women s health issues
Hyperemesis Gravidarum
Treatment of Hyperemesis Gravidarum
Nothing by mouth at first Fluids given intravenously Drugs to relieve nausea Rarely, intravenous feeding If hyperemesis gravidarum is confirmed, the woman is given nothing by mouth at first. Instead, she is given fluids intravenously. The fluids usually contain sugar (glucose) and include electrolytes and vitamins as needed. If vomiting is severe and persists, the woman is hospitalized and continues to be given fluids containing any needed supplements. She is also given drugs to relieve nausea (antiemetics) by mouth, injection, or suppository. After the woman is rehydrated and vomiting has subsided, she is given fluids to drink. If she can tolerate fluids, she can begin eating frequent, small portions of bland foods. The size of the portions is increased as she can tolerate more food. If she cannot drink fluids, she may need to be given fluids intravenously in the hospital or at home for a longer period of time. If symptoms recur, the treatment is repeated. Rarely, if weight loss continues and symptoms persist despite treatment, corticosteroids (such asmethylprednisolone) may be used for a short time. However, they are rarely used during the 1st trimester because they can cause birth defects. If vomiting continues despite treatment and causes continuing weight loss, jaundice, and abnormal heart rhythms in the mother, the mother's life may be in danger. In such cases, ending the pregnancy may be an option. Women can discuss this option with their doctor. 