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Hyperemesis Gravidarum
Alternate Names : Severe Vomiting in Pregnancy
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What are the treatments for the condition?
The primary treatment for HEG should focus on diet and replacing
fluids, if the woman has become dehydrated.
Dietary changes that may help include:
eating frequent small meals rather than three large ones
eating when hungry, even if it is not mealtime
avoiding foods that do not appeal to the pregnant woman
avoiding foods high in fat and protein
staying away from spicy foods
eating more foods that have dry carbohydrates
drinking more carbonated drinks
drinking teas made from peppermint or ginger
eating soothing foods such as soup, soda crackers, unbuttered toast,
gelatin, or frozen desserts
avoiding milk products, which may be hard to digest
for some women
stopping prenatal vitamins and
iron
until nausea and vomiting go away
drinking plenty of fluids to stay hydrated
In severe cases, a woman may need to enter the hospital for
IV fluids, vitamins, and electrolytes. Medicines such as antiemetics and sedatives
can also be used to calm the nausea. These include:
promethazine
hydroxyzine
trimethobenzamide
prochlorperazine
What are the side effects of the treatments?
The side effects depend upon which medicines are used to
control nausea.
What happens after treatment for the condition?
In most women, HEG clears up by the second trimester. If
a woman is not gaining enough weight, she may need to be given IV fluids
and nutrients again.
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Author: Eva Martin, MD Reviewer: Kathleen A. MacNaughton, RN, BSN Date Reviewed: 10/22/02
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