The Impact of Persistent Vomiting Among the Women in Early Pregnancy

Hyperemesis Gravidarum is the serious and life-threatening conditions. It is prolonged upto 16 weeks of gestation. 70% of pregnant women commonly affected with nausea and 60% of pregnant women with vomiting. The exact incidence of persistent or hyperemesis gravidarum was not known, but it was ranged from 3 in 1000 to 2 in 1000 pregnancies. The causes of hyperemesis during the pregnancy is still unclear or uncertain or unknown. Particularly, increased levels of human chorionic gonadotropin (hCG), increased free thyroxin (FT4), and decreased levels of thyroid stimulating hormone (TSH) these may induce the excessive vomiting during the pregnancy. Usually hyperemesis gravidarum associated with the protracted nausea and vomiting, weight loss more than 5kg of pre-pregnant weight, dehydration and electrolyte imbalances. The treatment modalities should be the pharmacological and non-pharmacological methods. Based on the severity of the conditions the treatments modalities are getting vary. As the midwife, should provide emotional support and educate the mother about the dietary and life style modifications to prevent the further complications.