Nausea and vomiting of pregnancy: A study with pregnancy-unique quantification of emesis questionnaire

Ellilä, Pauliina; Laitinen, Linda; Nurmi, Miina; Rautava, Päivi; Koivisto, Mari; Polo‐Kantola, Päivi

doi:10.1016/j.ejogrb.2018.09.031

Cited by 16 publications

(18 citation statements)

References 26 publications

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“…The frequency of nausea and vomiting increased in first trimester (72.79%) among pregnant women compared to before pregnancy, (p<0.01). These findings are correlated with the study done by Ellilä P et al [20] . The pathogenesis of nausea and vomiting in pregnancy is still undetermined, although many believe the hormonal changes that occur during pregnancy are most likely involved.…”

Section: Discussionsupporting

confidence: 92%

A cross-sectional and questionnaire-based study of prevalence of gastro-intestinal symptoms during pregnancy at tertiary care centre

Mital¹,

Waikar²

2022

Int. J. Clin. Obstet. Gynaecol.

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Background: Gastrointestinal symptoms are extremely common in the pregnant patients which may lead to morbidity in pregnancy with only few researches to support the prevalence of these symptoms and the effects on the outcome of pregnancy. Hence the present cross-sectional study was undertaken to determine the prevalence of gastro-intestinal symptoms during pregnancy and It's effect on outcome at a tertiary care centre. Method: A total sample size of 136 pregnant women and 136 non-pregnant women visiting ANC, Gynaecology OPDs and patients admitted in wards were included in the study. The data was collected from patients regarding demographic profile, clinical spectrum. Patients were investigated and treated as per the existing practice without disturbing their routine protocol. Results: The prevalence rate of nausea and vomiting, regurgitation, flatulence, loss of appetite, diarrhoea, functional constipation and anal incontinence in pregnant women was significantly higher than in nonpregnant women, (p<0.01). Prevalence of nausea and vomiting was observed to be more in first trimester while other symptoms like regurgitation, flatulence, diarrhoea, constipation, and anal incontinence presented more in third trimester, (p<0.01). Certain combinations of gastrointestinal symptoms were found to be more prevalent together which showed fetal growth restriction. Maximum frequency was seen of the combination symptoms like nausea and vomiting and diarrhoea which was 62.5% and 36.47% among them had SGA babies. Among 136 deliveries, majority were full-term (77.94%) followed by preterm, (22.06%). All neonates were live birth with 34.55% babies being SGA. Conclusion: There is a high prevalence of gastro-intestinal symptoms during pregnancy as compared to non-pregnant state. Higher prevalence of nausea, vomiting and diarrhoea have an indirect cause and effect relationship with small for gestational age babies. However, more studies are needed to highlight the vast spectrum of knowledge pertaining to these symptoms and their impact on maternal and fetal health.

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Section: Discussionsupporting

confidence: 92%

A cross-sectional and questionnaire-based study of prevalence of gastro-intestinal symptoms during pregnancy at tertiary care centre

Mital¹,

Waikar²

2022

Int. J. Clin. Obstet. Gynaecol.

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“…A multicenter study involving 2411 women indicated the prevalence of nausea and vomiting in pregnancy of 88%, this was for combined symptoms of nausea and vomiting. 15 The observed low value for vomiting in pregnancy in our study was the fact that the majority of the study population were in their second half of pregnancy, and the symptoms of nausea and vomiting tends to subside as pregnancy advances, this is as a result of the reduction in the circulating levels of hormones like B-HCG.…”

Section: Discussionmentioning

confidence: 53%

Gastrointestinal symptoms in pregnancy among antenatal clinic attendees in Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Northeast Nigeria

Aminu

Alkali

Audu

et al. 2020

Int J Reprod Contracept Obstet Gynecol

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Background: Pregnant women are at increasing risk of GI symptoms such as nausea, vomiting and heartburns, most of these symptoms are as a result of the hormonal and physical changes associated with pregnancy. This study aimed to determine prevalence of gastrointestinal symptoms (GI) among pregnant women attending booking clinic at a Northeastern Nigerian Teaching Hospital.Methods: The study was a cross-sectional, questionnaire-based survey of four hundred and fifty-two pregnant women booking for antenatal care. Their sociodemographic variables as well as the presence or absence of gastrointestinal symptoms in index pregnancy were obtained at by the use of researcher-administered questionnaire. Data were analyzed and presented as frequencies and percentages. A 5% significance level (p <0.05) to test associations.Results: Two fifty-five women had heart burns (56.4%) while 235 (52.0%) had nausea in pregnancy, these were observed to be the most prevalent GI symptoms among the women. Diarrhea and hemorrhoids were the uncommon GI symptoms in the study population constituting 406 (89.5%), and 360 (79.6%) respectively. Easy fullness was noted in 39.8% of the women while vomiting was in 41.8% and constipation in 29% of the respondents. A significant association was observed (p value <0.05) between parity and development of anorexia and hemorrhoids in pregnancy (p values of 0.049 and 0.051 respectively) but not for the other symptoms.Conclusions: GI symptoms are common in pregnancy, the most prevalent symptoms are that of heart burns and nausea, while diarrhea is relatively uncommon.

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“…This concurred with ndings from other previous studies. [7,12,13] Multiparity had been shown to be a risk factor for more severe nausea and vomiting during pregnancy [14,15] and indeed there were signi cantly more multiparous women in the FET group. This might be partly due to the exclusion of parous women from public funding for further stimulated IVF cycles in our locality.…”

Section: Discussionmentioning

confidence: 98%

Comparison of the prevalence and severity of nausea and vomiting in the first trimester between singleton pregnancies conceived from stimulated in vitro fertilization and frozen embryo transfer cycles

Wong

et al. 2022

Preprint

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Objective The objective of this prospective study is to compare the prevalence and severity of nausea and vomiting in the first trimester between singleton pregnancies conceived from stimulated in vitro fertilization (IVF) and frozen embryo transfer cycles (FET). MethodsAll women were recruited at 6 weeks gestation and filled in the modified Pregnancy-Unique Quantification of Emesis and Nausea (PUQE) to document whether they had any experience of nausea and vomiting weekly till 12 weeks gestation. The primary outcome was the prevalence of nausea and vomiting and the secondary outcomes included severity of nausea and vomiting and pregnancy outcomes. ResultsA total of 360 pregnant women were recruited and 171 were in the stimulated IVF group and 189 in the FET group. The overall return rate was 82.2% (81.8% in the stimulated IVF group and 82.5% in the FET group). Nausea and vomiting were worse in the FET group compared with the IVF group. There were significantly more women who felt nauseated or sick in the FET group (p value=0.032 for week 11 and p value=0.046 for week 12); significantly more women with a longer duration of nausea in the FET group (p value=0.044 for week 7 and p value=0.030 for week 8); significantly more women with more vomiting in a day in the FET group (p value=0.042) and significantly more women with retching or dry heaves in the FET group (p value=0.030 for week 8 and p value=0.028 for week 11). Conclusion Nausea and vomiting were significantly more prevalent and severe in the FET group when compared with the stimulated IVF group.

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Nausea and vomiting of pregnancy: A study with pregnancy-unique quantification of emesis questionnaire

Cited by 16 publications

References 26 publications

A cross-sectional and questionnaire-based study of prevalence of gastro-intestinal symptoms during pregnancy at tertiary care centre

A cross-sectional and questionnaire-based study of prevalence of gastro-intestinal symptoms during pregnancy at tertiary care centre

Gastrointestinal symptoms in pregnancy among antenatal clinic attendees in Abubakar Tafawa Balewa University Teaching Hospital Bauchi, Northeast Nigeria

Comparison of the prevalence and severity of nausea and vomiting in the first trimester between singleton pregnancies conceived from stimulated in vitro fertilization and frozen embryo transfer cycles

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