Guideline for Management of Hyperemesis Gravidarum
Journal Title: IOSR Journal of Nursing and health Science - Year 2019, Vol 8, Issue 1
Abstract
Hyperemesis gravidarum (HG) is the most severe form of nausea and vomiting of pregnancy which can have potentially dangerous complications if untreated. Its treatment is basically supportive as the condition itself is self-limiting. This study aimed to implement guideline for management of hyperemesis gravidarum .Subjects and study design: A quasi – experimental design, using one arm was utilized of 50 pregnant women who were attending outpatient clinic & inpatient high risk department at Kafer El-Shikh General Hospital, Kafer El-Shikh governorate, Egypt between January 2017 and September 2017. Results: There were a highly significant difference between before and after implementing guideline among the studied sample regarding signs and symptoms of dehydration, Ketonuria and Potassium investigations and vital signs. Also, it was found that Mean ± SD was 34.2 ±6.7 and 2.4 ±0.7 regarding the duration of intravenous fluids and hospital stay in days respectively. There was a highly statistically significant difference among PUQE scoring index before and after implementing guideline (P=<0.001). A highly statistically significant difference(p= <0.001) among nutrition and fluids intake of life style modification during the follow up from initial observation to the last observation. Conclusion: nursing care guideline gives an actual chance for helping pregnant women, increasing their sense of wellbeing, and reducing pregnancy complications and modify their life style after implementing HG guideline during the follow up. The study recommended implementing and distributing nursing care guideline for hyperemesis gravidarum through antenatal clinic and public hospitals during initial visit of the pregnant women is very important and helpful for their life experinces.
Authors and Affiliations
Asmaa Anwar, Samia I Hassan, Hala Abd El-fatah, Amina El-Nemer
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