sis gravid arum is a condition characterized by severe nausea

8/2/2019 sis Gravid Arum is a Condition Characterized by Severe Nausea

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Hyperemesis gravidarum is a condition characterized by severe nausea, vomiting, weight loss,

and electrolyte disturbance. Mild cases are treated with dietary changes, rest and antacids. Moresevere cases often require a stay in the hospital so that the mother can receive fluid and nutrition

through an intravenous line (IV). DO NOT take any medications to solve this problem without

first consulting your health care provider.

Why is this happening to me?

Do not worry. Your body is not trying to reject the baby as some people used to think. Themajority of pregnant women experience some type ofmorning sickness (70 - 80%). In about 1%of all pregnancies, the woman will experience extreme morning sickness called hyperemesis

gravidarum. It is believed that nausea is caused by a rise in hormone levels; however, the

absolute cause is still unknown. Hyperemesis gravidarum cannot be prevented, but you can take

comfort in knowing that there are ways to manage it.

Distinguishing between morning sickness and hyperemesis gravidarum:

Morning Sickness: Hyperemesis Gravidarum:

Nausea sometimes accompanied by vomiting Nausea accompanied by severe vomiting

Nausea that subsides at 12 weeks or soon

afterNausea that does notsubside

Vomiting that does notcause severe

dehydrationVomiting that causes severe dehydration

Vomiting that allows you to keep some food

down

Vomiting that does notallow you to keep any food

down

Signs and symptoms of hyperemesis gravidarum: Severe nausea and vomiting Food aversions Weight loss of 5% or more of pre-pregnancy weight Decrease in urination Dehydration Headaches Confusion

Fainting Jaundice

What are the treatments for hyperemesis gravidarum?

In some cases hyperemesis gravidarum is so severe that hospitalization may be required.

Hospital treatment may include some or all of the following:
http://www.americanpregnancy.org/duringpregnancy/morningsickness.htmlhttp://www.americanpregnancy.org/duringpregnancy/morningsickness.html


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Intravenous fluids (IV)to restore hydration, electrolytes, vitamins, and nutrients Tube feeding:

Nasogastricrestores nutrients through a tube passing through the nose and to thestomach

Percutaneous endoscopic gastrostomyrestores nutrients through a tube passingthrough the abdomen and to the stomach; requires a surgical procedure Medicationsmetoclopramide, antihistamines, and antireflux medications*

Other treatments may include:

Bed RestThis may provide comfort, but be cautious and aware of the effects of muscleand weight loss due to too much bed rest.

AcupressureThe pressure point to reduce nausea is located at the middle of the innerwrist, three finger lengths away from the crease of the wrist, and between the twotendons. Locate and press firmly, one wrist at a time for three minutes. Seabands also

help with acupressure and can be found at your local drug store.

Herbsginger or peppermint Homeopathic remedies are a non-toxic system of medicines. Do not try to self medicate

with homeopathic methods; have a doctor prescribe the proper remedy and dose.

Hypnosis


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The amniotic fluid is part of the babyslife support system . It protects your baby and

aids in the development of muscles, limbs, lungs and the digestive system. Amniotic fluid isproduced soon after the amniotic sac forms, about 12 days after conception. It is first made up of

water that is provided by the mother. After about 20 weeks into the pregnancy, it is primarily

made up of fetal urine. As the baby grows, he or she will move and tumble in the womb with the

help of the amniotic fluid. In the second trimester the baby will begin to breathe and swallow theamniotic fluid. Amniotic fluid levels increase regularly until about 32-33 weeks gestation, and

then they level off. In some cases the amniotic fluid may measure too low or too high. Normal

fluid levels may vary, but are usually considered an AFI of 5-25 centimeters or a fluid level ofabout 800-1000 mL. If the measurement of amniotic fluid is too low it is called oligohydramnios

. If the measurement of amniotic fluid is too high it is called polyhydramnios.

What is Polyhydramnios?

Polyhydramnios is the condition of having too much amniotic fluid. Doctors can measure theamount of fluid through a few different methods, most commonly through amniotic fluid index

(AFI) evaluation or deep pocket measurements. If an AFI shows a fluid level of more than 25centimeters (or above the 95th percentile), a single deep pocket measurement of


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What are the risks of having too much amniotic fluid?

Most cases of polyhydramnios are mild and result in few, if any, complications. Those with

higher levels of fluid could experience one or more of the following risks:

Premature rupture of the membranes (PROM) Placental abruption Preterm labor and delivery (approximately 26%) Growth restriction (IUGR) resulting in skeletal malformations Stillbirth occurs in about 4 in 1000 pregnancies that suffer from polyhydramnios vs.

about 2 in1000 pregnancies with normal fluid levels.

Cesarean delivery Postpartum hemorrhage

What are the treatments for elevated amniotic fluid levels?

Many cases of polyhydramnios are easily treated and do not result in complications if thepregnancy is monitored closely. Monitoring would include frequent sonograms measuring

growth, biophysical profile and fetal assessment. Other treatments could include:

Medication that can reduce fluid production and are as much as 90% effective. Thistreatment is not used after 32 weeks gestation because of possible complications.

Amnioreduction is a procedure that can be used to drain excess fluids. This is donethrough amniocentesis, which may carry certain risks. There is, however, the chance thatfluid could build back up even after draining.

Delivery of the baby
http://www.americanpregnancy.org/pregnancycomplications/placentalabruption.htmlhttp://www.americanpregnancy.org/pregnancyloss/sbtryingtounderstand.htmlhttp://www.americanpregnancy.org/labornbirth/cesareanprocedure.htmlhttp://www.americanpregnancy.org/prenataltesting/ultrasound.htmlhttp://www.americanpregnancy.org/prenataltesting/amniocentesis.htmlhttp://www.americanpregnancy.org/prenataltesting/amniocentesis.htmlhttp://www.americanpregnancy.org/prenataltesting/ultrasound.htmlhttp://www.americanpregnancy.org/labornbirth/cesareanprocedure.htmlhttp://www.americanpregnancy.org/pregnancyloss/sbtryingtounderstand.htmlhttp://www.americanpregnancy.org/pregnancycomplications/placentalabruption.html

sis gravid arum is a condition characterized by severe nausea

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