A Hospital Based Observational Study of Maternal and Fetal Outcomes in Pregnant Women with Hyperemesis Gravidarum in A Tertiary Care Hospital
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction: Nausea and vomiting are among the commonest experiences by women during pregnancy. It may affect 70–80% of all pregnant women.1 Majority of the pregnant women experiences nausea and vomiting mostly during the first trimester. Very limited number of limited women have a prolonged course with symptoms extending until delivery.2 Materials and Methods: This study was conducted at department of Obstetrics and Gynecology, MGM Medical College and Hospital, Jamshedpur for the duration of one year from January 2018 to December 2018. Despite a high prevalence, studies exploring underlying etiology and treatments are limited. A hospital-based prospective observational study was carried out to analyse the impact of hyperemesis Gravidarum on the maternal and fetal outcome. Written informed consent was obtained from patient before enrolling them into the study. Results: In our study 42.5% were in the age group between 20- 25 years. 27.5% were in age group between 26- 20 years. 20.83% were in the age group between 31-35 years. 9.16% were more than 36 years old. (Table I). In our majority were Primi gravida (38.33%), Gravida 2 were (31.66%), Gravida3 were (18.33%), Gravida4 were (11.66%)-Table II. When gestational age is taken in to consideration majority were between 7-10 weeks ( 23.33%), less than 6 weeks were (30%), More than 11- 14 weeks were (20.83% ), 15-20 weeks were ( 13.33%), More than 20 weeks were ( 12.5% )-Table III. When Etiological factor is taken in to consideration more than 35 (29.16%) were ediophothic. 15% were multiple pregnancy, 6.66% were due to vesicular mole. Ectopic pregnancy attributed to 5%. History of hyperemesis in previous pregnancy noted in 18.33% of women. Psycholgical stress was noticed in 11.66% of individuals, Pre-eclampsia was 8.33%, Acute fatty liver of pregnancy was 5.83% - Table IV. Conclusion: The majority of pregnant women experience some type of morning sickness (70-80%). Recent studies show that cases of extreme morning sickness called hyperemesis Gravidarum (HG) are reported by those who treated in a hospital but the numbers are expected to be much higher than this since many women are treated at home or by outpatient care with their health care provider. If not recognized and treated appropriately in time may result in complications leading to morbididity and mortality. In our study there is no mortality.
Authors and Affiliations
Dr Nootan Dayal, Dr Manjula Srivastava
Keywords
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- EP ID EP574482
- DOI 10.9790/0853-1804120105.
- Views 60
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