Hyperemesis gravidarum (HG) is a pregnancy complication that is characterized by severe .. Hyperemesis gravidarum is from the Greek hyper-, meaning excessive, and emesis, meaning vomiting, and the Latin gravidarum, the feminine. Download Citation on ResearchGate | On Mar 1, , N. González-Alonso and others published Emesis e hiperemesis gravídica }. Download Citation on ResearchGate | On Dec 31, , J. Lombardía Prieto and others published Emesis e hiperemesis gravídica }.

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The exact causes of hyperemesis gravidarum are unknown. Hyperemesis gravidarum tends to occur in the first trimester of pregnancy [12] and lasts significantly longer than morning sickness.

Decreased gut mobility Elevated liver enzymes Decreased lower esophageal sphincter pressure Increased levels of sex steroids in hepatic portal system [21].

Steroid gravidkca in the treatment of intractable hyperemesis gravidarum”.

Hyperemesis gravidarum

Archived from the original on 30 November Acute fatty liver of pregnancy Gestational diabetes Hepatitis E Hyperemesis gravidarum Intrahepatic cholestasis of pregnancy. Home care is available in the form of a peripherally-inserted central catheter PICC line for hydration and nutrition. Archived from the original on 27 January Retrieved 6 December Journal of Obstetrics and Gynaecology. A small percentage rarely vomit, but the nausea still causes most if not all of the same issues that hyperemesis with vomiting does.

BMJ Clinical research ed.

Depression and post-traumatic stress disorder [36] are common secondary complications of HG and emotional support can be beneficial. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy.


Archived from the original on 10 December Hyperemesis gravidarum is from the Greek hyper-meaning excessive, emessis emesismeaning vomitingand the Latin gravidarumthe feminine genitive plural form of an adjective, here used as a noun, meaning “pregnant [woman]”.

Intravenous IV hydration often includes supplementation of electrolytes as persistent vomiting frequently leads to a deficiency. Retrieved from ” https: Possible pathophysiological processes involved are summarized in the following table: If oral nutrition is insufficient, intravenous nutritional support may be needed.

Retrieved 5 December International Journal gravjdica Gynaecology and Obstetrics. Hyperemesis gravidarum HG is a pregnancy complication that is characterized by severe nauseavomitingweight lossand possibly dehydration. Excessive salivation, also known as sialorrhea gravidarumis another symptom experienced by some women.

She died in while four months pregnant, having been afflicted by intractable nausea and vomiting throughout her pregnancy, and was unable to tolerate food or even water. In e,esis, electrolyte levels should be monitored and supplemented; of particular concern are sodium and potassium. Ferri’s clinical advisor 5 books in 1 1st ed. Patients might receive parenteral nutrition gravidlca feeding via a PICC line or enteral nutrition via a nasogastric tube or a nasojejunal tube.

European Journal of Internal Medicine. After rehydration, treatment focuses on managing symptoms to allow normal intake of food. Archived from the original on Based on symptoms [3].

This page was last edited on 6 Decemberat Views Read Edit View history.

Retrieved 23 January While vomiting in pregnancy has been described as early as 2, BC, the first clear medical description of hyperemesis gravidarum was in by Antoine Dubois. Thalidomide was prescribed for treatment of HG in Europe until it was recognized that thalidomide is teratogenic and is a cause of phocomelia in neonates.


Current Opinion in Obstetrics and Gynecology. Drinking fluids, bland diet, intravenous fluids [2]. After IV rehydration is completed, ekesis typically begin to tolerate frequent small liquid or bland meals.

National Institutes of Health. Pathology of pregnancychildbirth and the puerperium O— If HG is inadequately treated, anemia[11] hyponatremia[11] Wernicke’s encephalopathy[11] kidney failurecentral pontine myelinolysiscoagulopathyatrophyMallory-Weiss tears[11] hypoglycemiajaundicemalnutritionpneumomediastinumrhabdomyolysisdeconditioningdeep vein thrombosispulmonary embolismsplenic avulsion, or gravidia of cerebral arteries are possible consequences.

Urinary tract infection Hepatitis Meningitis Gastroenteritis. Thyrotoxicosis common in Asian subcontinent [5] Addison’s disease Diabetic ketoacidosis Hyperparathyroidism.

Emesis e hiperemesis gravídica by ARMANDO MORENO SANTILLAN on Prezi

Common investigations include blood urea nitrogen BUN and electrolytes, liver function testsurinalysis[24] and thyroid function tests. Handbook of home nutrition support. Handbook of early pregnancy care. Hematological investigations include hematocrit smesis, which are usually raised in HG. Treatment includes drinking fluids and a bland diet. Pyridoxinemetoclopramide [5].

Amniotic fluid embolism Cephalopelvic disproportion Dystocia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine inversion Uterine rupture Vasa praevia. Nausea and vomiting such that weight loss and dehydration occur [1].