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hyperemesis gravidarum
Pregnant Kate Middleton will no longer visit Malta this weekend on the advice of doctors, Kensington Palace has said.
The Duchess of Cambridge – who is pregnant with her second child and has been suffering from acute morning sickness – had been due to undertake her first official solo overseas visit.
Prince William will instead take the place of his wife, Kensington Palace has said.
“The decision not to travel was taken by the duke and duchess on the advice of the duchess’s doctors,” it added.
The royal couple made their decision on Wednesday night.
Kensington Palace said Kate Middleton “continues to suffer from the effects of Hyperemesis Gravidarum”, a sickness condition that can require supplementary hydration, medication and nutrients.
Pregnant Kate Middleton will no longer visit Malta this weekend on the advice of doctors
The trip would have seen the duchess mark the 50th anniversary of Malta’s independence.
In her place, Prince William will visit the national library to see letters from past British monarchs Henry VIII and George II, take part in Independence Day celebrations and a complete a number of walkabouts.
“The duke is honored to represent Her Majesty the Queen on the visit, which commemorates the 50th anniversary of Malta’s independence.
“The visit itinerary remains unchanged,” the palace added in the statement.
Prince William and Kate Middleton had been forced to announce their second pregnancy earlier this month before the duchess passed the significant 12-week milestone.
The announcement was made because she had been suffering from acute sickness – as she had with her first child Prince George, who was born in July 2013.
Hyperemesis Gravidarum affects 3.5 per 1,000 pregnancies, causes severe vomiting and can lead to dehydration, weight loss and a build-up of toxins in the blood or urine, called ketosis.
Kate Middleton has been receiving treatment from doctors at Kensington Palace.
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Prince William and Kate Middleton’s baby is due in July, St James’s Palace announced today.
Kate Middleton’s condition is also continuing to improve following her stay in hospital last month for severe pregnancy-related sickness, a spokesman for the couple said.
The 31-year-old Duchess is believed to be around 13 to 14 weeks pregnant and confirmation of the birth month means it is likely she has now had her 12-week scan.
“Their Royal Highnesses the Duke and Duchess of Cambridge are delighted to confirm they are expecting a baby in July,” a St James’s Palace spokesman said.
“The Duchess’s condition continues to improve since her stay in hospital last month.”
The announcement was made at 11 a.m. today by St James’s Palace, the traditional time of day for royal announcements.
Prince William and Kate Middleton’s baby is due in July
The update is also further confirmation that Kate Middleton is expecting just one baby – after speculation that she might be carrying twins.
The Duchess was less than 8 weeks pregnant and staying with her parents, Michael and Carole Middleton, at their $7.5 million country mansion in Berkshire when she fell ill at the beginning of December.
As her condition worsened and she began to become severely dehydrated, the decision was made to admit her to the King Edward VII Hospital in Marylebone, central London, for treatment on December 3.
Doctors diagnosed her with hyperemesis gravidarum, an acute form of pregnancy-related sickness.
Later that day the palace reluctantly announced details of her pregnancy, stressing that she was well under the crucial 12-week stage at which such pronouncements are normally made.
A spokesman also confirmed that, contrary to speculation, it was not a multiple pregnancy.
They declined to say whether the couple planned to find out the sex of the baby, although members of the royal family normally do not.
2Day FM, the Australian radio station whose DJs made a hoax call to nurse Jacintha Saldanha who was later found dead, is to give at least 500,000 AUD to a fund for her family.
Sydney broadcaster 2Day FM said it would donate the money from its advertising profits.
Jacintha Saldanha transferred the call to a colleague who gave information about Kate Middleton, who was a patient at the London hospital.
Her post-mortem examination is to take place later.
Jacintha Saldanha answered the Australian presenters’ call in the early hours of the morning on December 4th and, believing they were members of the Royal Family, put them through to another nurse, who gave an update on the duchess’s condition in detail.
Kate Middleton was being treated in the King Edward VII’s Hospital for hyperemesis gravidarum, an extreme form of morning sickness.
Jacintha Saldanha, 46, was pronounced dead on Friday morning at staff accommodation close to the hospital. An inquest into her apparent suicide is due to be opened in the next few days.
The company which owns the station, Southern Cross Austereo, said all profits from advertising on 2Day FM for the rest of the year would be donated to an appropriate memorial fund that would directly benefit the family, with at least 500,000 Australian dollars being donated.
Rhys Holleran, SCA’s chief executive, said: “We are very sorry for what has happened. It is a terrible tragedy and our thoughts continue to be with the family.
“We hope that by contributing to a memorial fund we can help to provide the Saldanha family with the support they need at this very difficult time.”
It also cancelled its Christmas party, saying it would be “inappropriate” to go ahead.
2Day FM, the Australian radio station whose DJs made a hoax call to nurse Jacintha Saldanha who was later found dead, is to give at least 500,000 AUD to a fund for her family
Lord Glenarthur, chairman of King Edward VII’s Hospital, welcomed the media company’s decision and said it could contribute to the hospital’s own memorial fund.
He added that it had received many donations from around the world.
Jacintha Saldanha’s family made a private visit to King Edward VII’s Hospital in London, where she worked, on Monday.
MP Keith Vaz, who met Jacintha Saldanha’s family in Parliament on Monday night, said they had been left “devastated” by the loss of “a loving mother and a loving wife”.
Flanked by Jacintha Saldanha’s husband Benedict Barboza and her two teenage children, Keith Vaz said: “They just want me to say that they are extremely grateful to the public here in the United Kingdom and throughout the world who have sent them messages of condolences and support following the death of Jacintha.
“This is a close family. They are devastated by what has happened. They miss her every moment of every day, but they are really grateful to the support of the British public and to the public overseas for the messages of support and kindness.”
Keith Vaz had earlier criticized the hospital for not giving the family more support.
He said: “The hospital has sent them a letter, which I have seen, but I’m surprised that nobody has made the journey to Bristol to sit with them and offer them the counselling that I think they need.”
In response, the hospital said its chief executive, John Lofthouse, had spoken to Benedict Barboza on Friday by phone and offered to meet him whenever he wanted.
The hospital has launched a memorial fund to support the nurse’s family and a private memorial service will be held later this week.
In the hoax call, the presenters, Michael Christian and Mel Greig, had pretended to be Prince Charles and the Queen asking about the duchess in hospital.
They said in a tearful interview with Australian television broadcast on Monday that they were “gutted and heartbroken” Jacintha Saldanha’s death.
Christian said: “It was something that was just fun and light-hearted and a tragic turn of events no-one could have predicted or expected.
“We are shattered, heartbroken and our deepest sympathy goes to the family, friends and all those people affected. Mel and myself are incredibly sorry for the situation and what’s happened.”
Meanwhile, Kate Middleton has cancelled an appearance at the premiere of the Hobbit on Wednesday. Her office says she will continue to “rest privately” at home. Prince William is due to attend.
Kate Middleton was being treated in the hospital for hyperemesis gravidarum, an extreme form of morning sickness.
Kate Middleton is being treated in hospital for a very severe form of morning sickness called hyperemesis gravidarum.
Hyperemesis gravidarum (HG) is a rare condition believed to affect up to 2% of women in pregnancy and is a severe form of morning sickness.
It tends to be more common in young mothers, women who are in their first pregnancy, and those with multiple pregnancies.
Women with HG often lose weight – usually over 10% of their body weight – and feel tired and dizzy.
They may also find they are passing water less often than usual, and the main risk is dehydration which can lead to headache, palpitations and confusion.
There is also a risk of nutritional deficiencies.
Then symptoms are severe, admission to hospital may be needed for observation and to treat dehydration with intravenous fluids.
This usually only means a few days in hospital.
Kate Middleton is being treated in hospital for a very severe form of morning sickness called hyperemesis gravidarum
Unlike most morning sickness, HG usually persists past the first trimester of pregnancy, and typically subsides by week 21 of pregnancy – although it can last much longer.
However, leading doctors say that along with more ordinary morning sickness, it is a sign the pregnancy is progressing.
Dr. Peter Bowen-Simpkins, consultant obstetrician and medical director of the London Women’s Clinic, says: “It is almost always a positive sign that the pregnancy is progressing well.
“The sickness is thought to be due to a rise in hormone levels. It normally occurs during weeks six and eight of pregnancy, when the placenta takes over production of hormones from the ovaries.
“It generally continues until around 12 or 14 weeks, but if it stops before, it can – although not always – be a sign that all is not well.”
Prince William spent hours at Kate Middleton’s bedside this evening after driving her to hospital with acute morning sickness.
Duchess of Cambridge, 30, is suffering from hyperemesis gravidarum – a rare and debilitating condition that hits women in the earliest stages of pregnancy, causing severe vomiting.
Prince William drove Kate Middleton to hospital as she began to feel very unwell over the weekend at her parents’ home in Bucklebury, Berkshire.
He was later seen leaving the hospital at around 8:25 p.m. before getting into a waiting Land Rover Discovery.
Kate wife has been given a drip to restore her nutrient levels and fluids and will be kept in for a few days as a precautionary measure, royal sources said.
The Royal couple are said to be “delighted” about the pregnancy, but appear to have been forced to announce it early because she was rushed to the King Edward VII Hospital in central London.
“The condition – although unpleasant -poses no harm to mother and baby as long as it is treated, as your baby will take the nutrients it needs from your body – it’s the mum that suffers more,” Jules Robertson, a midwife for the baby charity Tommy’s said.
Senior Royal sources say there was no way they would have announced the pregnancy at this stage had she not fallen ill.
They are happy but are very nervous because it is so early in the pregnancy, the source added.
Kate Middleton’s slim figure is not a reason why she has become poorly.
But it can be a hereditary condition, meaning it is fairly likely that a close relative like her mother or grandmother could have suffered from the illness and she may get it again in future.
Professor Tim Draycott, of the Royal College of Obstetricians and Gynaecologists, said: “It definitely does seem to run in families, and in consecutive pregnancies. It is possible someone in her family has suffered with it in the past.
“We know it’s not a psychological illness – it is not a sign of mental weakness.
“It does seem to be slightly more common in women expecting twins.
“It affects one per cent of women. That rises to two to three per of women expecting twins.
“She’s clearly very slim, but it affects women bigger than her and smaller than her.
“It is a bit like feeling permanently hungover every single day and never getting better.
“The symptoms would suggest she is less than 12 weeks pregnant.”
Kate Middleton is suffering from hyperemesis gravidarum, a rare and debilitating condition that hits women in the earliest stages of pregnancy, causing severe vomiting
The condition, which could mean that Kate Middleton cannot eat or drink anything without being ill, usually occurs in the first 6 to 8 weeks of pregnancy and can last for up to two months.
In the most serious cases symptoms can persist for the length of the pregnancy and can be life-threatening for mother and baby if not treated early as the woman may vomit up to 30 times a day.
Symptoms also include severe nausea, low blood pressure and fast heart rate, headaches, lethargy or confusion.
Kate Middleton’s involvement in Royal engagements may now be limited as a result.
“If it is not treated properly it can lead to severe side effects and problems for mother and baby,” Dr. Lucy MacKillop, obstetric physician at the Oxford University Hospitals trust.
“The danger for mother is greater if not treated. There have been reported cases of liver failure, ruptured tissue and cells from so much vomiting and neurological problems.
“It is to do with the pregnancy hormone, and there is more pregnancy hormone in mothers expecting twins.”
Spelling out the treatment Kate Middleton is likely to be getting Dr. Lucy MacKillop added: “We would give the mother medication which will be safe for both her and baby, and which will allow her to stop vomiting.
“Initially she will be on a drip so we can replace fluids and nutrients and then we can start to give her tablets, which she can take home with her and continue there.
“There is no special diet, but she needs to ensure she is eating little and often.
“We would not expect her to be putting on weight, but the important thing is that she maintains her weight.
“Women with this condition can lose five per cent of their body weight, so she will need to have weekly weight measurements.
“The most important thing is to get mother to stop being sick and get home.”
The condition is thought to be caused by elevated levels of the “pregnancy hormone” hCG. The body begins to produce human chorionic gonadotrophin (hCG) after conception.
Mothers who have also suffered from hyperemesis gravidarum said that Kate Middleton will be having a tough time.
Caitlin Dean suffered from the condition and said: “Imagine having a stomach bug that lasts for days and days, months and months – it is just relentless.
“Any movement, any sound, any smell just makes you vomit.
“I vomited 20 to 30 times a day for the first few months, in the latter part it was just once or twice a day but it’s still unpleasant.
“One of the big issues with it is isolation because is causes many women to be bed-bound. There is a real lack of understanding about the condition.”
But despite being a debilitating illness, it is not usually dangerous, and is often a sign that the pregnancy is going to plan, experts say.
Dr. Peter Bowen-Simpkins, consultant obstetrician and medical director of the London Women’s Clinic, has said: “It is almost always a positive sign that the pregnancy is progressing well.
“The sickness is thought to be due to a rise in hormone levels. It normally occurs during weeks six and eight of pregnancy, when the placenta takes over production of hormones from the ovaries.
“It generally continues until around 12 or 14 weeks, but if it stops before, it can – although not always – be a sign that all is not well.”
Jules Robertson, a midwife for the baby charity Tommy’s, said: “If pregnant women are vomiting several times during the day and unable to keep food or drink down, then they will need to be treated to help them cope with the symptoms, and stay nourished and hydrated.
“We advise that anyone experiencing this should see their GP or midwife to be checked. It is more common in early pregnancy, and by around 14-16 weeks, the sickness should have gone – most of the time it is resolved by 20 weeks, and very occasionally it can continue throughout pregnancy.”
Kate Middleton and Prince William’s baby will be born third in line to the throne. The Queen, Prince Philip and other members of the royal family are also “delighted”.
British Prime Minister David Cameron said on Twitter: “I’m delighted by the news that the Duke and Duchess of Cambridge are expecting a baby.”
In a statement on the couple’s website, they said: “Their Royal Highnesses The Duke and Duchess of Cambridge are very pleased to announce that The Duchess of Cambridge is expecting a baby.
“The Duchess was admitted this afternoon to King Edward VII Hospital in Central London with Hyperemesis Gravidarum.
“As the pregnancy is in its very early stages, Her Royal Highness is expected to stay in hospital for several days and will require a period of rest thereafter.”
