'Lack of understanding' For many, it disappears within the first four months - though symptoms are not confined to the morning hours as its commonly used name suggests. In its first guidance on the issue, the RCOG says treatment can vary around the UK and there is an occasional lack of understanding of the condition's severity. Its guidelines weigh up the evidence for a range of treatments - including complementary therapies - and set out specific options depending on how severe the condition is. Anti-sickness drugs can help in the many cases, it says. And some women may need day visits to hospitals or longer admissions for fluids and medication. Ginger biscuits Meanwhile, for women with mild or moderate symptoms who do not want to use drugs, acupressure (wearing a special bracelet that applies pressure) may help. The guidance also mentions studies showing that ginger can provide some relief - including one study using ginger biscuits. But NHS Choices warns that as ginger products are not licensed for medical use in the UK, supplements should be bought only from reputable sources. And anyone still experiencing problems should seek medical advice. Meanwhile, the RCOG says hypnosis is not recommended as there is not enough evidence to establish whether it is effective. For women with more difficult symptoms, including a very severe form, known as hyperemesis gravidarum (HG), specialist treatment, including hospital admission and mental health support, should be offered, it suggests. Caitlin Dean, who chairs the Pregnancy Sickness Support charity and had HG in three pregnancies, said: "On top of the nausea and vomiting (this could be up to 30 times a day), I had a pounding headache, incredibly heightened sense of smell and excessive saliva. "My days would be spent lying in bed with a quiet audio-book as I couldn't read or watch TV because it all made me sick. "I soon became very dehydrated and was admitted to hospital at eight weeks pregnant. "I was housebound for most of the pregnancy, which made me feel incredibly lonely." Dr Manjeet Shehmar, lead author of the guidelines, said many women with persistent symptoms were not receiving the treatment they needed. "Women with persistent nausea can often feel that there is a lack of understanding of their condition," she said. "They may be unable to eat healthily, have to take time off work and feel a sense of grief or loss for what they perceive to be a normal pregnancy. "It is therefore vital that women with this condition are given the right information and support and are made aware of the therapeutic and alternative therapies available to help them cope."
Donald Trump moderated his tone even as he doubled down on the substance of his attacks
on Hillary Clinton, accusing the former Secretary of State of outright
corruption, suggesting she could be blackmailed as president and quoting a supporter who said she should go to prison.
corruption, suggesting she could be blackmailed as president and quoting a supporter who said she should go to prison.
In
a speech at the Trump Soho in New York, the presumptive Republican
nominee attacked Clinton’s record on foreign policy and trade, arguing
that her decisions were made on self-interest and unduly influenced by
foreign governments.
“She
ran the State Department like her own personal hedge fund–doing favors
for oppressive regimes, and many others, in exchange for cash,” he said.
Later, he added, “She gets rich making you poor.”
That portion of Trump’s speech leaned heavily on a 2015 book by Peter Schweizer, “Clinton Cash,”
which asserts that foreign governments that made payments to the
Clinton Foundation and hired former President Bill Clinton to give
speeches received favorable treatment from the State Department under
Hillary Clinton in exchange.
The book and a related documentary
have raised uncomfortable questions about the donations, though both
rely on some leaps of logic in making their case that Clinton’s
decisions were based on them.
Standing
before a lectern in a room with six glittering chandeliers, Trump read
the speech off a teleprompter while his campaign made the text available
shortly after it began, a recent trend as he has focused more on the
general election.
But while his delivery was more restrained, his attacks were as barbed as ever.
“Her
campaign slogan is ‘I’m with her.’ You know what my response to that
is? I’m with you: the American people,” Trump said. “She thinks it’s all
about her.”
One
of Trump’s main lines of attack was on Clinton’s position on the Trans
Pacific Partnership, the massive trade deal that would link the U.S. and
11 Pacific Rim nations. “If she becomes president she will adopt the
Trans Pacific Partnership,” Trump argued.
Clinton,
who helped negotiate parts of the TPP during her tenure as secretary of
State, has worked to distance herself from the deal since October and
has said that she would not support it. President Obama signed the TPP
in February and Congress is expected to ratify it before he leaves
office early next year.
The
trade deal is poised to become a contentious issue in this election
cycle, as it pits establishment Republicans and centrist Democrats, who
largely support the deal, against the populist wings of both parties.
Trump
also criticized Clinton’s foreign policy decisions, bringing up the
invasion of Libya and saying the rise of terrorist groups can be traced
to her decisions. “In just four years, Secretary Clinton managed to
almost single-handedly destabilize the entire Middle East,” he said.
“ISIS threatens us today because of the decisions Hillary Clinton has made,” he continued.
While
bashing Clinton on specific economic and foreign policies, Trump also
painted her as a shady leader with a dangerous temperament.
“Hillary
Clinton may be the most corrupt person ever to seek the presidency,”
Trump said. He read a letter he said his campaign received from a woman
whose son was killed by an undocumented immigrant, in which the writer
said that Clinton “needs to go to prison to pay for the crimes she has
already committed against this country.”
He
also argued that Clinton’s private email server may have been
hacked—”perhaps even by her financial backers in Communist China”—who he
argued “probably now have a blackmail file over someone who wants to be
President of the United States.”
0 comments: