Pregnancy sickness is often brushed off as something women are simply expected to “get on with”.

But for thousands of women every year, pregnancy sickness isn’t mild nausea or “morning sickness”. It’s relentless, debilitating, traumatic — and in some cases, life-threatening.

In this episode of The Lifestyle Prescription with Pharmacy Planet, host Rena Dipti Annobil sits down with photographer and campaigner Clare Hughes to explore the reality of Hyperemesis Gravidarum (HG) — a severe form of pregnancy sickness that is still widely misunderstood, underdiagnosed, and dismissed.

Clare shares her personal story of suffering through HG, the emotional and physical toll it took on her life, and how her experience inspired her powerful photography project The Hidden Mothers, which brings together the lived experiences of women who have been forced into silence for far too long. 

This conversation is essential for anyone who has experienced HG, knows someone going through it, or wants to understand the urgent need for better awareness and care in women’s health.

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1. What Is Hyperemesis Gravidarum (HG)?

Hyperemesis Gravidarum (often shortened to HG) is a severe form of pregnancy sickness.

Unlike typical nausea during early pregnancy, HG can involve:

  • Severe, constant nausea
  • Persistent vomiting (for some women)
  • Inability to eat or drink normally
  • Dehydration
  • Weight loss
  • Physical weakness
  • Extreme exhaustion
  • Emotional distress and trauma

As Rena makes clear in the episode, HG isn’t something that can be fixed by ginger biscuits or “resting more”. It can completely take over someone’s life. 

2. Why HG Is Not “Just Morning Sickness”

One of the strongest themes in this episode is the dangerous way HG is often minimised.

Clare describes how pregnancy sickness is portrayed in films and everyday conversation:

A woman wakes up, throws up once, and then gets on with her day.

HG is nothing like that.

Clare explains that with HG there is no relief — no break, no moment where you feel normal again. It’s like living with a constant stomach virus for weeks or months, without the usual “recovery” phase. 

3. Clare Hughes’ HG Story: “I Didn’t Know What Was Happening to Me”

Clare had never even heard of HG until she experienced it herself.

She explains that she only discovered the term four months into her first pregnancy, after seeing “Hyperemesis Gravidarum” written on a prescription and Googling it. 

By that stage, she had already been severely unwell for months.

Her story reflects what many women experience:

  • Severe symptoms
  • Delayed diagnosis
  • Dismissal from healthcare professionals
  • Feeling like they’re simply “bad at pregnancy”

4. The Reality of HG Symptoms: Nausea, Vomiting, Dehydration and Isolation

Clare describes her HG as extreme nausea rather than constant vomiting — but the impact was still devastating.

She couldn’t eat properly, struggled to drink water, and had to rely on very specific “safe” foods.

Even the smell of certain things can become unbearable for women with HG, and some experience aversions to light, sound, and everyday environments. 

Rena also shares her own experiences of severe pregnancy sickness, including moments where she could barely function, and how even basic improvement (like only vomiting once in the morning) felt like a huge relief. 

5. The Emotional Impact: Trauma, PTSD and Suicidal Thoughts

Perhaps the most difficult — and important — part of this episode is how openly Clare speaks about the mental health impact of HG.

She explains that HG is not just physically debilitating. It can also cause:

  • Severe anxiety
  • Depression
  • Post-traumatic stress (PTSD)
  • Suicidal thoughts
  • Feelings of guilt, shame, and failure

Clare says many women describe wanting to end their lives, despite desperately wanting their babies — because the illness becomes so relentless and unbearable. 

She also highlights a devastating real-world example:

The UK’s first recorded HG-related death, where a mother took her own life and lost her baby. 

This is why awareness matters.

HG is not just “a rough pregnancy”.

It can be fatal.

6. The Medication Gap: Why Women Are Still Left to Fight for Treatment

One of the most shocking moments in the transcript is when Clare describes having to tell her GP what medication to prescribe — because the doctor had never even heard of Hyperemesis Gravidarum. 

Clare explains that guidelines have changed, and there are now recognised medications used in pregnancy for HG — but many women still struggle to access them.

She describes using:

  • Xonvea as a first-line medication (ideally taken early)
  • Ondansetron when symptoms were severe

In Clare’s case, Ondansetron helped her function and continue with pregnancy — and without it, she believes she may not have been able to continue. 

This is a critical point:

The risk of untreated HG (dehydration, malnutrition, trauma, pregnancy loss) can outweigh the small risks associated with medication.

7. Why HG Is Still So Underdiagnosed

HG affects an estimated 30,000 women per year, but Clare believes the true number is likely much higher.

She shares a powerful example of a BBC presenter who attended her exhibition and described a pregnancy where she couldn’t work for four months and was severely unwell — but still didn’t realise it was HG. 

This reflects a wider problem:

Many women assume this is simply “normal pregnancy sickness”.

They aren’t told it has a name.

And they aren’t told support exists.

8. The Hidden Mothers: How Clare Turned Trauma Into a National Project

Clare’s photography project The Hidden Mothers is one of the most powerful parts of this episode.

After her first pregnancy, Clare struggled with trauma and PTSD.

As a socially engaged photographer, she wanted to understand what she had been through — and to meet other women who had lived through the same experience. 

She found inspiration in a Victorian photography practice known as “hidden mother photography”.

In the Victorian era, mothers were disguised as furniture so they could hold babies still for long-exposure photographs.

Clare explains that this became a metaphor for HG:

Women hidden away in dark rooms.
Women’s suffering hidden behind the word “pregnancy”.
Women’s stories dismissed and ignored. 

9. The Shocking Stories Clare Heard from Other Women

Clare photographed 22 women, including herself, for the project.

She describes being overwhelmed by responses when she put out a call for participants — with women from all over the world offering to fly in just to tell their story. 

Many stories included:

  • Women losing babies
  • Women terminating wanted pregnancies due to HG
  • Lack of family support
  • Severe trauma
  • Suicidal ideation

Clare explains that the most painful part is that women often suffer in silence — and then receive no aftercare once pregnancy ends. 

10. What Ideal HG Care Should Look Like

When asked what ideal care should look like for women with HG, Clare is clear:

Healthcare professionals need training.

HG must be treated seriously at first contact — whether that’s a GP, midwife, or maternity unit. 


Clare describes how she felt ignored in maternity appointments, as if she was simply a “vessel” carrying a baby rather than a patient in crisis.

She argues that HG care needs:

  • Earlier recognition
  • Better medication access
  • IV fluids for dehydration where needed
  • Human empathy and validation
  • Clear referrals to support services

11. Why Post-Pregnancy Support Is Still Missing

A major gap highlighted in the episode is what happens after HG ends.

Women may be vomiting right up until labour — and then suddenly expected to care for a newborn while still physically and emotionally depleted. 

Clare explains that many women experience:

  • PTSD
  • Postnatal depression
  • Eating difficulties
  • Trauma around future pregnancy
  • Long-term anxiety

Yet there is little structured aftercare.

She suggests something as simple as:

A support group.
A cup of tea.
A space to talk to women who understand.

That alone could prevent serious mental health consequences. 

12. Advice for Anyone Going Through HG Right Now

Towards the end of the episode, Clare shares direct advice for anyone currently experiencing HG.

Her message is compassionate but practical:

  • What you’re going through is awful — but there is help
  • Find community
  • Contact Pregnancy Sickness Support
  • Learn your rights
  • Don’t be frightened of medication
  • Bring someone with you to appointments
  • Ask someone to advocate for you when you can’t

Most importantly, she reminds women:

You are not weak.
You are not “bad at pregnancy”.
You are ill — and you deserve care. 

13. Where to Find Support and Help

If you or someone you love is experiencing severe pregnancy sickness or HG, you don’t have to go through it alone.

Pregnancy Sickness Support (UK)

https://pregnancysicknesssupport.org.uk/

The Hidden Mothers Community (Instagram)

@thehiddenmothers

Clare Hughes (Photography + Project Updates)

@clarehughesphotography
clarehughesphotography.co.uk

Support The Hidden Mothers Book (GoFundMe)

Clare is currently raising funds to print and distribute The Hidden Mothers book to maternity units across the UK — helping healthcare professionals understand HG through real women’s stories and faces. 

GoFundMe campaign:

Final Thoughts: Why This Conversation Matters

This episode is a reminder of something vital:

Women’s health cannot be treated as an afterthought.

HG is real.
It is serious.
It is traumatic.
And women deserve to be believed and supported — from the first appointment to long after birth.

Huge thank you to Clare Hughes for sharing her story so honestly, and for turning her experience into a project that is helping women feel seen, heard, and validated.

Watch on Youtube:

Listen: Spotify & Apple

Podcast Transcript

Clare Hughes: She started explaining her experience of pregnancy saying, oh, I was quite sick, but I'm not sure it was hg. And then just went on to describe, she didn't go into work for four months and she had it for all her pregnancies and she was seriously unwell. And it's like, okay, so that is H hg. So it's like from so many years we we're kind of being told that this is just pregnancy and it's so dangerous.

Rena Annobil: Hi. Welcome back to The Lifestyle Prescription on Pharmacy Planet. I'm Rena Annobil. Thank you so much for joining me. I think today's episode is gonna be eye-opening for a lot of people. We are gonna be exploring Hyperemesis Gravidarum, and it's also known as hg. It's a severe form of pregnancy sickness. I'm not just talking about morning sickness.

I'm not talking about anything that can be alleviated by having a couple of ginger biscuits before you suggest that I'm talking about something that is relentless. It can be debilitating. It can take over all aspects of someone's life. My guest today is Clare Hughes. She is a photographer, she's a campaigner, and she has experienced HG and turned that experience into something very powerful, an exhibition which brings together lots of different women's experiences of hg.

So let's get into Clare's story details about her exhibition, and also more info about HG and how it affects women. Hello. Hello. Thanks so much for joining me, Clare.