Invited Review: Nutritional Management of Hyperemesis Gravidarum

Hyperemesis gravidarum (HG) was once a major cause of maternal mortality. The impact of prolonged and severe nausea and vomiting on the fetus and mother can be devastating. Disturbances in fluid, electrolyte, and acid-base balances are common. The reduction in maternal deaths associated with HG is a...

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Bibliographic Details
Published in:Nutrition in clinical practice 2000-04, Vol.15 (2), p.65-76
Main Authors: Wagner, Beth A., Worthington, Patricia, Russo-Stieglitz, Karen E., Levine, Amy B., Armenti, Vincent T.
Format: Article
Language:English
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Summary:Hyperemesis gravidarum (HG) was once a major cause of maternal mortality. The impact of prolonged and severe nausea and vomiting on the fetus and mother can be devastating. Disturbances in fluid, electrolyte, and acid-base balances are common. The reduction in maternal deaths associated with HG is a result of improved understanding and more aggressive treatment of these metabolic alterations. HG is the most common reason for nutrition support intervention during pregnancy. However, little information is available regarding the nutritional issues associated with HG or the effects of providing nutrition support on pregnancy outcome. This review discusses the nutritional implications of HG and strategies for clinical management, including hydration, pharmacologic therapies, and the provision of enteral and parenteral nutrition. Implications for home care and future research are also presented.
ISSN:0884-5336
1941-2452
DOI:10.1177/088453360001500203