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HYPEREMESIS

GRAVIDARUM

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INTRODUCTION

At least 80% of women experienena!sea "#omitin$

&'e term mornin$ si(ness is often !se)to )esri*e t'is on)ition w'ens+mptoms !s!all+ )isappear after t'e,rst trimester

se#ere form - '+peremesis $ra#i)ar!m .

De'+)ration Eletrol+te im*alane

/ee) for 'ospitaliation

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De,nitions

oMornin$ si(ness1 is t'e na!sea felt *+ a*o!t 20% ofpre$nant women on $ettin$ !p in t'e mornin$

o Emesis $ra#i)ar!m1 At!al #omitin$ in t'e mornin$

o&'ese two on)itions !s!all+ start *etween t'e 3t' an)4t'wee(s of pre$nan+ an) impro#es or )isappearsa*o!t t'e 56 t' wee(

oH+peremesis $ra#i)ar!m1 &'e #omitin$ is not on,ne)to t'e mornin$ *!t it is repeate) t'ro!$'o!t t'e )a+!ntil it a7ets t'e $eneral on)ition of t'e patient

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H+peremesis $ra#i)ar!m -HG. is a on)itionof pre$nan+ 'araterie) *+ intrata*le na!sea

#omitin$

)e'+)ration an) is estimate) to a7et 0260%of pre$nant women

Maln!tritionan) ot'er serio!sompliations s!' as 9!i) or eletrol+teim*alanes ma+ res!lt

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SIG/S A/D SYMP&:MS

;oss of 2% or more of prepre$nan+ *o)+wei$'t

De'+)ration< a!sin$ (etosis< an) onstipation

/!tritional )isor)ers s!' as Vitamin =5-t'iamine. )e,ien+< Vitamin =4 )e,ien+ orVitamin =56 )e,ien+

Meta*oli im*alanes s!' as meta*oli

(etoai)osisor t'+rotoxiosis P'+sial an) emotional stressof pre$nan+ on

t'e *o)+

Di>!lt+ wit' ati#ities of )ail+ li#in$

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S+mptomsan *e a$$ra#ate) *+ '!n$er