Soltani Hora, Taylor Gillian M
Derby City General Hospital.
RCM Midwives. 2003 Dec;6(12):520-4.
A small, but significant proportion of pregnant women (1% to 2% of all pregnancies), suffer from a severe form of nausea and vomiting, which is categorised as hyperemesis gravidarum (HG). The arbitrary definition, aetiology and management of HG, which leads to conflicting attitudes and beliefs among healthcare professionals, inevitably impacts on the woman's overall experience of the condition. It causes great distress and if medical and ward staff misunderstand the condition, it can increase rather than reduce the suffering of women. A structured review was designed, both to determine the attitude and beliefs held by healthcare professionals and to advance understanding of women's experiences in relation to HG. A comprehensive search of literature was carried out. Due to the nature of the study, all the relevant identified and included articles were qualitative, therefore narrative synthesis of the tabulated results was carried out. The findings are discussed under the following themes: the experiences of the women, the various attitudes of health professionals. How the relationship between patients and health professionals is in regard to the mother's satisfaction with care and treatment. In the absence of evidence for an effective treatment, it is crucial to try and understand this complex condition, and to expand the circle of support from family to healthcare professionals involved in looking after sufferers.
一小部分但比例可观的孕妇（占所有怀孕情况的1%至2%）患有严重的恶心和呕吐，这种情况被归类为妊娠剧吐（HG）。妊娠剧吐的随意定义、病因和管理导致医护人员之间态度和观念相互冲突，这不可避免地影响了女性对该病症的总体体验。它会造成极大的痛苦，而且如果医护人员误解这种病症，反而会增加而非减轻女性的痛苦。为此设计了一项结构化综述，旨在确定医护人员持有的态度和观念，并增进对女性妊娠剧吐经历的理解。对文献进行了全面检索。由于该研究的性质，所有已识别并纳入的相关文章均为定性研究，因此对列表结果进行了叙述性综合分析。研究结果将在以下主题下进行讨论：女性的经历、医护人员的各种态度、患者与医护人员之间的关系对母亲对护理和治疗满意度的影响。在缺乏有效治疗证据的情况下，努力理解这种复杂病症并扩大支持范围，从家人到参与照顾患者的医护人员，至关重要。
