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  • Hyperemesis Gravidarum

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    Devi Girsang
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    Hyperemesis Gravidarum is severe nausea and vomiting during pregnancy. It peaks between 8-12 weeks of pregnancy and usually resolves by 20 weeks. Risk factors include young maternal age, history of HG in previous pregnancies, and first-time pregnancy. Clinical presentation includes nausea, vomiting, weight loss, dehydration, and changes in blood pressure and pulse. Laboratory tests may show anemia, low sodium or potassium, protein in the urine, or ketones in the urine. Complications are rare but can include low birth weight, preterm birth, or Wernicke's encephalopathy without thiamine supplementation. Treatment aims to rehydrate the mother and prevent complications. Prognosis is generally

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    Hyperemesis Gravidarum is severe nausea and vomiting during pregnancy. It peaks between 8-12 weeks of pregnancy and usually resolves by 20 weeks. Risk factors include young maternal age, history of HG in previous pregnancies, and first-time pregnancy. Clinical presentation includes nausea, vomiting, weight loss, dehydration, and changes in blood pressure and pulse. Laboratory tests may show anemia, low sodium or potassium, protein in the urine, or ketones in the urine. Complications are rare but can include low birth weight, preterm birth, or Wernicke's encephalopathy without thiamine supplementation. Treatment aims to rehydrate the mother and prevent complications. Prognosis is generally

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    110 views12 pages

    Hyperemesis Gravidarum

    Uploaded by

    Devi Girsang
    Hyperemesis Gravidarum is severe nausea and vomiting during pregnancy. It peaks between 8-12 weeks of pregnancy and usually resolves by 20 weeks. Risk factors include young maternal age, history of HG in previous pregnancies, and first-time pregnancy. Clinical presentation includes nausea, vomiting, weight loss, dehydration, and changes in blood pressure and pulse. Laboratory tests may show anemia, low sodium or potassium, protein in the urine, or ketones in the urine. Complications are rare but can include low birth weight, preterm birth, or Wernicke's encephalopathy without thiamine supplementation. Treatment aims to rehydrate the mother and prevent complications. Prognosis is generally

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPTX, PDF, TXT or read online from Scribd
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    Download as pptx, pdf, or txt
    of 12

    Hyperemesis Gravidarum

    Supervisor: dr. Pim Gonta, Sp.OG

    Click to edit Master subtitle style Presented by:

    Benediktus Andries (2009-061-152) Devi Rita Rohani (2009-061-337) Martin Reingie (2010-061-013)

    Definition

    EPIDEMIOLOGY The peak incidence is at 8-12 weeks of pregnancy, and symptoms usually resolve by week 20 in all but 10% of patients. Hyperemesis is the second leading cause of hospitalization in pregnancy, second only to preterm labor. Patients younger than 30 years are more likely to experience hyperemesis.

    Pathophysiology

    Risk Factor
    Young maternal age

    History of HG in previous pregnancies First-time pregnancy

    Mola pregnancy

    CLINICAL PRESENTATION
    Findings at physical examination (usually at the 1st trimester) may include the following : 1. Nausea & vomiting 2. Weight loss 3. Dehydration decreased skin turgor 4. Postural changes in blood pressure (BP) and pulse Laboratory : Hemoglobin and Hematocrit, hyponatremia, hypokalemia, proteinuria, ketonuria

    Clinical manifestation
    Overall condition - ability to perform daily activities; psychological state of mind Weight measurement - to determine if you have lost weight Blood electrolytes - to identify disturbances in salts and other minerals in the blood due to extreme vomiting Ketones - to determine if you are dehydrated

    COMPLICATIONS
    Complications

    of vomiting rarely occur. Women with hyperemesis and poor weight gain have lower average birth weights and are more likely to have a small for gestational age infant and may be at higher risk for preterm birth. Without thiamine supplementation, Wernicke encephalopathy may occur (ie, diplopia, nystagmus, disorientation, confusion, coma). If treatment is unsuccessful, complications of prolonged dehydration and starvation may occur.

    Treatment

    PROGNOSIS
    Women

    who gained less than 7 kg in pregnancy were more likely to have fetal complications, but those with hyperemesis and greater than 7 kg weight gain had no increased risk. This research indicates that treating hyperemesis gravidarum such that the patient is able to gain weight portends a better prognosis.

    Thank You
    Click to edit Master subtitle style

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