Document Detail

Understanding hyperemesis gravidarum.
MedLine Citation:
PMID:  16379204     Owner:  NLM     Status:  MEDLINE    
Nausea and vomiting are common in early pregnancy affecting 70-80 percent of pregnant mothers. In a majority of women vomiting begins between 4-7 weeks of pregnancy. Nausea and vomiting are usually mild and self-limiting, however some of the mothers have a more profound course which lead to hyperemesis gravidarum. Careful clinical evaluation is necessary to exclude underlying medical illnesses or non pregnancy related causes of severe vomiting. Hyperemesis gravidarum poses health risk to both mother and baby, therefore prompt treatment should be initiated without delay. Non pharmacotherapy such as dietary modification and emotional support are useful. Pharmacotherapy with antiemetics, pyridoxine, methylprednisolone are effective and relatively safe. Severe hyperemesis with dehydration and electrolyte imbalance may need hospitalisation for electrolyte and fluid replacement.
K Y Loh; N Sivalingam
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Medical journal of Malaysia     Volume:  60     ISSN:  0300-5283     ISO Abbreviation:  Med. J. Malaysia     Publication Date:  2005 Aug 
Date Detail:
Created Date:  2005-12-28     Completed Date:  2006-01-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0361547     Medline TA:  Med J Malaysia     Country:  Malaysia    
Other Details:
Languages:  eng     Pagination:  394-9; quiz 400     Citation Subset:  IM    
Department of Family Medicine, International Medical University Malaysia, Seremban, Negeri Sembilan, Malaysia.
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MeSH Terms
Diagnosis, Differential
Hyperemesis Gravidarum* / diagnosis,  physiopathology,  therapy
Pregnancy Trimester, First

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