Hyperemesis Flashcards
1
Q
What is hyperemesis?
A
Excessive nausea and vomiting is hyperemesis, which can result in dehydration
Linked cause = a rise in oestrogen causing nausea and rise in progesterone causing relaxation in the smooth muscle of the GI tract which delays gastric emptying
2
Q
What are signs and symptoms of hyperemesis?
A
- Dehydration
- Low BP
- Ketosis
- Prolonged and severe nausea
- Weight loss
- Headaches
- Excessive saliva
3
Q
What are women at increased risk of during pregnancy with hyperemesis?
A
At higher risk of a blood clot due to dehydration
4
Q
What is the role of the midwife?
A
- Early detection
- IV fluids
- Steroids of the neonate?
- Anti-emetics
- Emotional support
- Limited evidence but ginger 1000mg a day and Vitamins (B6 and B12)
5
Q
How is hyperemesis diagnosed?
A
- maternal weight loss
- > 3 vomits a day
- ketonuria
