Morning Sickness Research Articles

Effectiveness of informational nursing support for nausea and vomiting of pregnancy: A systematic review

Effectiveness of informational nursing support for nausea and vomiting of pregnancy: A systematic review

Effect of Sharbat-i-Anar Sheerin (pomegranate juice) in nausea and vomiting in pregnancy: A pre- and post-interventional study

Effect of Sharbat-i-Anar Sheerin (pomegranate juice) in nausea and vomiting in pregnancy: A pre- and post-interventional study

Анализ эффективности применения витаминно-минерального комплекса на течение беременности

Pregnancy increases the need for vitamins, which is almost impossible to compensate for by changing dietary intake. This need is increased by negative environmental impacts, several diseases of the gastrointestinal tract and liver, long-term illnesses, antimicrobial therapy, and other factors. Objective. To study the effect of vitamin and mineral complex (VMC) “Miteravel Plus” on overall well-being and sleep quality, skin, hair, and nail conditions, as well as gastrointestinal tract function in pregnant women and in women in the preconception period. Patients and methods. This prospective observational study included 1544 patients: 246 women preparing for pregnancy and 1298 pregnant women. All patients took “Miteravel Plus” one capsule once a day. The duration of VMC administration was left to the discretion of pregnant women and their attending physicians. Two questionnaires were carried out during the study: before and 1 month after the use of VMC. Results. Administration of VMC helped to decrease nausea and vomiting in the first trimester of pregnancy, increase physical activity, improve sleep quality and conditions of skin, hair, and nails (p < 0.05). Conclusion. Vitamin and mineral complex “Miteravel Plus” compensates for a greater demand for vitamins and micronutrients in the preconception period and during pregnancy, improving the overall well-being of women in early gestation. Key words: pregnancy, dyssomnia, nausea and vomiting of pregnancy, gastrointestinal function

Monday morning sickness in draft purpose Bhutia ponies: A case report

Monday morning sickness in draft purpose Bhutia ponies: A case report

Knowledge, Attitude and Practice Regarding Medication use among Pregnant Women Attending Antenatal Clinic: A Cross-sectional Study

Introduction: Medication use during pregnancy is a major concern in India and poor awareness is driven by non scientific information sources. Primary care providers play a role in providing information on risk of teratogenic and folate deficiency birth defects. Aim: To assess Knowledge, Attitude and Practice (KAP) of pregnant women attending antenatal clinic regarding medication use and self-medication during pregnancy. Materials and Methods: This cross-sectional study was conducted on 100 pregnant women attending the antenatal clinic in a tertiary care teaching hospital of Eastern India from August to October 2021. The study looked at sources of drug information, attitudes regarding medication use and practice of medication use and self-medication among pregnant mothers attending antenatal clinic of the hospital. Consenting women were enrolled in the study and the qualitative data gathered from the women were analysed using tools of descriptive statistics. Results: This study included 100 pregnant women with mean age of 22±2.0 years of which 42% were primigravida. Of the participants 80% had atleast high school education. Two third of the mothers 66% cited their family members as source of their drug information and 76% were aware of the risks of selfmedication during pregnancy. Self medication practice was seen in 25% pregnant women mainly with Paracetamol use for pain or over-the-counter drugs to control acid reflux and morning sickness symptoms. All the participants (100%) took their iron and folic acid supplements as advised. Conclusion: The pregnant women attending the hospital showed adequate knowledge and satisfactory practices regarding medication use. Counselling of the mothers attending the clinic regarding drug use and possible harms to the mother and baby can help reduce long-term risks.

HUBUNGAN STRESS DENGAN DERAJAT MORNING SICKNESS PADA IBU HAMIL TRIMESTER 1 DAN 2 DI DESA SUKOBENDU KECAMATAN MANTUP KABUPATEN LAMONGAN

Background: Morning sickness is a common problem that occurs in pregnant women. This condition can cause nutritional and comfort problems for pregnant women. In fact, many pregnant women experiencemorning sickness. Objectives: This study aims to determine the relationship between stress and the degree of morning sickness in pregnant womenDesign: : This study used a cross sectional research design the sample was taken using the Total Sampling technique, the instrument used was a questionnaire. The data were analyzed using the Spearman rank test.Data Sources: The data in this study used DASS to measure stress levels and degrees of morning sickness using the PUQE questionnaireResults: The results showed that almost half of pregnant women who experienced morning sickness experienced moderate stress, namely as many as 13 (43.3%) pregnant women, and some other pregnant women who experienced morning sickness experienced severe stress as many as 2 (6.7%) pregnant women. Based on the results of calculations using the Spearman rank test (rho) that the significance value is 0.000 where the value (p 0.05), which means that there is a relationship between stress and the degree of morning sickness in pregnant women..Conclusions: There is a relationship between stress with the degree of morning sickness in the Ist and 2nd trimesters

STUDI KASUS: TERAPI ACUPRESSURE DALAM MENGATASI EMESIS GRAVIDARUM PADA IBU HAMIL TRIMESTER I

The increase of hormone HcG, progesterone, and estrogen in pregnancy period causes complaints of nausea called emesis gravidaruam. The case study results showed that 3 out of 10 pregnant women complain of nausea. If nausea occurs continuously until lose energy to carry out activities, it is possible that the pregnant woman has hyperemesis gravidarum. Appropriate treatment in reducing emesis gravidarum can be done non-pharmacologically by providing acupressure therapy which is carried out at the Pc 6, St 36, Lv 14, Ren 17 and Bl 21 meridians as well as counseling. Using the case study method by approaching midwifery care. The research subjects were 2 primigravida pregnant women with gestational age 6-12 weeks, nausea without interfering with activities, nausea, decreased appetite and weight loss <5% of previous body weight. This study showed that in patient 1 after 7 days of midwifery care there was a decrease in the frequency of nausea by giving acupressure, counseling and giving crackers or biscuits and an increase in appetite so that the body weight increased by 1 kg, this was supported by the number of snacks consumed. Patient 2 after 2 days of midwifery care showed that acupressure and counseling could reduce the frequency of nausea. Giving acupressure therapy can be carried out in midwifery care in first trimester pregnant women with emesis gravidarum.

The Effect of Herbal Therapy on Emesis Gravidarum

Handling emesis gravidarum using conventional drugs has a teratogenic risk, so another effort is to provide subscriptions using herbal therapy. This study was conducted to determine the effect of herbal therapy in reducing the frequency of emesis gravidarum Method: This type of research is a literature review using the Pubmed, Research Gate, SINTA database. Literature collection strategy using the PICO framework was then analyzed until there were 16 literature that could be used. The review method used is to compare and contrast to find similarities in the types of herbal therapy and the dissimilarities of the most effective herbs. There are differences in the frequency of emesis gravidarum in the use of ginger, mint, lemon, quince, lavender, orange herbs which are provided in the form of extracts and aromatherapy. Giving herbal therapy in the form of ginger, mint, lemon, quince, lavender, orange with aromatherapy and extract preparations can reduce the frequency of emesis gravidarum.

RISK FACTORS OF HYPEREMESIS GRAVIDARUM: META-ANALYSIS FROM RETROSPECTIVE COHORT STUDIES

Hyperemesis gravidarum (HG) is a pregnancy condition characterized by prolonged and severe nausea and vomiting of pregnancy, which causes dehydration and weight loss that requires extensive medical care and hospital admission. Studies of hyperemesis were limited in statistical power and generalizability as a result of being facility-based and relatively small in size. This study aimed to investigate the factors associated with HG among pregnant women. It systematically reviews articles published in PubMed, EMBASE, and Science Direct databases. Statistical analysis was carried out by Review Manager 5.3 (RevMan 5.3). Three hundreds and eighteen studies were found in the databases, and 6 of them met the qualifications. The results of this meta-analysis suggested that mothers with female baby (OR= 1.25; 95% CI: 1.20–1.31), with a previous history of HG (OR= 5.38; 95% CI: 1.10–26.36), multiparity (OR = 1.07; 95% CI: 0.94–1.22), with more than 1 fetus (OR= 2.13; 95%CI: 1.95–2.33), and underweight (OR= 1.19; 95%CI: 1.10–1.28) have higher risk to HG compared to those with male baby, without previous history of HG, primipara, single fetus, and normal BMI respectively. In addition, smoking mothers have a lower risk of HG compared to those who have never had a cigarette (OR= 0.69; 95%CI: 0.31–1.54). Finally, it suggested that mothers with female baby, history of previous HG, multiparity, underweight, and multi-baby are risk factors of HG. Meanwhile, smoking is perceived to be protective factors of HG

The Effectiveness Of Kepok Banana ( Musa Paradisiaca. L) Consumption On Reducing First Trimester Igravidarum Emesis

Emesis gravidarum is a complaint that often occurs in pregnant women, especially in the first trimester. In addition to pharmacological drugs, emesis gravidarum can also be treated non-pharmacologically. This study aims to determine the effectiveness of the consumption of kepok bananas (Musa Paradisiaca Formatypica) on the reduction of first trimester emesis gravidarum in the Independent Midwife Practice (PMB) Susanti Pekanbaru City. The study was conducted from June to August 2021. The type of research used was pre-experimental with a one-group pre-post-test design which did not use a control group, but previously the group had pretest observations so that researchers could compare changes. The population of this study was 15 respondents. The sampling technique in this study was total sampling. The research instrument is a questionnaire sheet and bivariate data analysis. From the results of the study, it is known that the average emesis gravidarum before consuming banana kepok is 9.27 and the average emesis gravidarum after consuming banana kepok is 7.00. The results of the paired T-test showed the effectiveness of kepok banana consumption on decreasing first trimester emesis gravidarum with p value 0.000 < 0.05. From the results of this study, it is expected that pregnant women who experience emesis gravidarum can consume kepok bananas boiled for 40 minutes 3 times a day. Researchers suggest to health workers to be able to provide education about the benefits of kepok bananas to pregnant women in the first time who experience emesis gravidarum.

PROVISION COMBINATION OF LEMON AROMATHERAPY AND WARM GINGER DRINK FOR REDUCING NAUSEA AND VOMITING TO PREGNANT WOMENIN FIRST TRIMESTER

Nausea and vomiting is an usual phenomenon and common in the first trimester of pregnancy. Nausea usually occurs in the morning, but also can occur at night or any time. This can occur in the first four weeks to the twelfth week of pregnancy. Management of nausea and vomiting during pregnancy can be done with pharmacological and non-pharmacological therapy. Non-pharmacological therapy to reduce nausea and vomiting are lemon aromatherapy and warm ginger drink. This study aims to determine the Effect Combination of Giving Lemon Aromatherapy and drink warm ginger to reducing nausea and vomiting in first trimester pregnant women at Community Health Center Perumnas Rejang Lebong Regency in 2022. This research used quasy experimental study of pre-posttest design. The population was all pregnant mothers in first semester who experienced emesis gravidarum. The samples were 42 respondents by using permuted blocks technique. Collecting the data was conducted directly through the observation lemon aromatherapy and drink warm ginger 2 times for 4 days questionnaire by PUQE. Data analysis used statistical test of paired t-test and t-test. The result of the study before and after intervention of showed that the score was ?= 0.000 (? < 0.05), there was an effect combination of lemon aromatherapy and drink warm ginger on nausea and vomiting in pregnant women. Provision Combination of Lemon Aromatherapy and drink warm ginger more effective can reduced nausea and vomiting and the severity of nausea and vomiting in pregnant women.
 

Carrying All Before Her: Celebrity Pregnancy and the London Stage, 1689–1800

Carrying All Before Her: Celebrity Pregnancy and the London Stage, 1689–1800

Recalling the severity of nausea and vomiting of pregnancy – a study using Pregnancy-Unique Quantification of Emesis Questionnaire

The accuracy of the recall of the severity of nausea and vomiting of pregnancy (NVP) with Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire has been questioned. We aimed to compare PUQE scores of women recalling the worst episode of NVP of their current pregnancy in different gestational weeks (gwks). Total of 2343 pregnant women (gwks 7–40) were recruited. Four groups were formed according to the gwks at reply: ≤16 gwks (n = 554), ≤20 gwks (n = 1209), >20 gwks (n = 1134) and ≥24 gwks (n = 495). PUQE scores were similar between the groups. Consequently, consistency of PUQE scores across the groups endorses the useability of the PUQE questionnaire in retrospective assessment of the overall severity of NVP in different gwks, regardless of passing of the peak NVP symptoms. Impact statement What is already known on this subject? Retrospective evaluation of the severity of nausea and vomiting of pregnancy (NVP) has been argued to be disposed to recall bias. Structured Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire is a validated tool for assessing the severity of NVP. What do the results of this study add? When the women recalled the most severe NVP symptoms of their current pregnancy, no differences in the PUQE scores were found despite different gestational weeks at reply. Of distinct PUQE questions, women answering in early pregnancy reported longer duration of nausea than women answering in late pregnancy, but other questions were rated similarly. What the implications are of these findings for clinical practice and/or further research? Our aim was to compare the PUQE scores between the women who filled in the PUQE questionnaire in early or in late pregnancy, instructed to recall their worst symptoms in their current pregnancy. As there were no differences between the groups in total PUQE scores, our results support the application of PUQE questionnaire to assess the severity of NVP during pregnancy not only concurrent to the peak symptoms but also retrospectively.

The Influence of Giving Lemon Aromatherapy on Pregnant Women with Emesis gravidarum

Emesis Gravidarum experienced by about 70-80% of pregnant women and is a phenomenon that often occurs at 5-12 weeks of gestation. Lemon essential oil is one of the herbal oils that is considered a safe remedy for pregnancy. The purpose of this study was to find out the description of giving Lemon therapy to pregnant women with emesis gravidarum in pregnant women at the Maubesi Health Center in 2022. This research method is a quantitative type of quasi-experiment with a One Group Pretest-Postest Design approach without control. The research location will be held at the Maubesi Health Center on March 24-May 5, 2022. The population in this study were all pregnant women who had a pregnancy checkup on March 24-May 5, 2022 at the Maubesi Health Center. The number of samples was 10 pregnant women with emesis gravidarum which were taken by purposive sampling based on inclusion and exclusion criteria. Research results From the results of research conducted by obtaining the frequency of nausea and vomiting before being given inhalation of Lemon aromatherapy obtained an average value of 7.4 and the frequency of nausea and vomiting before being given inhalation of Lemon aromatherapy obtained an average of 0.1 There is an effect of giving inhalation of Lemon aromatherapy to morning sickness in pregnant women with P-value = 0.000. The conclusion is that there is a statistically significant difference between before and before the intervention of giving inhalation of Lemon aromatherapy. Therefore, it is recommended that pregnant women who experience vomiting can apply Lemon aromatherapy treatment to reduce nausea and vomiting.

The Effectiveness of Ginger Oil Aromatherapy and Lemon Oil Aromatherapy on Reducing Emesis Gravidarum in Pregnant Women

Emesis Gravidarum is caused by changes in liver glycogen and an increase in the hormone HCG. The purpose of this study was to determine the difference in the effectiveness of ginger oil aromatherapy and lemon oil aromatherapy on the reduction of emesis gravidarum in pregnant women. The design in this study is a quasy experiment with two groups of pretest posttest design with a sample size of 15 respondents per group. The sampling technique uses Simple Random Sampling while the data analysis test uses the Wilcoxon and Mann Whitney test. Before being given Ginger Oil aromatherapy as many as 9 respondents experienced moderate emesis. After being given ginger oil aromatherapy, 8 respondents did not experience emesis. Before being given Lemon Oil aromatherapy 9 respondents experienced mild emesis. After being given Lemon oil aromatherapy 12 respondents did not experience emesis. Analysis of the Wilcoxon test results there is an effect of giving Ginger Oil and Lemon Oil aromatherapy to reduce emesis gravidarum and the Mann Whitney test it is that Ginger Oil Aromatherapy is more effective in reducing nausea and vomiting compared to Aromatherapy Lemon Oil. Ginger oil contains essential oils that can be used to reduce nausea in pregnant women because the aroma produced is stronger.

Pregnant, miserable, and starving in 21st century America

Severe nausea and vomiting of pregnancy is too common and devastating to be trivialized any longer. Authors of recent studies observed that children exposed in utero to severe nausea and vomiting of pregnancy had an increased risk for autism spectrum disorder, a decreased brain cortical volume, and developmental deficits. Research on severe nausea and vomiting of pregnancy and hyperemesis gravidarum has been disturbingly slow. It was not until 2021 that an international consensus definition was published. Hyperemesis gravidarum starts before 16 weeks' gestation, is characterized by severe nausea with or without vomiting and an inability to eat and drink normally, and greatly limits daily activities. Maternal misery is caused by unrelenting nausea, intractable retching or vomiting, ptyalism, dehydration, reflux, malnutrition, and social isolation. Hyperemesis gravidarum is the second most common reason for hospitalization in pregnancy. Symptoms can persist until delivery in one-third of individuals who experience extreme weight loss. Significant associations have been identified between hyperemesis gravidarum and multiple adverse outcomes. Maternal deaths owing to hyperemesis gravidarum continue to be reported, and hyperemesis gravidarum is associated with high fetal loss and termination rates. These grim findings highlight the critical public health importance of treating severe nausea and vomiting of pregnancy early to mitigate serious complications that compromise maternal and offspring health during pregnancy and beyond. Despite suffering extreme debility, individuals with hyperemesis gravidarum report feeling that their experiences were dismissed by healthcare professionals, contributing to therapeutic termination, suicidal ideation, perinatal depression, and posttraumatic stress disorder. Hyperemesis gravidarum must be recognized early and treated aggressively with frequent monitoring. Although medications can be effective in reducing symptoms, many patients do not gain adequate relief, and new treatments are needed. A promising new avenue for treatment comes from genetic discoveries. The gene, growth differentiation factor-15, which codes for a nausea and vomiting hormone produced by the placenta, is the greatest genetic risk factor for hyperemesis gravidarum, and therapies are currently in clinical trials in cancer. However, until treatment is universally effective, abortion access must be available for refractory hyperemesis gravidarum. Herein, we emphasize data published since the most recent American College of Obstetrics and Gynecology report (2018), such as long-term neuropsychiatric consequences in offspring exposed to hyperemesis gravidarum and suggest interventions anticipated to prevent progression of early symptoms to hyperemesis gravidarum.

Complementary Therapies in Reducing of Emesis Gravidarum

Nausea and vomiting in early pregnancy are very common, affecting approximately 80% of the pregnancies, hyperemesis gravidarum is a severe form affecting 0.3–1.0% of the pregnanciesEmesis gravidarum can be treated using complementary therapies such as ginger and lemon. Ginger and lemon have a pharmacological function as an antimyetic. Objective: to determine the effect of ginger water and lemon inhalation in reducing emesis gravidarum. Method : pretest-posttest experiment with control group design. The experimental group was given ginger water, the control group was given lemon inhalation. The study was conducted at the Nagaswidak Health Center in June - July 2022. The sample consisted of 60 pregnant women who met the inclusion criteria using purposive sampling technique. Data were analyzed using paired sample t test and non-parametric Mann Whitney test. The results of the paired sample t test of the experimental group obtained t : 4.726 p value 0.004 (p < 0.05) and the control group obtained t : 4.878 p value 0.005 (p < 0.05). The non-parametric Mann Whitney test obtained p value of 0.004 (p < 0.05). There was a change in the scale of nausea and vomiting in the experimental group and the control group before and after the intervention.

Perspectives from women who engaged in prenatal and postpartum cannabis use in a U.S. State with legal non-medical use

Evidence suggests fetal risks are associated with cannabis use during pregnancy. Yet, insights into women’s decision-making and cannabis use during pregnancy are limited. This study explored these concepts with postpartum women who used cannabis during and after pregnancy. We conducted interviews with 15 women (4 self-identifying a race other than White and 4 self-identifying Hispanic ethnicity) who: 1) lived in the Puget Sound region of Washington State, 2) reported past-year cannabis use on a routine screen, and 3) had documented pregnancy and delivery March 2015–May 2017. Semi-structured interviews asked about decision-making and cannabis use during pregnancy and postpartum. We used template analysis for coding and analysis. The key findings included that women: 1) gathered information about cannabis use during pregnancy primarily through internet searches and discussions with peers; 2) were reluctant to talk with health care providers about cannabis; 3) used cannabis while pregnant to treat health issues, including morning sickness, pain, and mental health conditions; 4) were comfortable with their decision to use cannabis while pregnant, but had questions about long-term effects; and 5) tried to mitigate transmission through breastmilk. Women decided about cannabis during pregnancy based on their experience, health symptoms, and information gathered from the internet and peers, often without guidance from their health care provider. Results point to opportunities for providers to become informed about and engage in discussion with patients about cannabis use during preconception, pregnancy, and postpartum.

Nausea and vomiting in pregnancy: literature review

Inga Vasilevskytė1,2 1Vilnius University, Faculty of Medicine, Vilnius, Lithuania 2 Vilnius University Hospital Santaros Klinikos, Centre of Obstetrics and Gynecology, Vilnius, Lithuania Summary Background. More than half of pregnant women suffer from nausea and vomiting, which typically begins by the fourth week and disappears by the 16th week of pregnancy. In 1 in 200 women, the condition progresses to hyperemesis gravidarum (HG). The cause of nausea and vomiting in pregnancy is unknown, but may be due to the rise in human chorionic gonadotrophin concentration, neuromuscular factors. Therefore, treatment may be difficult because are the full effect of possible treatment on the fetus is not known. This article reviews the epidemiology, risk factors, diagnosis and various treatments for NVP. Aim.To review the risk factors for nausea and vomiting during pregnancy, diagnosis, possible treatments, their safety. Methods. To review of the literature was performed based on the scientific databases of PubMed, Medline, Web of Science. The publications were selected using the following keywords: “Nausea”, “Vomiting”, “Treatment”, „Pregnancy“. A total of 47 articles were reviewed, 10 of which were rejected, published between 2009 and 2021. Results. NPV is probably the most common pregnancy disorder. The pathogenesis of NVP remains unclear, but it is thought that it may be multifactorial and genetically predisposed. NVP therapy depends on the severity of the disorder to improve symptoms while reducing the risk to the mother and fetus. Treatment includes dietary changes, pharmacological treatment, and acupuncture and acupressure. Conclusions. The literature review provides information on the risk factors, diagnosis and the efficacy and safety of the various interventions: acupuncture; ginger; metoclopramide; ondansetron; and pyridoxine. Keywords: nausea, vomiting, pregnancy, hyperemesis gravidarum, treatment.

An Unusual Cause of Nausea and Vomiting in Pregnancy

PA Aline Snietka: Today's case is a 24-year-old G4P2012 female at 9 weeks gestation who presented to our emergency department (ED) complaining of persistent, gradually worsening nausea with non-bloody, non-bilious vomiting over the course of 2 weeks. The patient had been evaluated in the ED several times for her symptoms during this pregnancy, with a history of hyperemesis gravidarum during previous pregnancies. She endorsed vomiting more than five times per day and that she was unable to tolerate any oral solids or liquids.