Deruelle Philippe, Sentilhes Loïc, Ghesquière Louise, Desbrière Raoul, Ducarme Guillaume, Attali Luisa, Jarnoux Annic, Artzner France, Tranchant Audrey, Schmitz Thomas, Sénat Marie-Victoire
Service de gynécologieobstétrique, hôpital Arnaud-de-Villeneuve, CHU de Montpellier, Montpellier, France.
Service d'obstétrique et gynécologie, hôpital universitaire de Bordeaux, France.
Rev Prat. 2024 Apr;74(4):411-419.
NAUSEA AND VOMITING IN PREGNANCY. Nausea and vomiting during pregnancy are common symptoms experienced by pregnant women. In more severe cases, known as hyperemesis gravidarum, these symptoms can become a pathological condition that can lead to significant complications in both the short and long term. Short-term complications include hydro-electrolyte imbalances, pregnancy termination, and growth retardation. Long-term complications may include anxiety disorders, depression, and post-traumatic stress disorder. Mild cases can often be alleviated through lifestyle and dietary adjustments or non-pharmacological treatments like ginger, acupuncture, or acupressure. However, moderate to severe cases require specific psychological support, anti-emetic treatments, and sometimes hospitalization with intravenous treatment and parenteral rehydration. Managing these cases is complex and challenging because it does not guarantee the complete disappearance of symptoms, which can pose difficulties for caregivers.
孕期恶心与呕吐。孕期恶心和呕吐是孕妇常见的症状。在更严重的情况下,即妊娠剧吐,这些症状会成为一种病理状况,可导致短期和长期的重大并发症。短期并发症包括水电解质失衡、终止妊娠和生长发育迟缓。长期并发症可能包括焦虑症、抑郁症和创伤后应激障碍。轻度病例通常可通过生活方式和饮食调整或非药物治疗(如生姜、针灸或指压)得到缓解。然而,中度至重度病例需要特定的心理支持、止吐治疗,有时还需要住院进行静脉治疗和胃肠外补液。处理这些病例很复杂且具有挑战性,因为无法保证症状完全消失,这会给护理人员带来困难。