Morning sickness drove Claire to abort TWO babies... now
she’s trying to get pregnant again!
On the face of it Claire Barwell
looks like your typical school-run mum. She juggles her job as a customer
services adviser with caring for her two young children, Bethany, ten, and
Abbey, six.
But Claire is tortured by a controversial decision she made just three months
ago to abort her much wanted baby at eight weeks while in the grip of an
illness that pushed her to the brink of her health and sanity.
And, shockingly, it’s not the first termination she admits to: Claire aborted
another perfectly healthy baby four years ago.
So what on earth would possess a loving mother to keep ending the lives of her
healthy babies?
Extreme:
Claire Barwell was struck down by nausea causing her to abort her much wanted
baby
Claire is one of an estimated one
per cent of women who suffer from an extreme form of morning sickness known as
hyperemesis gravidarum (HG).
Last June, the devastating condition hit the headlines when 34-year-old
mother-of-one Cheryl Harrison, from East Yorkshire, told the Daily Mail of her
decision to abort her baby at nine weeks after vomiting up to 40 times a day.
Her story prompted an avalanche of responses from readers ranging from outrage
to sympathy, and today Cheryl admits not a day goes by when she doesn’t think
of her unborn child.
More...
It would be all too easy to sit in judgment of women such as Claire and Cheryl
and accuse them of being selfishly ill-equipped to deal with the rigours of
morning sickness. But they are far from unique cases.
This week, experts said there had been a rise in abortions among mothers denied
morning sickness drugs.
In a review of research on the condition, Professor Roger Gadsby, of the
University of Warwick, said doctors are failing to treat morning sickness
because of fears about birth defects — as happened with the anti-morning
sickness drug thalidomide prescribed in the Fifties — and this has contributed
to a three-fold rise in the number of women admitted to hospital with severe
nausea and vomiting in the past 20 years.
Similar
cases: Cheryl Harrison with husband James and daughter Scarlett also decided to
abort her baby after vomiting up to 40 times a day
Instead of prescribing medication
such as diclectin, which is used in Canada and the U.S., doctors here advocate
the use of natural remedies only.
But these can be ineffective, leading many women such as Claire to choose to
terminate their pregnancies rather than suffer.
For such is the acute anguish that extreme morning sickness provokes that it
reduces many ordinary women to drink castor oil to induce the birth, fantasise
about miscarriages, beg for abortions and, in its most extreme form, such as
Claire’s, undergo multiple terminations.
Claire believes she only made it through her earlier pregnancies, in 2000 and
2004, thanks to her parents.
‘During my first two pregnancies, terminating wasn’t an option,’ she says. ‘I
strongly disapproved of abortion and my family vowed we’d get through it
together.’
Sometimes she would end up on a drip in hospital three times a week.
Expert
warnings: Findings show that there had been a rise in abortions among mothers
denied morning sickness drugs
But when she became pregnant for a
third time in October 2006, she was terrified — not only of the sickness, but because
she knew her marriage was falling apart and, as a result, she would have to
endure the agony of the next nine months alone.
Just six weeks into her pregnancy, Claire was already unable to eat anything
and so weak from vomiting and retching that she was admitted to Kettering
General Hospital.
She was treated with anti-nausea drugs, given intravenous fluids to treat
dehydration and discharged after three days.
But at 11 weeks she was readmitted with the same symptoms. And at the 12-week
point she found herself unable to endure any more.
‘I begged for alternative treatment, but was told there was nothing beyond what
I’d been given, and that wasn’t working,’ she says.
Desperate, she told her estranged husband that she wanted to end the pregnancy.
‘He said it was my decision,’ she recalls. ‘He loved our girls, but as we had
already split, a pregnancy did complicate matters.’
Feelings among her friends and relatives were mixed.
‘My twin Suzanne was incredibly supportive, as were my friends; they’d witnessed
how ill I’d been,’ says Claire.
‘But my older sister expressed concern and shock. As far as she was concerned,
a life was a life and I should have toughed it out.’ Claire’s GP referred her
to an abortion counsellor, as is required by law.
‘I felt so dreadful that I just wanted to get it over and done with,’ she says.
‘I didn’t feel happy about it, but the decision was clear in my mind.’
A CURSE...OR THE SIGN OF A HEALTHY BABY?
While
hyperemesis gravidarum (HG) is an extreme and rare condition, many ordinary
women will experience the symptoms of morning sickness.
Contrary
to the name, it can occur at any time of the day and can make women feel
terrible throughout the early stages of their pregnancy. But there may be
benefits to it, too.
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.’
What’s
more, in 2009, researchers at the Hospital for Sick Children in Toronto said
morning sickness could be a sign that a baby is developing a high IQ.
Dr
Gideon Koren, who led the study, says: ‘It’s the hormones secreted by the
placenta that cause you to feel yucky. But, on the other hand, they probably
confer better conditions for the baby,’ he says. ‘Women suffer for it, but at
least it’s for a good cause.’
LUCY
ELKINS
In January 2007, Claire — still 12
weeks pregnant — underwent a termination under anaesthetic.
‘Afterwards I was crippled with guilt,’ she says. ‘I felt desperately low. It
was not something I was proud of at all.’
At the same time, however, she admits to feeling ‘a strange sense of relief’
because the sickness disappeared — almost instantaneously.
‘I couldn’t wait to get home and put that painful chapter of my life behind
me,’ she says. ‘The way I saw it was that I had to concentrate on being a
mother to my girls. It was a horrible, nasty mess, but one I was relieved to be
out of.’
Six months later, Claire met David, a 28-year-old chef. She talks of love at
first sight, of how kind and gentle he was with her girls — and how
understanding he was when she told him about her termination.
They moved in together and married in August 2008. David tentatively made it
clear he would like a child of his own despite his wife’s troubled past.
And Claire convinced herself that, with a different father, pregnancy might
actually be a pleasurable experience.
‘I did lots of research online this time,’ she says. ‘I found one report
suggesting that having a child with a different man may alter your chances of
getting HG again. I clung to this.’
In December 2010, full of hope, she discovered she was pregnant.
‘I was ecstatic and David was over the moon,’ she says.
But despite following online advice to take vitamin D and anti-nausea drugs
before the sickness started, it made no difference at all.
In fact, Claire later discovered HG can grow in severity with each successive
pregnancy.
Six weeks into the pregnancy, she awoke with a start. ‘My stomach was churning
and I realised the HG was back,’ she says.
Claire began to vomit up to 40 times a day, the stomach acid making her
oesophagus unbearably raw. She says she was often too weak even to lift her
head to be sick. ‘But I vowed to carry on with the pregnancy,’ she says. ‘I was
with a loving, supportive man. Whatever happened, I would get through it.’
Claire’s GP signed her off sick from work, but at home things rapidly worsened.
‘I couldn’t sleep, I couldn’t eat,’ she recalls. ‘My eyes were so sore I
couldn’t even have the lights on.
‘If I tried to get out of bed, I’d collapse on the floor. I was crippled
with terrible migraines. It was so bad I genuinely thought I was dying. My head
pounded, I couldn’t think straight, my hormones were raging. I wanted to curl
into a ball.’
David, she says, was nothing but supportive, although understandably disturbed
by what his wife was experiencing.
At seven and a half weeks, Claire was admitted to Good Hope Hospital in
Birmingham with extreme dehydration. ‘I hadn’t eaten for three days,’ she says.
‘A feeding tube was strapped to my nose to rehydrate me, but barely an hour
would pass without my throwing up again. The nurses were at a loss as to what
to do.
‘I was bed-bound, sick and drowning in misery. I remember thinking: "How
can I survive like this for another seven months?"
NATURAL CURES FOR MORNING SICKNESS
GINGER has long been a favourite to beat any form of nausea. A
review of seven trials of 862 pregnant women published in Obstetric and
Gynaecology in 2005 concluded that ginger may help alleviate morning sickness.
Natural
wonders: Bananas are also said to help with morning sickness
In one study, 27 women who were
hospitalised due to severe morning sickness took 250mg of dried ginger four
times daily for four days and felt better than those given a placebo.
‘You can try drinking ginger tea or eating crystallised ginger, but eating
ginger nut biscuits is unlikely to be enough,’ says Dr Bowen-Simpkins. ‘You
would need to eat around a kilogram of them to get enough ginger to do
anything.’
NIBBLE on something before you get out of bed. ‘Starchy foods, such as dry biscuits,
are good,’ says Dr Sarah Jarvis, a GP in London with a special interest
in women’s health. ‘Keep a supply of whatever you feel you can manage by your
bed. Many women find that just eating something helps stave off that feeling of
sickness.
’However, only eat little and often as big meals can increase nausea.'
ACUPRESSURE bands (such as Sea-Band, £8.15 for two, available from chemists and
supermarkets), which are worn round the wrist, are said to stimulate an
acupuncture point that sends messages to the brain to block the feeling of
nausea.
In a study in the Journal of Reproductive Medicine in 2001, researchers studied
60 women suffering from morning sickness.
They found those who wore wristbands to stimulate the specific acupuncture
point experienced around 60 per cent less nausea and vomiting than women who
were given a placebo band or none at all.
BANANAS are also said to help with morning sickness. They are a
source of vitamin B6, which has, in some studies, been found to help alleviate
the condition.
LUCY
ELKINS
‘I rang David in hysterics. I told him I wanted the baby, but couldn’t go on
like that.’
With hindsight, Claire says she wishes David had begged her to persevere. ‘He
was in a state of utter shock,’ says Claire. ‘He didn’t know how to help, and
he crumbled.’
And so she reached another haunting decision — one which she says was made out
of sheer desperation. ‘It sounds crazy, but I couldn’t see a baby inside me,
just a burning ball of pain and agony.
‘I wasn’t just physically ill, I was mentally destroyed, my brain so starved of
fluid nothing made sense any more. I felt like I was dying and a survival
instinct kicked in.’
Without discussing her decision with any of the hospital staff, Claire rang a
private clinic and booked a termination. She was eight weeks' pregnant when it
was done. Afterwards, once more, she felt crushing guilt.
‘Now that I was no longer ill, I was able to think rationally,’ she says. ‘I
remember thinking — and still think it today — what on earth had I done?
‘But unless you’re in that situation, you can’t appreciate how soul-destroying
it is to be that sick.’
Squeezing his wife’s hand, David adds: ‘I would love to be a dad, and I will
support my wife all the way. We both wish she hadn’t had the termination and
wish we’d carried on. I miss our baby a lot and will always wonder what could
have been.’
Which is why the couple have recently taken a bold — some would say reckless —
decision. They are going to try for a child again.
'I wasn’t just
physically ill, I was mentally destroyed, my brain so starved of fluid nothing
made sense any more'
‘This time, if I become pregnant, my
twin Suzanne has agreed I can stay with her, as only she really understands how
bad things can get,’ says Claire.
‘David is too weak and will crack because he can’t bear to see me suffering. He
may be tempted to give into to my pleas for an abortion if I am as ill as I was
last time.
‘But I will give Suzanne my mobile phone and tell her that under no
circumstances must she let me book a termination or leave the house — no matter
how bad things get.’
It’s a plan which doesn’t inspire much faith.
‘One wonders why she would go on trying to get pregnant?’ a spokesman for the
ProLife Alliance told the Mail.
‘This is a serious condition. Termination is not the answer. The problem here
lies in trying to cure the illness. The terminations must only be adding to her
trauma, not relieving it.’
Further research into HG is undoubtedly needed. Psychologist Dr Brian Swallow,
co-coordinator of the Pregnancy Sickness Support conference, says too many
doctors trivialise morning sickness.
‘Hyperemesis gravidarum can be far more serious than anyone realises,’ says Dr
Swallow, who is based at the University of Lincoln.
‘Women consistently say they feel quite alone because there is insufficient
help.
‘In some parts of the country, hospital staff are very sympathetic. But in
others, morning sickness is just seen as something women have to put up with.
We need a national protocol to offer counselling and support.’
In the meantime, Claire must hope she copes rather better with her next
pregnancy, if it comes.
She talks of being ‘desperate’ to carry a child again, and says it is ‘the only
thing that keeps me going’.
It’s impossible not to question the terrible toll her struggle is taking on her
— both physically and mentally — and wonder whether, in the end, she should
stop now before any more damage is done to her or an unborn child.