So I am currently 14 weeks pregnant with non identical twins. Back story: I had 2 weeks off after Feb HT, signed off by Doctor due to some bleeding that had to be investigated. I went back to work for a week on a reduced timetable after my Doctor gave me a note for amended duties, but then the morning sickness got worse and I had to be signed off completely for 2 weeks. My Doctor wont call it HG because I am still able to eat and drink, but the sickness and nausea has been debilitating. I have been in and out or hospital and have had many scans. We have just had Easter holidays. We actually went away on our honeymoon despite me feeling ill and we had to get an emergency flight home because I was bleeding heavily. We thought the worst but discovered that the babies are fine, though they don't know the cause of the bleeding. My dilemma revolves around my return to work. I am still suffering from the morning sickness though it is more manageable. The fatigue is a big problem. I have been having 2 to 3, hour long naps per day to help me cope. The mystery bleeding is also a huge concern. I don't want to keep using sick leave to get through term time, I want to work. BUT, what are reasonable amendments to request from my head teacher? I teach 41 a cycle with 3 five period days, two of which are back to back. I don't usually get chance to eat or sit down on those days, despite being well planned. The idea of not being able to relax when I really need to, go to the loo and eat to keep my blood sugar up is making me anxious. I'm a science teacher so I'm not even supposed to eat or drink in my work space. When they amended my duties last time they simply took my morning classes away and gave them to a cover teacher meaning I still had to plan, print and mark everything. I don't know what I am allowed to ask for when I ask for the amendments or whether I will have no say? In all honesty I feel that if I had a VERY limited timetable and did mostly intervention and admin type tasks I might be ok, but I suspect they will not like this suggestion. Also, do I need to get a note or can I just ask for a risk assessment? If I ask for the amendments on a doctors note will it effect my pay? I also need the changes to be pretty permanent as I will only get bigger and more uncomfortable. I will be equivalent sized to a full term pregnancy when I am 26 weeks which will be before the end of term. When I mentioned this to my HoD last time he just said "After the first trimester you will feel better"... I honestly don't think they understand the complications involved with a twin pregnancy. I have a daughter and this is nothing like my pregnancy with her. I also know that there is lots of room in the department timetable as four teachers are under timetabled by 6 lessons per cycle. Thank you in advance for the advice.