Scribd Logo
Upload

Welcome to Scribd!

  • 29 views

    Refkas HG

    Uploaded by

    Mutiara
    The document discusses hyperemesis gravidarum (HG), a severe form of nausea and vomiting during pregnancy. It defines HG, describes its incidence, potential causes, complications, diagnostic workup, and management approaches.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Refkas HG

    Uploaded by

    Mutiara
    29 views16 pages
    The document discusses hyperemesis gravidarum (HG), a severe form of nausea and vomiting during pregnancy. It defines HG, describes its incidence, potential causes, complications, diagnostic workup, and management approaches.

    Original Description:

    refkas hg

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses hyperemesis gravidarum (HG), a severe form of nausea and vomiting during pregnancy. It defines HG, describes its incidence, potential causes, complications, diagnostic workup, and management approaches.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    29 views16 pages

    Refkas HG

    Uploaded by

    Mutiara
    The document discusses hyperemesis gravidarum (HG), a severe form of nausea and vomiting during pregnancy. It defines HG, describes its incidence, potential causes, complications, diagnostic workup, and management approaches.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 16

    Case Reflection:

    Hyperemesis Gravidarum
    PRESENTED BY

    HUSNI MUARIF
    KOAS OBSGYN
    14940 // FK UGM
    Patient
    S A
    ◦ G1P0A0 20 th ◦ G1P0A0 H.16 minggu dengan Hiperemesis
    ◦ KU : Mual muntah terus menerus sejak 1 bulan, Gravidarum
    memberat 3 hari yll, 5-6x/hari, tidak bisa makan

    O P
    ◦ Compos mentis. IVFD RL :D5 1:1 30 tpm
    ◦ BP: 103/70 mmHg. HR: 87/min. Inj Metoclopramid 1A/8jam/iv
    ◦ T: 36.6*C RR: 18/min. As folat 1x1
    ◦ Abdomen: Membuncit sesuai umur kehamilan, Kalk 1x1
    NT (-), BU (+).
    ◦ USG : Janin Tunggal DJJ (+), Gerak (+), CRL 10,5
    Antasida syr 3xCI
    cm  16 minggu 3 hari Diet TKTP
    Hyperemesis Gravidarum
    Hyperemesis gravidarum (HG) or severe nausea/vomiting is generally defined as
    intractable n/v ≥3 times a day with signs of dehydration (large ketonuria, high
    urine specific gravity, or electrolyte imbalance) and weight loss of >3 kg or >5%
    prepregnancy weight, having excluded other diagnoses.
    Pregnancy Unique Quantification of Emesis and Nausea (PUQE) scoring index is
    used to assess the severity.

    Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., . . . Sheffield, J. S. (2014). Williams
    obstetrics (24th edition.). New York: McGraw-Hill Education
    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Second Edition.Series In Maternal Fetal Medicine. CRC Press,2011:72–80. (Series In Maternal Fetal Medicine;
    Incidence
    Nausea and vomiting are common in early pregnancy; approximately 50%–80% will experience
    nausea and 50% vomiting. HG affects only 0,3-1% of pregnancies.
    60% resolve by the end of the first trimester, and 91% have complete resolution by 20 weeks
    Daughters born to mothers with HG have a three times higher risk of future development
    (Genetics)
    Hospitalization rate was 0,5-0,8% of all HG cases. 20% of thos hospitalized in previous pregnancy
    will again require hospitalization.

    Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., . . . Sheffield, J. S. (2014). Williams
    obstetrics (24th edition.). New York: McGraw-Hill Education
    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Second Edition.Series In Maternal Fetal Medicine. CRC Press,2011:72–80. (Series In Maternal Fetal Medicine;
    Etiology
    Decreased GI motility
    Multifactorial Hormones
    CTZ more sensitive
    Vestibulo-occular reflex pathway
    hCG
    H. Pylori
    Psychologic
    Protection from teratogenic exposure
    Genetic
    Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., . . . Sheffield, J. S. (2014). Williams
    obstetrics (24th edition.). New York: McGraw-Hill Education
    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Complications
    Maternal Fetal

    Psychologycal morbidity Growth restriction

    Wernicke’s encephalopathy Low Birth Weight, SGA

    Peripheral neuropathy Gestational hypertension

    Acute kidney Injury Preterm delivery

    Mallory-Weiss Tear

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Workup
    Labs
    History Physical Exam
    (serum, Urine)

    Radiologic

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Management

    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal Evidence Based Guidelines,
    Thank
    You
    Bibliography
    Cunningham, F. G., Leveno, K. J., Bloom, S. L., Spong, C. Y., Dashe, J. S., Hoffman, B. L., . . .
    Sheffield, J. S. (2014). Williams obstetrics (24th edition.). New York: McGraw-Hill Education
    Mella M (2011). Nausea/vomiting of pregnancy and hyperemesis gravidarum. In: Maternal-Fetal
    Evidence Based Guidelines, Second Edition.Series In Maternal Fetal Medicine. CRC
    Press,2011:72–80. (Series In Maternal Fetal Medicine; https://doi.org/10.3109/9781841848235-
    10).

    You might also like