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Hyperemesis Gravidarum (HG)
When severe pregnancy sickness (hyperemesis gravidarum) disrupts your life, rapid medical care offers a safe, effective route to recovery. At Central Health London, our consultant-led team provides expert relief through on-site anti-emetic and iron infusions, private IV rehydration, and tailored prescriptions. Set within a quiet clinical environment, our private care delivers unhurried assessments to quickly restore your hydration, strength, and wellbeing.
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Private Hyperemesis Gravidarum Treatment in London
When severe morning sickness prevents you from keeping fluids down, accessing prompt, expert clinical care is essential for both your wellbeing and your baby’s health.
At Central Health London, our hyperemesis private treatment service is led by experienced maternal medicine specialists and obstetricians. Located in our tranquil Marylebone clinic, our team provides urgent, consultant-led medical interventions in a calm, discreet environment designed to support you through the most difficult weeks of pregnancy.
From same-day clinical assessments to on-site intravenous and anti-emetic infusion therapy, you are supported by a compassionate medical team dedicated to restoring your hydration, balancing your nutrition, and helping you navigate pregnancy comfortably.
Why Choose a Specialist Hyperemesis Gravidarum Doctor?
Hyperemesis Gravidarum (HG) is a debilitating medical condition that requires far more than standard lifestyle advice. It demands rapid intervention, precise medical prescribing, and continuous oversight from a dedicated hyperemesis gravidarum specialist.
At Central Health London, your care is provided directly by a consultant obstetrician alongside our specialist midwifery team, ensuring:
Rapid Access to Fast Relief: Prompt appointments to assess dehydration, ketone levels, and electrolyte balances without long waiting times.
On-Site Infusion Suite: Administration of private IV fluid rehydration, electrolyte restoration, anti-emetic infusions, and iron infusions within a relaxed, quiet clinic environment.
Specialised Medication Plans: Tailored prescribing of evidence-based anti-sickness medications, including modern first-line therapies such as Xonvea, ondansetron, and cyclizine.
Advanced Refractory Care: Specialist management for severe, unyielding cases, including supervised steroid treatment pathways under expert maternal medicine guidance.
Seamless Continuity of Care: Direct access to the same consultant obstetrician throughout your pregnancy, eliminating fragmented care during vulnerable periods.
Meet Our Hyperemesis Specialists
Fees
For a detailed and transparent breakdown of our costs, including consultation fees and packages, please visit our Fees page.
Dr Kenga Sivarajah
Consultant in Obstetrics and Maternal Medicine
MBBS BSc (Hons), MRCOG, MRCP (UK), PGCert (MedEd)
Dr Panicos Shangaris
Consultant in Obstetrics, Maternal, and Fetal Medicine
LRCP&SI, MBBCh, BAO (NUI), MSc, AFHEA, MRCOG, PhD
Specialist Care for Severe Nausea & Vomiting in Pregnancy
Hyperemesis Gravidarum is thought to affect between 1-3% of pregnant women, causing relentless nausea, frequent vomiting throughout the day, severe dehydration, weight loss, and nutritional deficiencies. Unlike typical morning sickness, HG rarely resolves without medical treatment.
You may benefit from seeing a hyperemesis gravidarum doctor if you are experiencing:
Inability to keep fluids or food down for more than 12 to 24 hours
Significant weight loss (losing 5% or more of your pre-pregnancy weight)
Signs of severe dehydration, such as dark urine, dizziness, extreme lethargy, or dry mouth
Severe disruption to your everyday life, work, and mental health
Unresponsive symptoms despite taking standard first-line oral anti-sickness tablets
History of severe hyperemesis in a previous pregnancy
Our clinical objective is to intervene early, halt the cycle of dehydration, and establish an effective, safe treatment regime tailored specifically to your body.
What Our Obstetrics Care Patients Say:
"Dr. Hillman is the best choice I could have made for the delivery of my baby and my care during and after pregnancy. She is attentive to detail, her surgical handiwork is stellar and her bedside manner is excellent. I felt very at home with her and the team."
— VERIFIED PATIENT
"Central Health London was a wonderful place to attend my antenatal appointments… I genuinely looked forward to my appointments, which speaks volumes about the supportive and reassuring atmosphere.”
— VERIFIED PATIENT
“Miss Sivarajah is a global leader in her field. This is her speciality, dealing with high risk pregnancies… Having this support from 12 weeks of my pregnancy was vital.”
— HIGH-RISK PREGNANCY PATIENT
Your Hyperemesis Care Journey
1. Initial Urgent Clinical Assessment
Your journey begins with a thorough evaluation by a hyperemesis specialist, including:
Comprehensive review of your symptoms, fluid intake, and previous medication history
Urine testing for ketones, electrolyte check, and weight monitoring
Ultrasound scan to confirm pregnancy viability, check for multiple pregnancy, and offer early reassurance
Formulation of an immediate, personalised treatment plan
2. In-Clinic Treatment & On-Site Infusions
Depending on your clinical needs, your tailored care plan may include:
Private IV fluid rehydration and electrolyte replacement in our comfortable, quiet clinic suite
Intravenous anti-emetic infusions and targeted iron infusions overseen by our midwifery team
Optimisation of pregnancy-safe oral medications, tailored to your exact symptoms
Outpatient administration of specialised steroid protocols for severe, refractory cases
3. Ongoing Monitoring & Long-Term Management
HG fluctuates throughout the first and second trimesters. Your team provides continuous oversight through:
Regular follow-up consultations to adjust medication dosages as your symptoms evolve
Direct contact with your care team for swift adjustments if nausea spikes
Ongoing maternal mental health support and nutritional guidance as you recover
4. Hospital Escalation & Obstetric Integration
If severe dehydration or intractable vomiting requires inpatient admission, your consultant coordinates direct transfer to The Portland Hospital or King's College Hospital (Guthrie Private Wing) for seamless private hospital care.
Clinical Interventions Provided at Our Clinic
Our clinic offers a full spectrum of evidence-based medical therapies for HG management:
Intravenous (IV) Fluid Rehydration: Saline and electrolyte infusions to correct acute dehydration and restore cellular function.
Intravenous & Oral Anti-Emetics: Prescribing and administering safe, effective anti-sickness treatments (including cyclizine, ondansetron, metoclopramide, and Xonvea).
On-Site Iron Infusions: Safe intravenous iron therapy for patients who develop anemia but cannot tolerate oral iron supplements due to nausea.
Steroid Therapy for Refractory HG: Specialist corticosteroid management (such as prednisolone) for persistent, severe hyperemesis that has not responded to traditional therapies.
Multidisciplinary Support: Integrated input from perinatal mental health specialists, dietitians, and lactation consultants as your pregnancy progresses.
A Higher Standard of Consultant-Led Care
When searching for a hyperemesis clinic in London, having access to consultant-led expertise ensures your care is handled with the highest degree of safety and compassion:
Immediate, Unhurried Appointments: Time to discuss your symptoms fully without feeling rushed or dismissed.
Comfortable Environment: Quiet, private clinical space designed to minimise sensory triggers like bright lights and loud noises that exacerbate nausea.
Evidence-Based Clinical Guidelines: Prescribing aligned with international RCOG guidelines on HG management.
Holistic Medical Supervision: Balancing maternal symptom relief with rigorous monitoring of fetal health and development.
Book an Appointment at Our Hyperemesis Clinic
If you are struggling with severe pregnancy sickness and looking for a hyperemesis specialist near you, early intervention can dramatically improve your hydration, comfort, and peace of mind.
Appointments and private IV infusion sessions are available at our Marylebone clinic with rapid access scheduling for urgent care needs.
Book your consultation or call our team today and receive compassionate, expert medical support when you need it most.
Hyperemesis Gravidarum (HG) Treatment FAQs
When should I see a hyperemesis gravidarum (HG) specialist?
You should seek specialist medical advice as soon as nausea and vomiting prevent you from keeping fluids down, if you notice dark urine and dizziness, or if you have lost weight. Early medical treatment prevents severe dehydration and reduces the need for emergency hospital admission.
Is private IV rehydration safe during early pregnancy?
Yes. Intravenous fluid rehydration and electrolyte replacement are extremely safe and effective treatments for severe pregnancy sickness. Infusions are administered in our comfortable clinic setting under the direct supervision of our consultant obstetricians and experienced midwives.
Are the anti-sickness medications used for hyperemesis safe for my baby?
Yes. The anti-emetic medications prescribed by our specialists (including Xonvea, cyclizine, and ondansetron) have extensive safety records in pregnancy. Your consultant will explain the clinical evidence and tailor a prescription plan that prioritises both your symptom relief and your baby's health.
What happens if on-site infusions and medications do not resolve my symptoms?
For severe or refractory cases that do not respond to standard anti-emetics, our maternal medicine specialists can initiate advanced treatment options, such as supervised oral steroid therapy. If inpatient monitoring becomes necessary, we arrange direct private admission to leading hospital maternity units.
Do I need a GP referral to visit your hyperemesis clinic in London?
No, a formal GP referral is not required. You can contact Central Health London directly to schedule a same-day or urgent consultation with a consultant obstetrician.
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