[Psychosomatical approach to Hyperemesis gravidarum]

Area of Science:

• Obstetrics and Gynecology
• Psychiatry
• Psychology

Context:

• Nausea and vomiting of pregnancy (NVP) is a common physiological symptom in early pregnancy.
• Severe forms, known as hyperemesis gravidarum (HG), frequently necessitate emergency consultations and hospitalizations.
• Despite potential aversion towards HG patients, their distress and underlying psychological conflicts require empathetic understanding.

Purpose:

• To highlight the significance of NVP and HG as common pregnancy complications.
• To emphasize the dual role of gynecologists in managing the physical symptoms and clinical consequences of HG.
• To underscore the critical role of psychologists and psychiatrists in addressing the psychological distress and conflicts associated with pregnancy.

Summary:

• NVP is a frequent first-trimester symptom, with HG representing a severe form requiring medical intervention.
• Gynecologists manage the somatic aspects and clinical outcomes of HG.
• Psychological support is essential for patients to process their feelings about pregnancy and resolve contradictory emotions.

Impact:

• Improved clinical management of NVP and HG through a multidisciplinary approach.
• Enhanced patient well-being by addressing both physical and psychological aspects of pregnancy-related vomiting.
• Better understanding of the psychical conflicts contributing to severe hyperemesis gravidarum, leading to more effective therapeutic strategies.