Persistent hyperemesis gravidarum as a psychosomatic dysfunction--case report

Abstract

Persistent severe vomiting in pregnancy is called hyperemesis gravidarum. The etiology of this disorder is still unknown. However, endocrinological disorders and psychological factors are mentioned as possible causes. Vomiting usually stops after the end of the first trimester of pregnancy. A case of persistent, severe vomiting during pregnancy is reported. The patient was admitted to the Department of Gynecology and Obstetrics in Novi Sad in the 29th week gestation due to persistent vomiting from the beginning of pregnancy. A psychological evaluation including current psychological status was performed. The obtained results showed that hyperemesis gravidarum was a consequence of associated psychosocial factors, and conflicts causing somatic disorders. Such cases point to the importance of psychotherapy in pregnancy either with or without drug therapy. In addition, we underline the importance of psychological preparation before pregnancy and better information about pregnancy and motherhood.