Severe Pregnancy Nausea Tracker & Doctor Visit Advocacy Sheet | Fillable and Printable PDF

Because your suffering deserves to be documented, believed, and treated.

This printable Violet Sheet package is designed to help pregnant women advocate for themselves when severe nausea and vomiting are dismissed as “normal morning sickness.” Hyperemesis gravidarum is a serious pregnancy complication that can cause dangerous dehydration, significant weight loss, and hospitalization.

In appointments where symptoms can feel hard to put into words, this guided tool helps you clearly describe what you’re experiencing, request appropriate treatment, and escalate care when needed.

Built using the Rooted in Violet ROOT Framework, this resource is especially designed to support Black women and women of color navigating prenatal care environments where their symptoms may not always be taken seriously.

Inside this printable toolkit:

✔ symptom checklist and severity tracker

✔ trigger and timeline documentation section

✔ daily life impact worksheet

✔ provider needs checklist

✔ post-visit documentation for care plan and follow-up

✔ real-time advocacy script for appointments

✔ printable PDF instant download

Perfect for:

pregnant women experiencing severe or persistent nausea

women concerned their symptoms are being minimized

Black women advocating for equitable prenatal care

birth partners and support persons

anyone wanting structured language for a high-stress prenatal visit

What this toolkit helps with This package helps you:

recognize when hyperemesis symptoms go beyond typical morning sickness

clearly describe severity and daily-life impact

request IV fluids, medication, or hospitalization when appropriate

document a timeline your provider can act on

advocate for culturally competent, respectful treatment

Created by Rooted in Violet & Co., this Violet Sheet is designed to support women in speaking up confidently during a physically exhausting and often dismissed pregnancy complication.

Format Printable PDF · Instant digital download · Guided advocacy sheet + script

Important Disclaimer This resource is for educational and self-advocacy purposes only and is not medical advice. If you are severely dehydrated or unable to keep fluids down, seek medical care immediately.

Refund Policy Due to the digital nature of this product, all sales are final and non-refundable. Please read the full description before purchasing. If you have trouble accessing your file, contact us within 7 days so we can help resolve the issue.