Bjelica Artur, Zorić Davorka, Kapamadzija Aleksandra, Maticki-Sekulić Milana
Klinika za ginekologiju i akuserstvo, Medicinski fakultet, Klinicki centar, Novi Sad, 21000 Novi Sad, Branimira Cosića 37.
Med Pregl. 2003 Mar-Apr;56(3-4):183-6. doi: 10.2298/mpns0304183b.
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.
孕期持续严重呕吐称为妊娠剧吐。这种病症的病因仍不明了。然而，内分泌紊乱和心理因素被认为是可能的病因。呕吐通常在妊娠头三个月结束后停止。
报告一例孕期持续性严重呕吐病例。该患者因自妊娠开始便持续呕吐，于妊娠第29周入住诺维萨德的妇产科。进行了包括当前心理状况在内的心理评估。所得结果表明，妊娠剧吐是相关社会心理因素及导致躯体疾病的冲突所致。
此类病例表明，无论有无药物治疗，孕期心理治疗都很重要。此外，我们强调孕前心理准备以及关于妊娠和为人母的更充分信息的重要性。
