Pregnant women report being denied medications to treat severe nausea and vomiting of pregnancy or hyperemesis gravidarum – findings from an Australian online survey

2021 ◽  
Author(s):  
Han‐Fang Hsiao ◽  
Alicia Thomas ◽  
Caitlin Kay‐Smith ◽  
Luke E. Grzeskowiak
Keyword(s):  
Pregnant Women ◽  
Online Survey ◽  
Hyperemesis Gravidarum ◽  
Nausea And Vomiting ◽  
Severe Nausea

scholarly journals PENGARUH AKUPRESUR PADA TITIK NEI GUAN, ZU SANLI DAN GONGSUN TERHADAP PENGURANGAN MUAL MUNTAH PADA IBU HAMIL TRIMESTER I DI PMB AFAH FAHMI A.Md. Keb SURABAYA

2018 ◽  
Vol 13 (3) ◽  
Author(s):  
Eka Meiri K, Noviana Kibas
Keyword(s):  
Pregnant Women ◽  
Hyperemesis Gravidarum ◽  
First Trimester ◽  
Nausea And Vomiting ◽  
Wilcoxon Test ◽  
P Value ◽  
Test Results ◽  
Severe Nausea ◽  
Purposive Sampling ◽  
Independent Variables

Keluhan yang dirasakan ibu hamil trimester I adalah mual muntah (emesis gravidarum). Mual dan muntah pada ibu hamil merupakan hal yang sering terjadi, terutama pada trimester I. Pada beberapa ibu hamil, mual dan muntah yang terjadi pada trimester I dapat berlanjut sampai masa kelahiran. Mual dan muntah yang berlangsung hebat, disebut dengan hiperemesis gravidarum, yang dapat membahayakan ibu dan fetus, karena sulitnya nutrisi untuk masuk. Tujuan penelitian ini adalah untuk mengetahui adakah pengaruh pemberian akupresur terhadap pengurangan mual muntah pada ibu hamil trimester I di BPM Afah Fahmi, Amd. Keb Surabaya.Teknik sampling dalam penelitian ini adalah Purposive sampling. Dengan menggunakan Rancangan penelitian One group pretest – Postest design. Populasi dalam penelitian ini adalah semua ibu hamil trimester I yang mengalami mual muntah sedangkan sampel penelitian sebanyak 15 responden. Instrumen yang digunakan adalah lembar observasi. Teknik yang digunakan untuk mengetahui pengaruh dari variabel dependen dan independen adalah uji Statistik Wilcoxon test.Hasil penelitian yang dilakukan di BPM Afah Fahmi, Amd.Keb Surabaya adalah ibu hamil trimester I yang mengalami mual muntah setelah diberikan akupresur terjadi penurunan mual muntah.  Dari hasil uji statistik Wilcoxon test di peroleh p-value 0,000 < α (0,05).Kesimpulan dalam penelitian ini adalah ada pengaruh pemberian akupresur terhadap pengurangan mual muntah pada ibu hamil trimester I di BPM Afah Fahmi, Amd Keb Surabaya. Oleh karena itu sebaiknya ibu hamil yang mengalami mual muntah dianjurkan untuk melakukan akupresur pada tenaga kesehatan yang profesional karena lebih mudah dan efektif. Kata kunci : akupresur, mual, muntah, ibu hamil ABSTRACTThe complaints felt by the first trimester pregnant women are nausea vomiting (emesis gravidarum). Nausea and vomiting in pregnant women is a common occurrence, especially in the trimester I. In some pregnant women, nausea and vomiting that occur in the trimester I may continue until delivery. Severe nausea and vomiting, called hyperemesis gravidarum, can be harmful to the mother and fetus, because of the difficult nutrients to enter. The purpose of this study was to determine whether there is an effect of acupressure on reducing nausea of vomiting in trimester pregnant women at BPM Afah Fahmi, Amd. Keb Surabaya.Sampling technique in this research is Purposive sampling. Using One group pretest - Postest design. The population in this study were all the trimester I pregnant women who experienced nausea vomiting while the study sample of 15 respondents. The instrument used is an observation sheet. The technique used to determine the effect of dependent and independent variables is the Wilcoxon Statistics test.The results of research conducted in BPM Afah Fahmi, Amd.Keb Surabaya is the trimester I pregnant women who experienced nausea vomiting after given acupressure decreased nausea vomiting. From Wilcoxon test results obtained p-value 0.000 <α (0.05).The conclusion in this research is there is effect of giving acupressure to the reduction of nausea vomiting in pregnant woman of trimester I at BPM Afah Fahmi, Amd Keb Surabaya. Therefore, pregnant women who experience nausea, vomiting is recommended to perform acupressure on health professionals because it is easier and more effective. Keywords: acupressure, nausea, vomiting, pregnant women

HIPEREMESIS GRAVIDARUM PADA IBU HAMIL DI KLINIK BIDAN SUPRIYATI SRIBIT BERBAH SLEMAN

2019 ◽  
Vol 14 (1) ◽  
pp. 51
Author(s):  
Pramukti Dian Setianingrum ◽  
Farah Irmania Tsani
Keyword(s):  
Blood Pressure ◽  
Pregnant Women ◽  
Hyperemesis Gravidarum ◽  
Unwanted Pregnancy ◽  
The Body ◽  
Nausea And Vomiting ◽  
Daily Activities ◽  
World Health ◽  
The World

Backgroud: The World Health Organization (WHO) explained that the number of Hyperemesis Gravidarum cases reached 12.5% of the total number of pregnancies in the world and the results of the Demographic Survey conducted in 2007, stated that 26% of women with live births experienced complications. The results of the observations conducted at the Midwife Supriyati Clinic found that pregnant women with hyperemesis gravidarum, with a comparison of 10 pregnant women who examined their contents there were about 4 pregnant women who complained of excessive nausea and vomiting. Objective: to determine the hyperemesis Gravidarum of pregnant mother in clinic. Methods: This study used Qualitative research methods by using a case study approach (Case Study.) Result: The description of excessive nausea of vomiting in women with Hipermemsis Gravidarum is continuous nausea and vomiting more than 10 times in one day, no appetite or vomiting when fed, the body feels weak, blood pressure decreases until the body weight decreases and interferes with daily activities days The factors that influence the occurrence of Hyperemesis Gravidarum are Hormonal, Diet, Unwanted Pregnancy, and psychology, primigravida does not affect the occurrence of Hyperemesis Gravidarum. Conclusion: Mothers who experience Hyperemesis Gravidarum feel nausea vomiting continuously more than 10 times in one day, no appetite or vomiting when fed, the body feels weak, blood pressure decreases until the weight decreases and interferes with daily activities, it is because there are several factors, namely, hormonal actors, diet, unwanted pregnancy, and psychology.

scholarly journals Dr P. Davis, prof. Mann et al. — Fatal Nausea and Vomiting of Pregnancy. - (New-Jork Medic. Journ., 1894, 28 / VII, p. 121). Fatal nausea and vomiting in pregnant women. Dr. Terrel. - The Black vomit of Pregnancy. - (Ibid, 18 / VIII p. 212). Black vomiting in pregnant women

2020 ◽  
Vol 9 (7-8) ◽  
pp. 698-699
Author(s):  
M. Ginzburg
Keyword(s):  
Pregnant Woman ◽  
Pregnant Women ◽  
Uterine Cervix ◽  
Severe Pain ◽  
Fatty Degeneration ◽  
Nausea And Vomiting ◽  
Minor Bleeding ◽  
Slight Improvement ◽  
Severe Nausea ◽  
The Third

Dr. Davis reported three fatal cases of vomiting during pregnancy. In the first of them, the pregnant woman suffered from gastric disorders before pregnancy; her vomiting was incessant and very exhausted her. She died at 2 months of pregnancy. Before dying, she developed a petechia-shaped spotty rash. In the second case, severe nausea and vomiting occurred at 3 weeks of pregnancy with severe pain and belching, locally: prolapsus and anteflexio uteri. The usual treatment. At 14 weeks, the anteflexed uterus was infringed at the bottom behind the pubis; the correction did not reduce vomiting. The expansion of the neck was accompanied by a slight improvement. It was decided to empty the uterus, which was done without difficulty and with minor bleeding. The patient, however, died soon after. An autopsy showed that the tissue of the uterine cervix was abnormally hard (fibrous); the uterus, ovaries, and tubes were normal; the blood was thin, fatty degeneration of the heart. In the third case, the patient, in addition to nausea and vomiting, suffered from severe pain in the epigastric region and vomiting had a coffee color. Everything possible was done, but nothing helped: the patient died.

scholarly journals EFEKTIFITAS PEMBERIAN PERMEN JAHE TERHADAP MUAL MUNTAH PADA IBU HAMIL DI KLINIK KHAIRUNIDA SUNGGAL TAHUN 2018

2019 ◽  
Vol 1 (1) ◽  
pp. 36-44
Author(s):  
Ani Nurdiana ◽  
Betty Mangkuji ◽  
Rismahara Lubis
Keyword(s):  
Pregnant Women ◽  
Hyperemesis Gravidarum ◽  
Sampling Technique ◽  
First Trimester ◽  
Statistical Test ◽  
Nausea And Vomiting ◽  
P Value ◽  
Nutritional Disorder ◽  
Average Decrease ◽  
Pharmacy Department

Pregnancy causes a lot of change in the mother’s body, so there are various kinds of physiological discomfort in the mother such as nause and vomiting, usually mild and controlable. This condition sometimes stops in the first trimester, but its effect may lead to nutritional disorder, dehydration, weakness, weight loss, and electrolyte imbalances. If not treated, it will worsen into Hyperemesis Gravidarum This study aimed to determine the effectiveness og ginger candy in reducing the frecuency of nause and vomiting in first trimester pregnant women in the Khairunida clinik with experimental Quasy design and tested by One Group Pretest Postest. About 15 samples were obtained through purposive sampling technique and the data were taken using the T-dependent test. Through the study, it was found that the frequency of nausea and vomiting before being given intervation was 10,93 and after being given intervation was 3,33 with an average decrease by 7,60. Through the statistical test, it was obtained the p value <(0.05) so that this study concluded that administration of ginger candy was effective in reduring nausea and vomiting in first trimester pregnant women. Further researchers are expected toreduce the use of non-pharmacological drugs to overcome nausea and vomiting in first trimester pregnant women and collaborate with the pharmacy department to facilitate the process of making good qualityy ginger candy.

scholarly journals Hubungan Psikologis Ibu Hamil dengan Kejadian Hiperemesis Gravidarum

e-CliniC ◽  
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jessica F. Rorrong ◽  
John J. E. Wantania ◽  
Anastasi M. Lumentut
Keyword(s):  
Literature Review ◽  
Pregnant Women ◽  
Hyperemesis Gravidarum ◽  
Nausea And Vomiting ◽  
Google Scholar ◽  
Psychological State ◽  
Psychological Conditions ◽  
Common Problems ◽  
The Relationship

Abstract: Nausea and vomiting are common problems in early pregnancy. Symptoms of nausea and vomiting in pregnant women that persist and get worse are called hyperemesis gravidarum. The causes of hyperemesis gravidarum are not exactly known, but it is supposed that they could be caused inter alia by psychological factors. This study was aimed to determine the relationship between the psychological state of pregnant women and the incidence of hyperemesis gravidarum. This was a literature review study by using three databases, namely Google Scholar, ClinicalKey, and Pubmed. The keywords used were psychological AND hyperemesis gravidarum. The result showed that the psychological conditions assessed in most literatures were anxiety disorders, depression, and stress. Pregnant women who suffered from anxiety and stress could trigger or worsen the depression. The higher level of anxiety would increase the chance of suffering from hyperemesis gravidarum. Therefore, pregnant women need additional psychological support during treatment and as a follow-up for pregnant women with hyperemesis gravidarum. In conclusion, the psychological state of pregnant women is related to the incidence of hyperemesis gravidarum.Keywords: psychological, hyperemesis gravidarum, nausea and vomiting Abstrak: Mual dan muntah merupakan masalah yang biasa terjadi pada awal kehamilan. Gejala mual dan muntah pada ibu hamil yang menetap dan bahkan bertambah berat disebut hiperemesis gravidarum. Faktor pemicu terjadinya hiperemesis gravidarum pada ibu hamil belum diketahui secara pasti, tetapi diperkirakan antara lain oleh faktor psikologis. Penelitian ini bertujuan untuk mengetahui hubungan keadaan psikologis ibu hamil dengan kejadian hiperemesis gravidarum. Jenis penelitian ialah literature review dengan pencarian data menggunakan tiga database yaitu Google Scholar, ClinicalKey, dan Pubmed. Kata kunci yang digunakan yaitu psikologis /psychological AND hiperemesis gravidarum/hyperemesis gravidarum. Hasil penelitian mendapatkan bahwa kondisi psikologis yang dinilai pada sebagian besar literatur yang dikaji ialah mengenai gangguan kecemasan, depresi, dan stres. Ibu hamil yang mengalami cemas dan stres dapat memicu atau memperburuk terjadinya depresi. Tingkat kecemasan yang semakin tinggi akan meningkatkan peluang untuk mengalami hiperemesis gravidarum sehingga diperlukan dukungan psikologis tambahan selama perawatan dan sebagai tindak lanjut ibu hamil dengan hiperemesis gravidarum. Simpulan penelitian ini ialah keadaan psikologis ibu hamil berhubungan dengan kejadian hiperemesis gravidarum. Kata kunci: psikologis, hiperemesis gravidarum, mual dan muntah

scholarly journals Significantly Elevated Serum Lipase in Pregnancy with Nausea and Vomiting: Acute Pancreatitis or Hyperemesis Gravidarum?

2015 ◽  
Vol 2015 ◽  
pp. 1-4
Author(s):  
Amanda Johnson ◽  
Bethany Cluskey ◽  
Nina Hooshvar ◽  
Daphne Tice ◽  
Courtney Devin ◽  
...  
Keyword(s):  
Acute Pancreatitis ◽  
Biochemical Marker ◽  
Hyperemesis Gravidarum ◽  
Elevated Serum ◽  
Clinical Findings ◽  
Nausea And Vomiting ◽  
Imaging Studies ◽  
Severe Nausea ◽  
Serum Lipase ◽  
Severe Manifestation

Hyperemesis gravidarum is a severe manifestation of nausea and vomiting of pregnancy and it is associated with weight loss and metabolic abnormalities. It is known that abnormal laboratory values, including mildly elevated serum lipase level, could be associated with hyperemesis gravidarum. However, in this case report details of two women with hyperemesis gravidarum but with significantly elevated serum lipase levels were discussed. These patients presented with severe nausea and vomiting but without abdominal pain. They were found to have severely elevated lipase levels over 1,000 units/liter. In the absence of other findings of pancreatitis, they were treated with conservative measures for hyperemesis gravidarum, with eventual resolution to normal lipase levels. Although significantly elevated lipase level in pregnant patients with nausea and vomiting is a concern for acute pancreatitis, these two cases of significantly elevated serum lipase without other clinical findings of pancreatitis led to this report that serum lipase could be quite elevated in hyperemesis gravidarum and that it might not be an accurate biochemical marker for acute pancreatitis. Imaging studies are thus necessary to establish the diagnosis of acute pancreatitis.

scholarly journals A study to identify clinical and laboratory parameters in cases of excessive vomiting in early pregnancy

2021 ◽  
Vol 10 (12) ◽  
pp. 4424
Author(s):  
Dyuti Dubey ◽  
Usha Agrawal ◽  
Rekha Sapkal
Keyword(s):  
Early Pregnancy ◽  
Hyperemesis Gravidarum ◽  
Serum Alkaline Phosphatase ◽  
Clinical Problem ◽  
First Trimester ◽  
Nausea And Vomiting ◽  
Severe Nausea ◽  
Laboratory Parameters ◽  
Study Population ◽  
Clinical Conditions

Background: Around half of all pregnant women experience vomiting, and more than 80% of women experience nausea in the first 12 weeks. Women with severe nausea and vomiting during pregnancy may have hyperemesis gravidarum (HG), an entity distinct from nausea and vomiting of pregnancy (NVP), which if left untreated may lead to significant maternal and foetal morbidity. In our study, we studied, clinical and laboratory parameters in patients presenting with excessive vomiting. The study may help in evaluating what is the major clinical problem encountered during treatment and how many days of care are needed in such cases.Methods: The study design was a prospective observational study. Patients attending the ANC clinic and emergency indoor cases at Peoples college of medical sciences, Bhopal were considered as study population. 100 patients who satisfied inclusion and exclusion criteria were included in the study. Patient’s sociodemographic variables, detailed obstetric history, clinical and laboratory parameters were recorded. Results obtained were analysed and tabulated.Results: Persistence of vomiting in the first trimester leading to dehydration and hospitalization was documented in 12% of patients. The 5% of then had metabolic acidosis and 1% required correction of starvation ketoacidosis, but there was not significant weight loss observed in any of the case. Liver function test were normal in almost in all cases except 9% had raised serum alkaline phosphatase levels.Conclusions: All cases with vomiting in early pregnancy should receive attention and exclusion of all emergency clinical conditions. Patient should be screened for urine tract infection and diabetes in all cases. 

scholarly journals OBSTETRIC AND PSYCHOLOGICAL CARE FOR PREGNANT WOMAN WITH HYPEREMESIS GRAVIDARUM WITH MODERATE ANXIETY

2021 ◽  
Vol 2 (2) ◽  
pp. 11-13
Author(s):  
Hesti Yuniastutiningsih ◽  
Dini Nafi'ati
Keyword(s):  
Pregnant Women ◽  
Early Pregnancy ◽  
Randomized Clinical Trials ◽  
Hyperemesis Gravidarum ◽  
Meta Analysis ◽  
Nausea And Vomiting ◽  
Hormonal Changes ◽  
Research Subjects ◽  
Midwifery Care ◽  
Human Research Subjects

Physical and psychological changes experienced by pregnant women, especially hormonal changes, cause symptoms of nausea and vomiting in early pregnancy. Excessive nausea and vomiting in early pregnancy and persist throughout pregnancy will cause physical and psychological complications. The existence of psychological problems in pregnant women can predispose to nausea and vomiting which then worsens. Emotional problems are also associated with the incidence of nausea and vomiting becoming more severe. Methods: the authors conducted extensive searches by scientific journals through trusted and frequently used databases, namely PubMed, Springer, and Science Direct. The keywords used were "hyperemesis" AND "psychological" with journal publication filters, the last 4 years, randomized clinical trials, systematic reviews, meta-analysis, human research subjects. Conclusion: care that focuses on mothers by applying the principles of holistic care, where patients not only receive midwifery care physically and biologically but include psychological, social, spiritual and cultural by involving their husbands in midwifery care is proven to accelerate the physical and psychological recovery of hyperemesis sufferers.

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