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Hyperemesis gravidarum

Also known as Excessive Vomiting In Pregnancy

Hyperemesis gravidarum (HG) is a complication of pregnancy characterized by intractable nausea, vomiting, and dehydration and is estimated to affect 0.5-2.0% of pregnant women. Malnutrition and other serious complications, such as fluid or electrolyte imbalances, may result.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with hyperemesis gravidarum, 93% report having vomiting, 85% report having nausea, and 74% report having problems during pregnancy. The symptoms that are highly suggestive of hyperemesis gravidarum are vomiting, nausea, problems during pregnancy, pain during pregnancy, and vomiting blood, although you may still have hyperemesis gravidarum without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with hyperemesis gravidarum often receive hematologic tests, urinalysis, complete blood count, intravenous fluid replacement, glucose measurement, kidney function tests, electrolytes panel and standard pregnancy test .

Common Medications

The most commonly prescribed drugs for patients with hyperemesis gravidarum include ondansetron (zofran), promethazine, metoclopramide, nitrofurantoin, aluminum hydroxide / magnesium hydroxide, pyridoxine, miconazole topical product, propylthiouracil, methyldopa, trimethobenzamide (tigan), kaolin / pectin, doxylamine (unisom) and chlorpheniramine / phenylephrine .

Who is at risk?

Groups of people at highest risk for hyperemesis gravidarum include race/ethnicity = other, sex == female, race/ethnicity = black and age 15-29 years. On the other hand, age 75+ years, sex == male, age 60-74 years, age 1-4 years, age 45-59 years, and age < 1 years almost never get hyperemesis gravidarum.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
4.1x
30-44 years
1.2x
45-59 years
0.0x
60-74 years
0.0x
75+ years
0.0x

Sex

Male
0.0x
Female
1.7x

Race/Ethnicity

Black
1.8x
Hispanic
1.2x
White
0.6x
Other
1.7x
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