Recurrence Risk of Hyperemesis Gravidarum
Article first published online: 1 MAR 2011
© 2011 by the American College of Nurse-Midwives
Journal of Midwifery & Womens Health
Volume 56, Issue 2, pages 132–136, March/April 2011
How to Cite
Fejzo, M. S., MacGibbon, K. W., Romero, R., Goodwin, T. M. and Mullin, P. M. (2011), Recurrence Risk of Hyperemesis Gravidarum. Journal of Midwifery & Womens Health, 56: 132–136. doi: 10.1111/j.1542-2011.2010.00019.x
- Issue published online: 23 MAR 2011
- Article first published online: 1 MAR 2011
- hyperemesis gravidarum;
Introduction: The purpose of this study is to describe the recurrence risk for hyperemesis gravidarum (HG).
Methods: Women who registered on a Web site sponsored by the Hyperemesis Education and Research Foundation as having had one HG-complicated pregnancy were contacted to follow-up on a subsequent pregnancy. Participants completed an online survey.
Results: One hundred women responded. Fifty-seven had become pregnant again, 2 were trying to conceive, 37 were not willing to get pregnant again because of HG, and 4 did not have a second pregnancy for other reasons. Among the 57 women who responded that they had become pregnant again, 81% reported having severe nausea and vomiting in their second pregnancy. Among the women reporting recurrent HG, 98% reported losing weight and taking prescribed medication for HG, 83% reported treatment with intravenous fluids, 20% reported treatment with total parenteral nutrition or nasogastric tube feeding, and 48% reported hospitalization for HG.
Discussion: This study demonstrates both a high recurrence rate of HG and a large percentage of women who change reproductive plans because of their experiences with HG.