妊娠剧吐的复发风险。
Recurrence risk of hyperemesis gravidarum.
机构信息
University of California at Los Angeles, Los Angeles, CA, USA.
出版信息
J Midwifery Womens Health. 2011 Mar-Apr;56(2):132-6. doi: 10.1111/j.1542-2011.2010.00019.x. Epub 2011 Mar 1.
INTRODUCTION
The purpose of this study is to describe the recurrence risk for hyperemesis gravidarum (HG).
METHODS
Women who registered on a Web site sponsored by the Hyperemesis Education and Research Foundation as having had one HG-complicated pregnancy were contacted to follow-up on a subsequent pregnancy. Participants completed an online survey.
RESULTS
One hundred women responded. Fifty-seven had become pregnant again, 2 were trying to conceive, 37 were not willing to get pregnant again because of HG, and 4 did not have a second pregnancy for other reasons. Among the 57 women who responded that they had become pregnant again, 81% reported having severe nausea and vomiting in their second pregnancy. Among the women reporting recurrent HG, 98% reported losing weight and taking prescribed medication for HG, 83% reported treatment with intravenous fluids, 20% reported treatment with total parenteral nutrition or nasogastric tube feeding, and 48% reported hospitalization for HG.
DISCUSSION
This study demonstrates both a high recurrence rate of HG and a large percentage of women who change reproductive plans because of their experiences with HG.
简介
本研究旨在描述妊娠剧吐（HG）的复发风险。
方法
我们联系了在 Hyperemesis Education and Research Foundation 赞助的网站上注册的曾经历过一次 HG 合并妊娠的女性，以随访其后续妊娠情况。参与者完成了在线调查。
结果
共有 100 名女性做出回应。其中 57 人再次怀孕，2 人正在尝试怀孕，37 人因 HG 而不愿再次怀孕，4 人因其他原因没有再次怀孕。在报告再次怀孕的 57 名女性中，81%的人报告在第二次妊娠中出现严重的恶心和呕吐。在报告复发性 HG 的女性中，98%的人报告体重减轻并服用了 HG 的处方药物，83%的人报告接受了静脉补液治疗，20%的人报告接受了全胃肠外营养或鼻胃管喂养治疗，48%的人因 HG 住院治疗。
讨论
本研究表明，HG 的复发率很高，而且有很大比例的女性因为 HG 的经历而改变了生育计划。
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