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Hyperemesis Gravidarum During Pregnancy

Author: Noah Carpenter, MD and Dana Bartlett, RN, BSN, MSN, MA, CSPI

CE: 2 hours Pharmacology: 0.5 hour
Rated 4.7 out of 5.0 based on 1265 reviews

Course Summary

Complications of hyperemesis gravidarum in pregnant women can lead to serious maternal and fetal health issues. Maternal and infant health should be monitored closely during pregnancy and after childbirth. A diagnosis of hyperemesis gravidarum is typically based on patient report of symptoms and after ruling out other causes. Patients should be assessed for psychological symptoms when considering physical complications of nausea and vomiting in pregnant women, such as fluid and electrolyte losses and poor nutrition. More is being raised in the literature about the value of genetic testing in pregnant women with hyperemesis gravidarum to help guide the medical management of symptoms.

Course Format


Course Syllabus

I.              Introduction
II.           Epidemiology and Diagnosis
1.   Clinical Criteria for Diagnosis
III.        Pathogenesis and Risk Factors
1.   Gastrointestinal Motility
2.   Evolutionary Adaptation
3.   Genetic Influence
4.   Hormonal Changes
5.   Infection
6.   Nutritional Deficiencies
7.   Psychological Disorders
8.   Risk Factors
IV.         Clinical Presentation
1.   Managing Signs and Symptoms
V.            Assessment and Potential Complications
VI.         Treatment
1.   Non-Pharmacologic Therapies
2.   Pharmacologic Therapies
VII.       Case Reports: Nausea and Vomiting During Pregnancy
1.   Case 1: 20-year old Female
2.   Case 2: 40-year-old Female
VIII.    Summary


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