Publisher: Introducción: La hiperemesis gravídica es un estado de naúsea y vómito constante durante el embarazo, asociada a deshidratación. Hyperemesis gravidarum (HG) is a pregnancy complication that is characterized by severe .. Hyperemesis gravidarum is from the Greek hyper-, meaning excessive, and emesis, meaning vomiting, and the Latin gravidarum, the feminine. Download Citation on ResearchGate | On Mar 1, , N. González-Alonso and others published Emesis e hiperemesis gravídica }.

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While most women will experience near-complete relief of morning sickness symptoms near the beginning of their second trimestersome sufferers of HG will experience severe symptoms until they give birth to their baby, and sometimes even after giving birth. Cherry and Merkatz’s complications of pregnancy 5th ed. Possible pathophysiological processes involved are summarized in the following table: Breastfeeding difficulties Low milk supply Cracked nipples Breast engorgement Childbirth-related posttraumatic stress disorder Diastasis symphysis pubis Postpartum bleeding Peripartum cardiomyopathy Postpartum depression Postpartum psychosis Postpartum thyroiditis Puerperal fever Puerperal mastitis.

BMJ Clinical research ed. If oral nutrition is insufficient, intravenous nutritional support may be needed. D ICD – Is ondansetron safe for use during pregnancy? Likewise, supplementation for lost thiamine Vitamin B 1 must be considered to reduce the risk of Wernicke’s encephalopathy.

Reproductive biology and endocrinology. Hematological investigations include hematocrit levels, which are usually raised in HG. Department of Health and Human Services. Handbook of early pregnancy care. Gestational pemphigoid Impetigo herpetiformis Intrahepatic cholestasis of pregnancy Linea nigra Prurigo gestationis Pruritic folliculitis of pregnancy Pruritic urticarial papules and plaques of pregnancy PUPPP Striae gravidarum.


Intravenous IV hydration often includes supplementation of electrolytes as persistent vomiting frequently leads to a deficiency. From Wikipedia, the free encyclopedia. Women not responding to IV rehydration and medication may require nutritional support.

Hyperemesis gravidarum

In addition, electrolyte levels should be monitored and supplemented; of particular concern are sodium and potassium. Office on Women’s Health. Archived from the original on International Journal of Gynaecology and Hperemesis. After rehydration, treatment focuses on managing symptoms to allow normal intake of food.

While vomiting in pregnancy has been described as early as 2, BC, the first clear medical description of hyperemesis gravidarum was in by Antoine Dubois. If conservative dietary measures fail, more extensive treatment such as the use of antiemetic medications and intravenous rehydration may be hipeemesis.

It is thought hiperemess HG is due to a combination of factors which may vary between women and include genetics. Thyrotoxicosis common in Asian subcontinent [5] Addison’s disease Diabetic ketoacidosis Hyperparathyroidism.

Pyridoxinemetoclopramide [5].

Decreased gut mobility Elevated liver enzymes Decreased lower esophageal sphincter pressure Increased levels of sex steroids in hepatic portal system [21]. Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Based on symptoms [3]. Hyperemesis gravidarum is considered a diagnosis of exclusion. Amniotic fluid embolism Cephalopelvic disproportion Hiperemesia Shoulder dystocia Fetal distress Locked twins Obstetrical bleeding Postpartum Pain management during childbirth placenta Placenta accreta Preterm birth Postmature birth Umbilical cord prolapse Uterine inversion Uterine rupture Vasa praevia.


After IV rehydration is completed, patients typically begin to tolerate frequent small liquid or bland meals.

Emesis e hiperemesis gravídica by ARMANDO MORENO SANTILLAN on Prezi

Current Opinion in Obstetrics and Gynecology. Archived from the original on 10 December European Journal of Internal Medicine. Archived from the original on 30 November If HG is inadequately treated, anemia[11] hyponatremia[11] Wernicke’s encephalopathy[11] kidney failurecentral pontine myelinolysiscoagulopathyatrophyMallory-Weiss tears[11] hypoglycemiajaundicemalnutritionpneumomediastinumrhabdomyolysisdeconditioningdeep vein thrombosispulmonary embolismsplenic avulsion, or vasospasms of cerebral arteries are possible consequences.

She died in while four months pregnant, having been afflicted by intractable nausea and vomiting gravidicca her pregnancy, and was unable to tolerate food or even water. Pregnancy with abortive outcome Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth.

Drinking fluids, bland diet, intravenous fluids [2]. Patients might receive parenteral nutrition intravenous feeding via a PICC line or enteral nutrition via a nasogastric tube or a nasojejunal tube.

There is only limited evidence from trials to support the use of vitamin B 6 to improve outcome. Journal of Obstetrics and Gynaecology.