Highlights
- •Cases with HG are more likely than controls to report 30 pre-existing conditions.
- •Cases with HG are more likely to report 57 post-pregnancy conditions.
- •Novel pre-existing issues identified include motion sickness and dental issues.
- •Significant post-pregnancy psychosocial issues include missed work (68%).
- •Physical issues were physical condition, irregular periods, and stretchmarks.
Abstract
The purpose of this study is to determine the frequency of reporting of both pre-pregnancy
and post-pregnancy psychosocial and physical issues in women with hyperemesis gravidarum
(HG). Conditions in 449 women with HG were compared to 459 unaffected women (controls).
Binary responses were analyzed using either Chi-squared or Fishers Exact test. Continuous
responses were analyzed using a t-test.
Among 60 pre-pregnancy conditions surveyed, 10 common (>5%) maternal pre-pregnancy conditions were significantly more frequently reported
by women with HG. Twenty rare (<5% controls) pre-pregnancy conditions with significantly increased reporting in the
HG group were identified. Thirty (50%) pre-pregnancy conditions were similarly reported
between cases and controls. Among 80 post-pregnancy factors surveyed, women with HG
also showed significantly higher reporting for 7 common and 50 rare post-pregnancy
outcomes. Women with HG are significantly more likely to self-report physical and
psychosocial issues both before and after pregnancy.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Autonomic Neuroscience: Basic and ClinicalAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Hyperemesis gravidarum. I. Evidence of hepatic dysfunction.Obstet. Gynecol. 1968; 31: 659-664
- Hyperemesis gravidarum: epidemiologic findings from a large cohort.Am. J. Obstet. Gynecol. 2005; 193: 811-814
- Maternal susceptibility to nausea and vomiting of pregnancy: is the vestibular system involved?.Am. J. Obstet. Gynecol. 2002; 186
- Hyperemesis gravidarum complicated by Wernicke encephalopathy: background, case report, and review of the literature.Obstet. Gynecol. Surv. 2006; 61: 255-268
- Symptoms and pregnancy outcomes associated with extreme weight loss among women with hyperemesis gravidarum.J. Women's Health. 2009; 18: 1981-1987
- Antihistamines and other prognostic factors for adverse outcome in hyperemesis gravidarum.Eur. J. Obstet. Gynecol. Reprod. Biol. 2013; 170: 71-76
- Neurodevelopmental delay in children exposed in utero to hyperemesis gravidarum.Eur. J. Obstet. Gynecol. Reprod. Biol. 2015; 189: 79-84
- Hyperemesis gravidarum.Clin. Obstet. Gynecol. 1998; 41: 597-605
- Linking olfaction with nausea and vomiting of pregnancy, recurrent abortion, hyperemesis gravidarum, and migraine headache.Headache Headache. 2002; 43: 304-305
- Acute renal failure in association with severe hyperemesis gravidarum.Obstet. Gynecol. 2002; 100: 1119-1121
- Immunologic and biochemical factors in hyperemesis gravidarum with or without hyperthyroxinemia.in: Gynecologic and Obstetric Investigation Gynecol Obstet Invest. 47. 1999: 229-234
- Pneumomediastinum following esophageal rupture associated with hyperemesis gravidarum.J. Obstet. Gynaecol. Res. 2002; 28: 172-175
- Psychiatric factors do not affect recurrence risk of hyperemesis gravidarum.J. Obstet. Gynaecol. Res. 2015; 41: 512-516
- Splenic avulsion in a pregnant patient with vomiting.Can. J. Surg. 1995; 38: 464-465
- The psychosocial burden of hyperemesis gravidarum.J. Perinatol. 2008 Mar; 28: 176-181
- Pneumomediastinum and bilateral pneumothoraces in a patient with hyperemesis gravidarum.Chest. 1994; 106: 1904-1906
- Saturated fat intake and the risk of severe hyperemesis gravidarum.Epidemiology. 1998; 9: 636-640
- Depression, anxiety, stress and hyperemesis gravidarum: temporal and case controlled correlates.PLoS ONE. 2014; : 9
- Hyperemesis gravidarum, a literature review.Hum. Reprod. Update. 2005; 11: 527-539
- Variations in prevalence of hyperemesis gravidarum by country of birth: a study of 900,074 births in Norway, 1967–2005.Scand. J. Public Health. 2008; 36: 135-142
- Recurrence of hyperemesis gravidarum across generations: population based cohort study.BMJ. 2010 Apr 29; 340c2050
- Maternal body composition, smoking, and hyperemesis gravidarum.Ann. Epidemiol. 2010 Aug; 20: 592-598
- Familial aggregation of hyperemesis gravidarum.Am. J. Obstet. Gynecol. 2011 Mar; 204: 230
Article info
Publication history
Published online: July 20, 2016
Accepted:
July 19,
2016
Received in revised form:
July 18,
2016
Received:
April 25,
2016
Identification
Copyright
© 2016 Elsevier B.V. All rights reserved.