Hyperemesis gravidarum

Treatment:

Uncomplicated nausea and vomiting may be treated with dry foods (crackers), small frequent meals, and emotional support. It is important for the pregnant woman to maintain her fluid intake; therefore, fluids should be emphasized during the times of the day when she may feel less nauseous.

Medication to prevent nausea is reserved for cases where vomiting is persistent and of adequate amounts to present potential maternal and fetal risks. Severe cases may require hospitalization with IV fluid administration.

Psychosocial support is an important part of treatment.

Expectations (prognosis):

Nausea and vomiting usually is worse between 2 and 12 weeks gestation, resolving usually by the 2nd half of a pregnancy. With adequate identification of symptoms and careful follow-up, this should not present serious complications for the infant or mother.

Complications:

Serious emotional problems may complicate this disorder of pregnancy. If emotional problems exist, they need to be identified and addressed appropriately.

Calling your health care provider:

Call your health care provider/obstetrician if pregnant and experiencing severe nausea with vomiting.