Weight loss in women with hyperemesis gravidarum admitted in a tertiary hospital

Kabir, Shikha; Basher, Shahidul; Latif, T; Akhter, SM Nahida; Nahar, Lutfun; Shaon, Simla Aftab

doi:10.3329/bmjk.v50i1-2.35838

Cited by 4 publications

(5 citation statements)

References 3 publications

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“…The prevalence of hyponatraemia in pregnancy has not been clearly stated in previous studies, and most of these studies have focused on the association of hyponatraemia with pre-eclampsia. Moreover, it is most often reported in the setting of hyperemesis gravidarum, which occurs mainly during the first trimester 3 , 4 . In a study on the outcomes associated with hyponatraemia in pregnancy, hyponatraemia was reported in 0.27% of all deliveries, with up to 9% of cases of pre-eclampsia associated with hyponatraemia 2 .…”

Section: Discussionmentioning

confidence: 99%

“…Hyponatraemia can occur in pregnancy and is associated with some pregnancy outcomes, which usually depend on the speed of drop of sodium concentrations 2 , 3 . While its most common cause in the first trimester remains excessive vomiting (hyperemesis gravidarum) 4 , in the second half of pregnancy, it is usually due to pre-eclampsia. Low natraemia is associated with twin pregnancy, significant oedema in the woman and early onset of pre-eclampsia 5 .…”

Section: Introductionmentioning

confidence: 99%

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Association of hypertension in pregnancy with serum electrolyte disorders in late pregnancy among Cameroonian women

Ajong,

Yakum,

Aljerf

et al. 2023

Sci Rep

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Multiple electrolyte disorders, including sodium, potassium and calcium disorders, have been associated with hypertension in pregnancy. Most of these studies failed to evaluate the combined effect of low and high sodium, potassium, calcium and chloride ion concentrations on hypertension in pregnancy. This study evaluates the combined effect of these ion categories (low, normal, high) on hypertension in pregnancy. Biochemical ion assays and blood pressure measurements were carried out on 1074 apparently healthy pregnant women in late third trimester. Serum potassium, sodium, chloride, and ionised calcium were measured by ion-selective electrode potentiometry, while total plasma calcium was measured by absorption spectrophotometry. Hypertension in pregnancy was defined as systolic blood pressure ≥ 140 mmHg and/or diastolic blood pressure ≥ 90 mmHg. The prevalence of hyponatraemia, hypokalaemia, hypochloraemia, ionised hypocalcaemia and total hypocalcaemia in late pregnancy was 1.30 [0.78–2.18]%, 3.55 [2.60–4.84]%, 1.96 [1.28–2.97]%, 1.49 [0.92–2.21]% and 43.58 [40.64–46.56]%, respectively. Hypernatraemia, hyperkalaemia, hyperchloraemia, ionised hypercalcaemia and total hypercalcaemia were found in 1.49 [0.92–2.41]%, 2.34 [1.59–3.43]%, 4.38 [3.31–5.77]%, 39.94 [37.06–42.90]%, 2.79 [1.96–3.96]% of the participants, respectively. The prevalence of hypertension in pregnancy was 7.17 [5.77–8.87]%. When ion categories were considered in multiple logistic regression, only ionised and total calcium had significant associations with hypertension in pregnancy. Women with ionised hypercalcaemia had lower odds of hypertension in pregnancy (AOR = 0.50 [0.29–0.87], p-value = 0.015), and women with total hypocalcaemia had higher odds of hypertension in pregnancy (AOR = 1.99 [1.21–3.29], p-value = 0.007), compared to women with ionised and total normocalcaemia, respectively. Increasing kalaemia was associated significantly with higher odds of hypertension in pregnancy; however, kalaemia below and above the normal concentrations had no significant association with hypertension. Nonetheless, participants with kalaemia ≤ 3.98 mmol/L, had lower odds of hypertension in pregnancy compared with those with higher kalaemia (OR = 0.40 [0.24–0.66], p-value = 0.0003). Calcium disorders remain the most frequent electrolyte disorders in pregnancy. When normal cut-offs are considered for calcium and other ions, only ionised and total calcium influence the occurrence of hypertension in pregnancy. Kalaemia seems to affect hypertension in pregnancy but primarily within its normal concentrations. Serum electrolyte follow-up is indispensable for a proper pregnancy follow-up.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association of hypertension in pregnancy with serum electrolyte disorders in late pregnancy among Cameroonian women

Ajong,

Yakum,

Aljerf

et al. 2023

Sci Rep

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“…Ginger has a distinctive aroma that serves to reduce nausea and vomiting in pregnant women (Kabir et al, 2018). When consumed, ginger water can warm the body and provide a sense of comfort.…”

Section: Discussion a Decrease In The Scale Of Emesis Gravidarum In T...mentioning

confidence: 99%

Complementary Therapies in Reducing of Emesis Gravidarum

Handayani¹

2022

midwifery

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Nausea and vomiting in early pregnancy are very common, affecting approximately 80% of the pregnancies, hyperemesis gravidarum is a severe form affecting 0.3–1.0% of the pregnanciesEmesis gravidarum can be treated using complementary therapies such as ginger and lemon. Ginger and lemon have a pharmacological function as an antimyetic. Objective: to determine the effect of ginger water and lemon inhalation in reducing emesis gravidarum. Method : pretest-posttest experiment with control group design. The experimental group was given ginger water, the control group was given lemon inhalation. The study was conducted at the Nagaswidak Health Center in June - July 2022. The sample consisted of 60 pregnant women who met the inclusion criteria using purposive sampling technique. Data were analyzed using paired sample t test and non-parametric Mann Whitney test. The results of the paired sample t test of the experimental group obtained t : 4.726 p value 0.004 (p < 0.05) and the control group obtained t : 4.878 p value 0.005 (p < 0.05). The non-parametric Mann Whitney test obtained p value of 0.004 (p < 0.05). There was a change in the scale of nausea and vomiting in the experimental group and the control group before and after the intervention.

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“…4 A wide array of conditions is associated with hyponatraemia in pregnancy, hyperemesis gravidarum and preeclampsia the most common causes in the first and second half of pregnancy, respectively. 5 Treatment options for severe hyponatraemia due to syndrome of inappropriate antidiuretic hormone (SIADH) include fluid restriction, oral urea, hypertonic saline, oral salt tablets and vasopressin receptor antagonists. There is no safety data regarding the use of vasopressin receptor antagonists during pregnancy or breast feeding.…”

Section: Introductionmentioning

confidence: 99%

Severe hyponatraemia peripartum associated with omeprazole therapy

Morton

2022

Obstet Med

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Hyponatraemia is the most commonly encountered electrolyte abnormality in pregnancy and may be associated with adverse maternal and neonatal outcomes. Rapid onset, severe hyponatraemia has been reported with proton-pump inhibitor therapy in non-pregnant individuals. Gastro-oesophageal reflux is very common during pregnancy, and proton-pump inhibitors are available without a prescription in many countries. A case of severe maternal hyponatraemia in the setting of recent omeprazole therapy is presented. Health professionals should be aware of this complication given the availability of proton-pump inhibitors without prescription and high rates of gestational gastro-oesophageal reflux.

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Weight loss in women with hyperemesis gravidarum admitted in a tertiary hospital

Abstract: Background: Hyperemesis gravidarum is the most severe form of nausea and vomiting in pregnancy with poor pregnancy outcome. Hormonal, psychological, immunological, and infection with H. pylori contribute to the condition.

Cited by 4 publications

References 3 publications

Association of hypertension in pregnancy with serum electrolyte disorders in late pregnancy among Cameroonian women

Association of hypertension in pregnancy with serum electrolyte disorders in late pregnancy among Cameroonian women

Complementary Therapies in Reducing of Emesis Gravidarum

Severe hyponatraemia peripartum associated with omeprazole therapy

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