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Chapter 4 - Hyperemesis Gravidarum

from Section 1 - Obstetric Aspects of Antenatal Care

Published online by Cambridge University Press:  23 February 2023

By
William M. Buckett  and
Amira El-Messidi
Edited by
Amira El-Messidi  and
Alan D. Cameron
Amira El-Messidi
Affiliation:
McGill University, Montréal
Alan D. Cameron
Affiliation:
University of Glasgow
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Summary

A 25-year-old G2P1 presents for prenatal care at 8+2 weeks’ gestation by menstrual dates with complaints of nausea and vomiting for the past two weeks. Your clinical nurse reassures you the patient is not in acute distress and converses well. There is no history of vaginal bleeding.

Keywords

Nausea and vomiting of pregnancyHyperemesis gravidarum criteriaClinical manifestationsEtiologiesRisk factorsPhysical examinationInvestigationsSeverity assessmentPharmacologic interventionsLifestyle modificationsMaternal complicationsPreconception counseling
Type
Chapter
Information
OSCEs in Obstetrics and Maternal-Fetal Medicine
An Evidence-Based Approach
 , pp. 42 - 54
Publisher: Cambridge University Press
Print publication year: 2023

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References

Suggested Readings

Austin, K, Wilson, K, Saha, S. Hyperemesis gravidarum. Nutr Clin Pract. 2019;34(2):226–241.Google Scholar
Boelig, RC, Barton, SJ, Saccone, G, et al. Interventions for treating hyperemesis gravidarum: a Cochrane systematic review and meta-analysis. J Matern Fetal Neonatal Med. 2018;31(18):2492–2505.Google Scholar
Bustos, M, Venkataramanan, R, Caritis, S. Nausea and vomiting of pregnancy – what’s new? Auton Neurosci. 2017;202:62–72.CrossRefGoogle ScholarPubMed
Campbell, K, Rowe, H, Azzam, H, et al. The management of nausea and vomiting of pregnancy. J Obstet Gynaecol Can. 2016;38(12):1127–1137.Google Scholar
Committee on Practice Bulletins – Obstetrics. ACOG Practice Bulletin No. 189: nausea and vomiting of pregnancy. Obstet Gynecol. 2018;131(1):e15–e30.Google Scholar
Dean, CR, Shemar, M, Ostrowski, GAU, et al. Management of severe pregnancy sickness and hyperemesis gravidarum. BMJ. 2018;363:k5000.CrossRefGoogle ScholarPubMed
Jennings, LK, Krywko, DM. Hyperemesis gravidarum. In: StatPearls. Treasure Island, FL: StatPearls; 2020.Google Scholar
London, V, Grube, S, Sherer, DM, et al. Hyperemesis gravidarum: a review of recent literature. Pharmacology. 2017;100(3–4):161–171.CrossRefGoogle ScholarPubMed
Royal College of Obstetricians and Gynaecologists. The management of nausea and vomiting of pregnancy and hyperemesis gravidarum. Green-Top Guideline No. 69, 2016. Available at www.rcog.org.uk/en/guidelines-research-services/guidelines/gtg69/. Accessed February 27, 2021.Google Scholar
Tsakiridis, I, Mamopoulos, A, Athanasiadis, A, et al. The management of nausea and vomiting of pregnancy: synthesis of national guidelines. Obstet Gynecol Surv. 2019;74(3)161–169.CrossRefGoogle ScholarPubMed

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