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Successful treatment of recurrent, intractable hyperemesis gravidarum with methylprednisolone. A case report.

AbstractBACKGROUND: Severe and persistent hyperemesis gravidarum is a disabling condition. Women may request termination of pregnancy because of the intolerable symptoms and stress. CASE: A woman requested termination of pregnancy because of severe hyperemesis gravidarum. Her first three pregnancies were also complicated by severe and persistent vomiting. The vomiting was successfully treated with a short course of methylprednisolone. CONCLUSION: Methylprednisolone is an effective treatment for severe hyperemesis gravidarum and should be considered for women whose vomiting is persistent and refractory to conventional therapy.
AuthorsLouis Y Chan, Man Ho Lam, Tze Kin Lau, Robert K H Chin (Affiliation: Departments of Obstetrics and Gynaecology, Princes of Wales Hospital, Chinese University of Hong Kong, and Princess Margaret Hospital, Shatin, Hong Kong. lyschan at cuhk.edu.hk)
JournalThe Journal of reproductive medicine (J Reprod Med) Vol. 48 Issue 4 Pg. 293-5 (Apr 2003) ISSN: 0024-7758 United States
PMID12746996 (Publication Type: Case Reports, Journal Article)
Chemical References
  • Methylprednisolone
Topics
  • Adult
  • Dose-Response Relationship, Drug
  • Drug Administration Schedule
  • Female
  • Follow-Up Studies
  • Humans
  • Hyperemesis Gravidarum (diagnosis, drug therapy)
  • Methylprednisolone (administration & dosage)
  • Pregnancy
  • Pregnancy Complications (diagnosis, drug therapy)
  • Pregnancy Outcome
  • Pregnancy Trimester, First
  • Severity of Illness Index