The effectiveness of antiemetics in hyperemesis gravidarum.

Hwang, Byung Chul; Kim, Suk Young

doi:2010.53.1.15

Obstet Gynecol Sci > Volume 53(1); 2010 > Article

Review

Korean Journal of Obstetrics & Gynecology 2010;53(1):15-22.
DOI: https://doi.org/10.5468/kjog.2010.53.1.15 Published online January 1, 2010.

The effectiveness of antiemetics in hyperemesis gravidarum.

Byung Chul Hwang, Suk Young Kim

Department of obstetrics and gynecology, Gil Hospital, Graduate school of medicine, Gachon university of medicine and science, Incheon, Korea. ksyob@gilhospital.com

Abstract

Nausea and vomiting occur in up to 80% of normal pregnancies. Hyperemesis gravidarum, resulting in dehydration and ketonuria, is a more severe and disabling condition affecting up to 1.5% of pregnancies. This condition is poorly understood and treatment strategies remain largely supportive with the aims of relieving symptoms and preventing complications of the disease. Treatment is supportive with intravenous hydration, antiemetics and correction of vitamin deficiency to minimize complications. There are good data to support the safety and usefulness of some kinds of antiemetics such as antihistamine, phenothiazines metoclopromide and specific HHT3 antagonists in hyperemesis gravidarum. But there is little evidence on which to choose the optimum therapy. This review discusses the diagnosis and management of hyperemesis gravidarum and the prevention, recognition and treatment of the serious complication

Key Words: Hyperemesis gravidarum, Nausea, Vomiting, Antiemetics