Massachusetts WIC Learning Center    Prenatal Nutrition    Hyperemesis Gravidarum

Hyperemesis Management:
The Basics


Description
What is Hyperemesis?
Causes
Why does it happen?
Manifestations
Signs & Symptoms
Frequently Asked Questions
Clinical Issues
Gearing Up
Get ready for an Appointment


What is Hyperemesis?

Hyperemesis Gravidarum is severe nausea and vomiting during pregnancy. It is persistent (continues over a long time) and can cause a pregnant woman to lose weight, become dehydrated, and possibly develop nutritional deficiencies.

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Why does it happen?

Causes of nausea and vomiting during pregnancy include the rapid rising of HCG (Human Chorionic Gonadotropin), secreted by the fetus, as well as by increased estrogen levels.

Hyperemesis symptoms have an average duration of 17.3 weeks, although the length of time may vary.

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What are the symptoms?

S
igns and symptoms of hyperemesis gravidarum include:

     Severe nausea

     Persistent excessive vomiting

     Weight loss

     Dehydration

     Possible ketones in urine

     Abnormal hematocrit (low or high) and/or blood pressure

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Frequently Asked Questions

Some questions posed by nutritionists counseling women with hyperemesis include:

  Q: What is the most important factor in treating hyperemesis?
A: Fluid and electrolyte balance. Cardiac and other complications can stem from inadequate fluid intake.
  Q: What liquids are recommended?
A: Ginger ale, dilute juices or room-temperature mint tea, about 20 minutes after eating.
  Q: Will vomiting and weight loss harm the mother or fetus?
A: In severe cases, hyperemesis can lead to IUGR (Intrauterine Growth Retardation), maternal or fetal demise. Most hyperemesis, when treated, resolves in the second trimester and does no harm to the infant.

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Gearing Up

When preparing for a prenatal counseling session, consider these important facts about hyperemesis:

Read more about hyperemesis here.

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Hyperemesis Module: Author - Nancy Paladino, RD East Boston WIC
Academic Adviser - Patricia K. Luoto, EdD, RD, Framingham State College
Technical Assistance - Kathleen Lyons, MS, RD FastNet Media






The Commonwealth of Massachusetts

Jane Swift - Governor
William D. O'Leary - Secretary of EOHHS
Howard K. Koh, MD, MPH - Commissioner - Department of Public Health
Sally Fogerty - Assistant Commissioner, Family & Community Health
Mary Kelligrew Kassler - WIC Program Director


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