Extreme vomiting during pregnancy

Extreme vomiting during pregnancy

What is Hypermesis Gravidarum?

According to ACOG, Hyperemesis gravidarum is the most severe form of nausea and vomiting of pregnancy. It occurs in up to 3% of pregnancies. This condition may be diagnosed when a woman has lost 5% of her pre-pregnancy weight and has other problems related to dehydration (loss of body fluids). Women with hyperemesis gravidarum need treatment to stop their vomiting and restore body fluids.

What is it caused by and when does it occur?

It’s thought to be caused by a rise in hormone levels but this is still being researched. Typically HG appears between weeks 4-6 and may also come back during weeks 9-13.

How is it diagnosed?

Diagnosis can be made when a woman has dropped 5% of her pre-pregnancy weight with simultaneous dehydration or loss of body fluids.

Signs and Symptoms

  • Severe nausea and vomiting
  • Food Aversions
  • Weight loss of 5% of more or pre-pregnancy weight
  • Decrease in urination
  • Dehydration
  • Headaches
  • Fainting
  • Confusion
  • Jaundice
  • Extreme fatigue
  • Low blood pressure
  • Rapid heart rate
  • Loss of skin elasticity
  • Secondary anxiety
  • Depression

Treatment Options

Some cases may require hospitalization, depending on the severity. 

GYN Emergent Care Center can help with the following:

  • IV to restore hydration, vitamins, nutrients, and electrolytes.
  • Percutaneous Endoscopic Gastrostomy restores nutrients through a tube through the abdomen into the stomach. 
  • Nasogastric restores nutrients with a tube through the nose.

Other treatment:

  • Acupressure
  • Ginger and/or peppermint herbs
  • Rest
  • In some cases, hypnosis.

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