Hyperemesis gravidarum (severe vomiting in pregnancy)

Description

Severe nausea and vomiting during pregnancy which most often occur during the first trimester. It can cause dehydration and drastic changes in body chemistry, which may be dangerous to the mother and baby. The exact cause is unknown but risk factors include: first pregnancy, hyperemesis gravidarum during previous pregnancies, multiple pregnancy (such as twins or triplets), and overweight. The disorder occurs in about 0.5 to 2% of all pregnancies.

Symptoms

Vomiting, nausea, excessive tiredness, loss of weight, decreased urination, confusion,dizziness, loss of consciousness.

Overview

Anamnesis wil be taken and medical examination will be done. Analysis of blood and urine may be done to measure the level of dehydration, electrolyte abnormalities and to exclude infection or other causes that lead to the symptoms.

Tests

Comprehensive metabolic panel (CMP) and urinalysis (UA).

Specialists

Gynecology

Therapy

Treatment includes: oral or intravenous fluids and anti-nausea medicines. Taking frequent and small meals and vitamine B6 (up to 100mg per day) can help. This condition usually improves on its own on during the time.