+ hours, dark urine or no urination for 8+ hours, dizziness or fainting, weight loss greater than 5% of pre-pregnancy weight, blood in vomit, or a HELP Score in the severe band.
ER checklist →Pyridoxine + doxylamine → ondansetron → promethazine / metoclopramide → corticosteroids → IV hydration and nutrition. HG-literate clinicians follow a recognizable stepwise protocol — and so should yours.
Open treatment protocol →PUQE-24 for the last 24 hours of nausea, vomiting, and retching. The HER Foundation HELP Score for overall severity including weight loss, hospitalization, and quality of life. Use both — they answer different questions.
Score your severity →