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Hyperemesis Gravidarum (Associations (hyperthyroidism, Nulliparity,…
Hyperemesis Gravidarum
Definition
1% of pregnancies
beta HCG levels, causation
Excessive Vomitting
8-12 W (upto 20)
Associations
hyperthyroidism
Nulliparity
Tophoblastic disease
obesity
Multiple preg
Smoking decreases chance
Management
ginger and P6(wrist) accupressure ( little evidence)
admission may be needed for IV hydration
Antihistamines are 1st line
Promethazine
Complications
central pontine myelinolysis
acute tubular necrosis
Mallory Weiss tear
Fetal: small, pre-term
Wernicke's Encephalopathy