Title |
Managing hyperemesis gravidarum: a multimodal challenge
|
---|---|
Published in |
BMC Medicine, July 2010
|
DOI | 10.1186/1741-7015-8-46 |
Pubmed ID | |
Authors |
JK Jueckstock, R Kaestner, I Mylonas |
Abstract |
Up to 90% of pregnant women experience nausea and vomiting. When prolonged or severe, this is known as hyperemesis gravidarum (HG), which can, in individual cases, be life threatening. In this article the aetiology, diagnosis and treatment strategies will be presented based on a selective literature review. Treatment strategies range from outpatient dietary advice and antiemetic drugs to hospitalization and intravenous (IV) fluid replacement in persistent or severe cases. Alternative methods, such as acupuncture, are not yet evidence based but sometimes have a therapeutic effect.In most cases, the condition is self limiting and subsides by around 20 weeks gestation. More severe forms require medical intervention once other organic causes of nausea and vomiting have been excluded. In addition, a psychosomatic approach is often helpful.In view of its potential complexity, general practitioners and obstetricians should be well informed about HG and therapy should be multimodal. |
X Demographics
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Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | 50% |
Unknown | 1 | 50% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 2 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 2 | <1% |
Indonesia | 1 | <1% |
United States | 1 | <1% |
Egypt | 1 | <1% |
Unknown | 225 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 46 | 20% |
Student > Master | 29 | 13% |
Student > Ph. D. Student | 15 | 7% |
Student > Doctoral Student | 14 | 6% |
Student > Postgraduate | 12 | 5% |
Other | 37 | 16% |
Unknown | 77 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 83 | 36% |
Nursing and Health Professions | 31 | 13% |
Agricultural and Biological Sciences | 7 | 3% |
Psychology | 4 | 2% |
Biochemistry, Genetics and Molecular Biology | 3 | 1% |
Other | 20 | 9% |
Unknown | 82 | 36% |