Bronshtein Moshe, Gover Ayala, Beloosesky Ron, Dabaja Hanin, Ginsberg Yuval, Weiner Zeev, Khatib Nizar
Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
Neonatal Intensive Care Unit, Carmel Medical Center, Haifa, Israel.
Isr Med Assoc J. 2018 Sep;20(9):573-575.
Ptyalism gravidarum (PG) is a condition of hypersalivation that affects pregnant women early in gestation. Symptoms include massive saliva volumes (up to 2 liters per day), swollen salivary glands, sleep deprivation, significant emotional distress, and social difficulties.
To examine maternal and fetal characteristics and pregnancy outcomes of patients with PG.
Patients diagnosed with PG in our clinic during the years 2001-2016 were identified and contacted. Demographic data were extracted from patient charts and clinical and outcome data was collected via telephone interviews.
The incidence of PG was 1/963 (0.09%) in our sample. Eleven out of 22 women (40%) with PG were also diagnosed with hyperemesis gravidarum. Fetal gender did not increase the risk. Of the mothers presenting with PG, 37% had a positive family history for this condition. There was no associated increase in the rate of fetal or maternal complications. Two women reported a resolution of the symptoms immediately following hypnosis with acupuncture treatment.
Although PG represents an unpleasant mental and physical condition, it does not pose any specific risk to the health of the mother or increase adverse perinatal outcomes for the fetus. Alternative medicine could play a role in the treatment of PG.
妊娠流涎症（PG）是一种在妊娠早期影响孕妇的唾液分泌过多的病症。症状包括唾液大量分泌（每天多达2升）、唾液腺肿大、睡眠不足、严重的情绪困扰和社交困难。
研究PG患者的母体和胎儿特征及妊娠结局。
确定并联系了2001年至2016年期间在我们诊所被诊断为PG的患者。从患者病历中提取人口统计学数据，并通过电话访谈收集临床和结局数据。
在我们的样本中，PG的发病率为1/963（0.09%）。22名患有PG的女性中有11名（40%）也被诊断为妊娠剧吐。胎儿性别不会增加风险。在患有PG的母亲中，37%有这种病症的家族阳性史。胎儿或母体并发症的发生率没有相关增加。两名女性报告在接受催眠针灸治疗后症状立即缓解。
尽管PG代表一种令人不适的身心状况，但它不会对母亲的健康构成任何特定风险，也不会增加胎儿不良围产期结局的风险。替代医学可能在PG的治疗中发挥作用。
