Nausea and vomiting of pregnancy.

Abstract

Nausea and vomiting of pregnancy affects nearly 75% of pregnant women. The exact cause is unknown. In most cases, it is a mild, self-limited condition that can be controlled with conservative measures and has no adverse fetal sequelae. About 1% of women develop hyperemesis gravidarum, which may result in adverse outcomes for the mother and fetus. Patients with nausea and vomiting of pregnancy should be evaluated for other causes, particularly if symptoms are unremitting or presentation is atypical. Initial treatment is conservative and includes dietary changes, emotional support, and vitamin B6 supplementation. Several safe and effective pharmacologic therapies are available for women who do not improve with initial treatment. Women with hyperemesis gravidarum may require more aggressive interventions, including hospitalization, rehydration therapy, and parenteral nutrition.

• Authors: Howard Ernest Herrell
• Journal: American family physician (Am Fam Physician) Vol. 89 Issue 12 Pg. 965-70 (Jun 15 2014) ISSN: 1532-0650 [Electronic] United States
• PMID: 25162163 (Publication Type: Journal Article)

Topics

• Diagnosis, Differential
• Female
• Humans
• Nausea (diagnosis, drug therapy, etiology)
• Pregnancy
• Pregnancy Complications
• Vomiting (diagnosis, drug therapy, etiology)