They usually start at the 6th week of pregnancy; 90% of them are lost before the 16th week of pregnancy. They can rarely be seen throughout pregnancy. Nausea in the mornings can be along with vomiting, anorexia, and a higher sensitivity against certain odors. Hyperemesis gravidarum develops in 4/1000 of pregnant women. They are more frequent in the first pregnancy, multiple pregnancy, fat pregnant women, and those whose sociocultural level are high. It is considered that they depend on being over-high of pregnancy hormones, estrogen and HCG, (multiple pregnancy – molar (grape) pregnancy) or hypersensitivity to hormones. Estrogen hormone in the first 3 months strengthens the feeling of sense of smell; hypersensitivity against some odors emerges for that reason. Nausea and vomiting in pregnancy can be gotten under control by resting, diet changes, and medical support. Sometimes they can become as important as they impair daily activities.
ACTIONS TO BE TAKEN:
It is the advanced form of nausea and vomiting in pregnancy. Complaints can extend up to the 20th week of pregnancy. Because of excessive nausea and vomiting, no adequate intake of fluid is realized, and rapid weight loss begins. By hospitalization, fluid-electrolyte imbalance is tried to be corrected. If the treatment is inadequate, further growth retardation may be encountered in babies.
DIAGNOSIS AND TREATMENT OF GESTATIONAL NAUSEA AND VOMITING:
Urine test is checked for diagnosis; in normal, color of urine should be light, its density should be 1020, and no ketone should be in urine. In the event that ketone is present in urine (this shows that the body begins to burn off residual fats because it does not receive adequate food. The body burns off carbon hydrates primarily), nausea-vomiting is very severe. If the person is unable to take adequate food, the condition is tried to be corrected with nausea-preventive tablet or suppository, B vitamin preparations, serum treatment.