Hyperemesis Gravidarum Quiz
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Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
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Learn more about Hyperemesis gravidarum
Content updated on Oct 10, 2023
What is hyperemesis gravidarum?
A severe form of morning sickness, where patients have significant vomiting and are typically unable to keep much food or fluids down. They can lose weight and become very dehydrated. The exact cause is unclear, but it's thought to be related to levels of pregnancy hormones (β-hCG and estrogen). Early treatment of morning sickness can help prevent progression to this severe form. There is typically no harm to the developing baby from this condition, but it is important to maintain normal hydration and weight in the mom.
Symptoms of hyperemesis gravidarum
Nausea or vomiting
Currently pregnant
Fatigue
Loss of appetite
Decrease in urine volume
Recent weight loss
Abnormalities in sense of taste
Questions your doctor may ask to check for hyperemesis gravidarum
Your doctor may ask these questions to diagnose hyperemesis gravidarum
Do you have nausea or vomiting?
Are you currently pregnant?
Do you feel fatigued?
Do you have less or no appetite, therefore eat less food?
Are you passing less urine?
Treatment for hyperemesis gravidarum
Treatment depends on the severity of the condition. Some severely dehydrated patients may need hospitalization and fluids given through a needle in the vein (IV fluids). Medications can be given to reduce the nausea and vomiting, and help with tolerance of oral food and fluids. Many patients will have improvement in symptoms as the pregnancy advances into the second and third trimester.
View the symptoms of Hyperemesis gravidarum
Diseases related to Hyperemesis gravidarum
References
London V, Grube S, Sherer DM, Abulafia O. Hyperemesis Gravidarum: A Review of Recent Literature. Pharmacology. 2017;100(3-4):161-171. doi: 10.1159/000477853. Epub 2017 Jun 23. PMID: 28641304.
https://www.karger.com/Article/FullText/477853
Abramowitz A, Miller ES, Wisner KL. Treatment options for hyperemesis gravidarum. Arch Womens Ment Health. 2017 Jun;20(3):363-372. doi: 10.1007/s00737-016-0707-4. Epub 2017 Jan 9. PMID: 28070660; PMCID: PMC7037589.
https://link.springer.com/article/10.1007/s00737-016-0707-4
Austin K, Wilson K, Saha S. Hyperemesis Gravidarum. Nutr Clin Pract. 2019 Apr;34(2):226-241. doi: 10.1002/ncp.10205. Epub 2018 Oct 18. PMID: 30334272.
https://onlinelibrary.wiley.com/doi/10.1002/ncp.10205
Dean CR, Shemar M, Ostrowski GAU, Painter RC. Management of severe pregnancy sickness and hyperemesis gravidarum. BMJ. 2018 Nov 30;363:k5000. doi: 10.1136/bmj.k5000. PMID: 30504245.
https://www.bmj.com/content/363/bmj.k5000
ACOG Practice Bulletin
https://www.acog.org/clinical/clinical-guidance/practice-bulletin/articles/2018/01/nausea-and-vomiting-of-pregnancy
User testimonials
Reviewed By:
Ravi P. Chokshi, MD (Obstetrics and gynecology (OBGYN), Critical Care)
Current Maternal Fetal Medicine Fellow with Dual board certification in Obstetrics & Gynecology and Critical Care Medicine. | 5+ years experience managing a general Ob/Gyn practice and working in the Intensive Care Unit. | Previously Physician Lead of a large single specialty practice with 8 Physicians and 10+ Advanced practitioners. | Member of the Society of Maternal Fetal Medicine Patient education committee. | Frequent Medscape Consult contributor.
Seiji Kanazawa, MD, PHD (Obstetrics and gynecology (OBGYN))
Dr. Kanazawa graduated from the Niigata University Faculty of Medicine and received his Ph.D. from the Tohoku University Graduate School of Medicine. He is working on the front line of the General Perinatal Center, including the Tokyo Tama General Medical Center and the National Center for Research in Fertility Medicine, where he provides maternal and fetal care and undertakes clinical research. At Ubie, Dr. Kanazawa has been designing the Ubie AI Symptom Checker and has taken on the role of general obstetrics and gynecology consultation at FMC Tokyo Clinic by providing fetal ultrasound and prenatal consultation.
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