Get to know Hyperemesis Gravidarum, Severe Vomiting During Pregnancy

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Medical Video: Two genes likely play key role in extreme nausea and vomiting during pregnancy | UCLA Health News

Nausea and vomiting while pregnant are common. About 7 out of 10 pregnant women experience nausea and / or vomiting, and not only occur in the morning. For many women, this condition improves or completely disappears around the 14th week, although in some women it can take longer. However, some pregnant women experience excessive nausea and vomiting. They can vomit many times a day and cannot eat or drink, which can have a negative impact on their daily lives.

This condition is also known as hyperemesis gravidarum (HG) and often requires medical treatment. The exact number of women suffering from HG is unknown, as are some unreported cases, but it is estimated that about 1 in 100

If you vomit frequently and cannot eat your food, tell your midwife or doctor, or contact the hospital immediately. There is a risk that you will become dehydrated, and your midwife or doctor will ensure that you are given appropriate treatment.

Symptoms of hyperemesis gravidarum

HG conditions are far worse than nausea and vomiting during pregnancy or "morning sickness"Normal. The signs and symptoms of HG are:

  • Prolonged nausea and vomiting - some women vomit up to 50 times a day.
  • Dehydration - does not have enough fluid in the body, because you cannot drink. If you drink less than 500 ml a day, you need to seek help.
  • Ketosis - a serious condition that affects the accumulation of chemical acids in the blood and urine; ketones are produced when the body breaks down fat, not glucose, for energy.
  • Losing weight.
  • Low blood pressure (hypotension) when standing.

Unlike nausea and vomiting during pregnancy in general, HG may not improve after 14 weeks and may not completely disappear after the baby is born, although some symptoms may improve around 20 weeks. See your midwife or doctor if you experience severe nausea and vomiting, ideally before you suffer from dehydration and weight loss.

There are several other conditions that cause nausea and vomiting, such as appendicitis, which need to be treated first by your doctor.

What are the causes of hyperemesis gravidarum?

The cause of HG is unknown, as well as why some women can experience it and others don't. Some experts believe this is related to changes in body hormones that occur during pregnancy.

There is also some evidence that HG decreases in families, so if you have a mother or sibling who has HG during pregnancy, you might also experience it.

If you have had HG in a previous pregnancy, you are more prone to experience it again in subsequent pregnancies, than women who have never experienced it before. So it would be better if you prepare yourself more prepared.

Overcoming hyperemesis gravidarum

There are several drugs that can be used during pregnancy, including in the first 12 weeks, to relieve symptoms of HG. This drug is like anti-emetic drugs, vitamins (B6 and B12), steroids, or a combination of these drugs.

If your nausea and vomiting cannot be controlled, you need to be hospitalized so that your doctor can see your condition and provide appropriate treatment for you and your baby.

Treatment can include intravenous fluids, which is the administration of fluids that are given directly into the vein through the infusion. If you experience severe vomiting, anti-nausea medications may also be given through blood vessels or muscles.

Does hyperemesis gravidarum harm the baby?

HG has unpleasant symptoms, but the good news is that it will most likely not harm your baby, if handled effectively. However, if HG causes weight loss, the risk of birth to a baby with a smaller size (low birth weight) will increase. That is why dehydration is important to monitor.

Pregnancy Sickness Support is associated with many women who have HG, and they report the following symptoms in addition to the main symptoms mentioned above, namely:

  • A drastic increase in the sense of smell
  • Production of excess saliva or ptyalism
  • Headaches and constipation caused by dehydration
  • Pain and pressure due to a long time in bed
  • Urinary incontinesia (bedwetting), is caused by a combination of vomiting and the pregnancy hormone relaxin

If you experience these symptoms, you are not alone. Many women who successfully pass this condition until HG stops or the baby is born.

What effect does hyperemesis gravidarum have on my condition?

Nausea and vomiting due to HG can have a big influence on your life, where you can enjoy pregnancy and wait for the birth of your baby. This can affect you emotionally and physically. These symptoms not only make you suffer, but can also cause complications such as depression or injury to the esophagus.

Severe nausea can be very tiring and hinder your daily activities, such as working or even getting out of bed. You can also feel:

  • Restless when going out or away from home, if you want to vomit
  • Excluded, because you don't know anyone who understands how it feels to have HG
  • Confused, why this can happen to you
  • Not sure if you can survive with pregnancy if you continue to feel nauseous

If you feel one of these things, don't let yourself feel it. Talk to your doctor or midwife. You can also talk to your spouse, family or friends.

Remember that HG is a worse condition than nausea when pregnancy is usually, not the result of what you do or don't do, and you need proper handling and support.

Will I experience it again in the next pregnancy?

If you have had HG before, you may experience it again in a later pregnancy. If you decide to get pregnant again, you can make preparations beforehand, such as leaving the child in child care so you can rest. Remember everything that helps you in a previous pregnancy, such as certain drinks, and do it again in the next pregnancy.

Consult with your doctor about using treatment early.

READ ALSO:

  • Effective Ways to Overcome Nausea and Vomiting (Morning Sickness) During Pregnancy
  • Tips for Controlling Drastic Emotional Changes During Pregnancy
  • 6 Types of Best Fruits to Eat During Pregnancy
Get to know Hyperemesis Gravidarum, Severe Vomiting During Pregnancy
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