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Related Experiment Videos

[Hyperemesis gravidarum].

L O Schouenborg1, M Honnens de Lichtenberg, H Djursing

  • 1Gynaekologisk/obstetrisk afdeling, Hvidovre Hospital, København.

Ugeskrift for Laeger
|April 6, 1992
PubMed
Summary
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Hyperemesis gravidarum (HG) lacks a clear biological cause, suggesting a significant psychological component. Effective treatments include environmental changes, psychotherapy, and medications like antihistamines and antiemetics.

Area of Science:

  • Obstetrics and Gynecology
  • Psychosomatic Medicine

Context:

  • Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during pregnancy.
  • Existing literature shows no definitive causal link between specific hormones or vitamins and HG.
  • The condition is more prevalent in industrialized societies.

Purpose:

  • To review the available literature on the causes and effective treatments for hyperemesis gravidarum (HG).
  • To assess the role of psychological factors in the etiology of HG.
  • To evaluate the efficacy of various treatment modalities for HG.

Summary:

  • No conclusive evidence supports hormones (e.g., human chorion gonadotropin) or vitamins (e.g., vitamin B6) as causal agents for hyperemesis gravidarum (HG).
  • A significant psychological basis is indicated for HG, with environmental changes often serving as effective treatment.

Related Experiment Videos

  • Infant malformation rates do not appear elevated in mothers with HG, and pregnancies typically progress normally.
  • Treatments are influenced by spontaneous remission and placebo effects, with antihistamines, antiemetics, ginger, environmental changes, hypnotherapy, and psychotherapy showing promise.

    • Impact:

    • Highlights the likely psychosomatic nature of hyperemesis gravidarum, guiding clinical focus.
    • Suggests non-pharmacological interventions like psychotherapy and environmental changes are valuable for managing HG.
    • Reassures that HG does not typically increase risks for infant malformations or pregnancy complications.