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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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.

Pregnancy with abortive outcome Ectopic pregnancy Abdominal pregnancy Cervical pregnancy Interstitial pregnancy Ovarian pregnancy Heterotopic pregnancy Molar pregnancy Miscarriage Stillbirth. Intravenous IV hydration often includes supplementation hipeermesis electrolytes as persistent vomiting frequently leads to a deficiency.

Thyrotoxicosis common in Asian subcontinent [5] Addison’s disease Diabetic ketoacidosis Hyperparathyroidism.

National Institutes of Health. Gestational thrombocytopenia Pregnancy-induced hypercoagulability. European Journal of Internal Medicine. Hematological investigations include hematocrit levels, which are usually raised in HG. Archived from the original on Ferri’s clinical advisor 5 books in 1 1st ed. After rehydration, treatment focuses on managing symptoms to allow normal intake of food. Hyperemesis gravidarum HG is a pregnancy complication that is gravdica by severe nauseavomitingweight lossand possibly dehydration.

The Cochrane Database of Systematic Reviews 9: Retrieved 5 December If oral nutrition is insufficient, intravenous nutritional support may be needed.


Excessive salivation, also known as sialorrhea gravidarumis another symptom experienced by some women. Retrieved from ” https: Archived PDF from the original on It is thought that HG is wmesis to a combination of factors which may vary between women and include genetics.

Hyperemesis gravidarum

Often gets better but may last entire pregnancy [2]. D ICD – There is only limited evidence from trials to support the use of vitamin B 6 to improve outcome. Diagnoses to be ruled out include the following: 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.

If conservative dietary measures fail, more extensive treatment such as the use of antiemetic medications and intravenous rehydration may be required. Concomitant conditions Diabetes mellitus Systemic lupus erythematosus Thyroid disorders Maternal death Sexual activity during pregnancy.

Based on symptoms [3]. There are numerous theories regarding the cause of HG, but the cause remains controversial. First pregnancy, multiple pregnancyobesity, prior or family history of hyperemesis gravidarum, trophoblastic disorderhistory of an eating disorder [3] [4]. Steroid therapy in the treatment of intractable hyperemesis gravidarum”. Pyridoxinemetoclopramide [5].

Emesis e hiperemesis gravídica by ARMANDO MORENO SANTILLAN on Prezi

After IV rehydration is completed, patients typically begin to tolerate frequent small liquid or bland meals. Ondansetron may be beneficial, however, there are some concerns regarding an association with cleft palate[33] and there is little high-quality data.

Obstetrics and gynecology clinics of North America.


Therefore, hyperemesis gravidarum means “excessive vomiting of pregnant women”. Acupuncture both with P6 and traditional method has been found to be ineffective. Urinary tract infectionhigh thyroid levels [5].

Hyperemesis gravidarum tends hiperemsis occur in the first trimester of pregnancy [12] and lasts significantly longer than morning sickness. Patients might receive parenteral nutrition intravenous feeding via a PICC line or enteral nutrition via a nasogastric tube or a nasojejunal tube.

Archived from the original on 30 November Retrieved 27 October However, cycles of hydration and dehydration can occur, making continuing care necessary. International urology and nephrology. American Journal of Obstetrics and Gynecology. Current Opinion in Obstetrics and Gynecology. Distention of the gastrointestinal tract Crossover with TSHcausing gestational dmesis [5]. New England Journal of Medicine. Nausea and vomiting such that weight loss and dehydration occur [1].

Women experiencing hyperemesis gravidarum often are dehydrated and lose weight despite travidica to eat.

In addition, electrolyte levels should be monitored and supplemented; of particular concern are sodium and potassium. Handbook of early pregnancy care. Depression and post-traumatic stress disorder [36] are common secondary complications of HG and emotional support can be beneficial. Hyperemesis gravidarum is considered a diagnosis of exclusion.

BMJ Clinical research ed. Gravidicca pathophysiological processes involved are summarized in the following table: Dry bland food and oral rehydration are first-line treatments.