Hyperemesis gravidarum is intractable vomiting in a pregnant woman that interferes with fluid and electrolyte balance as well as nutrition:
Usually associated with the first 8 to 20 w...
Vomiting with retching more than 3 times per day
Decreased urine output
Dizziness with standing
>5% weight loss from pre-pregnancy weight
Activity as tolerated after improvement
Overall quality of life and future fertility plans can be impacted by severity of nausea and vomiting (6)[B].
Abas MN, Tan PC, Azmi N, et al. Ondansetron compared with metoclopramide for hyperemesis gravidarum: a randomized controlled trial. Obstet Gynecol. 2014;123(6):1272–1279.
O21.9 Vomiting of pregnancy, unspecified
O21.0 Mild hyperemesis gravidarum
O21.1 Hyperemesis gravidarum with metabolic disturbance
O21.2 Late vomiting of pregnancy
O21.8 Other vomiting complica...
Do not allow patients to become volume depleted. Once this occurs, it is more difficult to interrupt the process.
Do not be hesitant to use medications to assist the patient, as this ma...
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