Hyperemesis Gravidarum Causes And Treatment
Hyperemesis Gravidarum: exaggerated nausea and vomiting during pregnancy, persisting past the 1st trimester.
About 75% of all women experience a mild form of nausea in early pregnancy called morning sickness usually disappear by about 12th week, however vomiting persist causing serious dehydration and starvation such as a condition is called hyperemesis gravidarum which mean “excessive vomiting of pregnancy”.
1- Hormonal changes of pregnancy: increase HCG hormone level.
2- Emotional factors, insecurity, and anxiety.
– Begin with morning sickness and become increasingly severe.
– Frequent vomiting when mention, sight, or smell food.
– Loss of weight.
– Scanty concentrated urine.
– Jaundice caused by liver damage.
– Blindness caused by retinal hemorrhage.
Treatment should begin before damage occurs.
Maintaining fluid and electrolyte balance:
1- If vomiting is severing the women is hospitalized and oral intake is restricted for 24-28 hours, I.V fluids are administrated.
2- Oral liquid intake is resumed slowly, usually high in carbohydrate of the type preferred by the women.
3- Vitamins B complex to combat nausea.
4- Sedative and antiemetic as prescribed.
Improve Nutritional Status:
1- Offer small and frequent meals, high in carbohydrates.
2- Avoid strong food odors.
3- Avoid greasy foods.
4- Give vitamin supplementation as prescribed.
Developing Coping Abilities:
1- Have the women discuss her perception of the problem.
2- Discuss a possible resolution to the problem identified.
3- Hospitalization usually removes the women from pressure.
4- Restriction of visitors usually relieves stress.