Hyperemesis Gravidarum (HG) and Nausea and Vomiting in Pregnancy (NVP) Service

Hyperemesis Gravidarum (HG) and Nausea and Vomiting in Pregnancy (NVP) Service

The Royal Hospital for Women provides a NVP and HG service to care and support women experiencing this condition. Women accessing this service will have access to clinical care, psycho-social support, appropriate medical reviews, and referral to other services as needed.  

You will be offered a full assessment of your symptoms and a personalised care plan will be made for you with support from a midwife. If appropriate, we may be able to provide your care for you in the comfort of your own home. 

If you would like to be seen by the NVP and HG service, please see your GP for a referral. The NVP and HG service will also accept referrals from private obstetricians and ED departments. Please call prior to attending to book in an appointment time. If you are unsure about how to access the service or have a question about the referral process, please call and discuss your query with a midwife.

The NVP and HG service is run by a team of midwives that will oversee your care. You will also be seen by an Obstetrician regularly and if required will be reviewed by an Obstetric physician. This may be in the clinic or in the Outpatients department.  

The NVP and HG service is situated in the Pregnancy Day Stay unit at the Royal Hospital for Women. This is an outpatient clinic that treats women for a number of pregnancy related conditions. If you meet the eligibility criteria, you may be able to have your care provided at home with the Hospital in the Home team. Please speak to your midwife or doctor if you would be interested in this option.

You may be offered medication for nausea, vomiting, reflux and constipation. Some of these medications maybe given orally or by a cannula. You may also be offered the administration of intravenous (IV) fluids to help resolve your symptoms. Midwifes and doctors will review your medications regularly to ensure they are working well for you.

  • Often woman experiencing NVP or HG can feel low in mood and struggle with their mental health.  As part of your care the NVP and HG service will support your emotional needs by providing support from our midwives, social workers, and perinatal mental health teams. 

  • Women accessing the NVP and HG service may also be offered ComPacks. These a non-clinical community support packages to help you at home and include activities such as transport to and from appointments, delivery of food shops, meal prep and domestic help (e.g. cleaning). For more information, ask your midwife or see the ComPacks flyer here. 

  • MotherSafe

    MotherSafe is a free telephone service for the women of NSW, based at the Royal Hospital for Women, Randwick. MotherSafe provide information to families and Health Care Providers about safe and effective treatments for Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum. Call 02 9382 6539 (Sydney Metropolitan Area) or 1800 647 848 (Non-Metropolitan Area).