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Hyperemesis Gravidarum

Year 2017, Volume: 26 Issue: 3, 269 - 296, 30.09.2017
https://doi.org/10.17827/aktd.303579

Abstract

Hyperemesis gravidarum is most commonly seen in the first trimester. Weight loss usually accompanies vomiting and it is less common that the pregnancy-related nausea (0.3-3.6%). Environmental factors and genetic predisposition may play a role in the etiology. Furthermore it is thought that the increased placental load and elevated β-hCG levels also play a role in development of hyperemesis gravidarum. The psychological state of the patient might also aggravate the disease. Hyperemesis gravidarum is diagnosed clinically. This situation will threaten the woman’s life besides having potential negative effects on the newborn health if it is not treated properly. The first step of treatment is diet and life style change. Intravenous hydration, electrolyte supplmentation and antiemetics can be used safely and efficiently..

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Hiperemezis Gravidarum

Year 2017, Volume: 26 Issue: 3, 269 - 296, 30.09.2017
https://doi.org/10.17827/aktd.303579

Abstract

Hiperemezis gravidarum sıklıkla ilk trimesterde görülür. Kilo kaybı kusma ile birlikte seyreder ve gebeliğe bağlı bulantı-kusmaya göre daha nadirdir (%0,3-3.6). Çevresel faktörlerle genetik yatkınlığın etiyolojide rol oynadığı düşünülmektedir. Ayrıca plasental yük ve yüksek β-hCG düzeyleri de hiperemesis gravidarum gelişiminde rol oynar. Kişinin psikolojik yapısı da hastalığın seyrini değiştirebilir. Etiyolojide bunların dışında birçok faktör suçlansa da kanıtlanmış kesin bilgi yoktur. Hiperemesis gravidarum tanısı klinik olarak konulur. Uygun şekilde tedavi edilmediğinde anne ve bebeğin hayatını olumsuz etkileyebilir. Tedavide ilk basamak diyet ve yaşam tarzı değişikliğidir. İntravenöz hidrasyon, elektrolit desteği ile antiemetikler güvenli ve etkili olarak tedavide kullanılabilir.

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There are 139 citations in total.

Details

Subjects Health Care Administration
Journal Section Review
Authors

Mehmet Bülbül

Mustafa Kaplanoğlu

Emel Arslan Yıldırım This is me

Berna Yılmaz This is me

Publication Date September 30, 2017
Acceptance Date January 9, 2017
Published in Issue Year 2017 Volume: 26 Issue: 3

Cite

AMA Bülbül M, Kaplanoğlu M, Arslan Yıldırım E, Yılmaz B. Hiperemezis Gravidarum. aktd. September 2017;26(3):269-296. doi:10.17827/aktd.303579

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