Hyperemesis Gravidarum Causes And Treatment

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Hyperemesis Gravidarum

Hyperemesis Gravidarum

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”.

Causes :

1- Hormonal changes of pregnancy: increase HCG hormone level.

2- Emotional factors, insecurity, and anxiety.

Clinical Manifestation:

– Begin with morning sickness and become increasingly severe.

– Frequent vomiting when mention, sight, or smell food.

– Loss of weight.

– Dehydration.

– Tachycardia.

– Thirst.

– Scanty concentrated urine.

– Jaundice caused by liver damage.

– Blindness caused by retinal hemorrhage.

– Convulsions.

Treatment:

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.

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