Abstract
Hyperemesis gravidarum is a serious complication of pregnancy presenting as prolonged and severe nausea and vomiting causing dehydration, malnutrition and significant morbidity. Women with a history of hyperemesis gravidarum have around an 80% chance of suffering in subsequent pregnancies. Careful and thorough planning in advance of future pregnancy can significantly reduce the overall severity of symptoms and improve the psychosocial welfare of the women as well as pregnancy outcomes. This article explores the various aspects of a thorough prophylactic care plan to optimise the outcomes of future pregnancies and reduce the morbidity associated with hyperemesis gravidarum. The evidence-base for the following aspects are discussed to ensure a holistic care plan can be developed: physical preparation, prophylactic medication, criteria to assess deterioration, further treatment options if required, and psychosocial management
Published Version
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