Severe morning sickness after pregnancy and hospitalization? It's not really to scare you

time:2022-12-05 author:Emergency treatment
Severe morning sickness after pregnancy and hospitalization? It's not really to scare you

It is often said that when a woman is pregnant, she has to vomit, and it will be fine after a period of time. If she is pregnant and does not vomit, she will be fine for three months... In fact, about half of women Early pregnancy reactions may occur in early pregnancy, including dizziness, fatigue, lethargy, loss of appetite, partial eclipse, aversion to greasy, nausea, and vomiting. However, there are also a small number of expectant mothers with severe early pregnancy reactions, frequent nausea and vomiting, and inability to eat, resulting in fluid imbalances and metabolic disorders, and even endangering the lives of pregnant women. If you vomit what you eat and vomit in the first trimester, and you are either vomiting or on the way to vomit all day, you need to pay attention, this may be hyperemesis gravidarum.

What is hyperemesis gravidarum?

According to current research, it may be related to the increase of human chorionic gonadotropin (HCG), gastrointestinal dysfunction, decreased gastric acid secretion and prolonged gastric emptying time. In addition, it may be related to spiritual and social factors. In recent years, studies have found that hyperemesis gravidarum may also be related to infection with Helicobacter pylori. Hyperemesis gravidarum occurs between the first trimester and 16 weeks of gestation and is more common in young women who are pregnant for the first time. Generally, the early pregnancy reaction occurs about 40 days after menopause, and gradually aggravates until frequent vomiting and inability to eat. Bile or coffee-like substances in the vomit. Severe vomiting can cause water loss and electrolyte imbalance, and use body fat to accumulate acetone, an intermediate product, causing metabolic acidosis. Expectant mothers lose weight, pale, dry skin, weak pulse, and decreased urine output. Blood pressure drops, causing prerenal acute renal failure. So, if morning sickness is serious, be sure to pay attention!

What specific situation needs special attention? Even if necessary, hospitalization is required.

The frequency of vomiting is more than 3 times a day; if you eat anything, you can't swallow the liquid; your body weight is more than 5% lower than before morning sickness; if any of the above conditions exist, you should consider seeking medical attention . 1. Urine examination to measure urine volume, urine specific gravity, ketone bodies, and pay attention to the presence or absence of proteinuria and cast urine. 2. Blood test to measure the number of red blood cells, hemoglobin content, hematocrit, whole blood and plasma viscosity to know whether there is hemoconcentration. Arterial blood gas analysis measures blood pH, carbon dioxide binding capacity, etc., to understand the acid-base balance. Serum potassium, serum sodium, blood chloride content and liver and kidney function should also be detected. 3. Other examinations include fundus examination and neurological examination if necessary. Usually, pregnant mothers will be given intravenous fluids to supplement electrolytes and water, and those with poor nutrition also need intravenous supplementation of nutrients such as amino acids and fat milk. The doctor will also add antiemetics and drugs to correct acidosis according to the actual situation. Generally, through systemic treatment, pregnant women can be relieved after 2 to 3 days.

Self-relief of vomiting in pregnancy

1. Keep your mood happy and not overly stressed. 2. Keep indoor air circulation and do not go to crowded places. 3. The diet should be light, easy to digest, eat less frequently, and avoid overburdening the stomach. 4. Multi-warm boiled water, freshly squeezed fruit juice, light soup, etc., not only hydration, but also appropriate supplement of multivitamins and electrolytes. 5. When hyperemesis occurs, go to the hospital for treatment in time. We all know that as a mother you can endure any kind of pain, but if it is already serious, please seek medical attention immediately. Hope every mother and child is healthy!
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