Dr. Shalini Kapoor Kad
Sept. 22, 2010
A homoeopathic paediatrician, a counselling expert and a freelance writer are a few words to describe my profession. My sole aim is to put forth practical piece of information that guides every one right in the direction, blending the medicos to a layman with a simple gesture to make the medical things a little less convoluted and comprehendible.
Vomiting and nausea is a familiar term related to pregnancy. Every female just knows and accept the uneasy feeling with the joy of bringing a new life in her world. It is natural with the hormonal changes occurring but at times it may be debilitating requiring external aid. Medically this severe form of vomiting of pregnancy which causes harmful effects on maternal health incapacitating her to conduct normal activities is known as hyper emesis gravid arum. Milder forms are bearable and need no assistance but excessive forms surely need medical help to rescue the sensitive situation and can’t be left unattended.
The condition as known by all usually limits within the first three months of gestation and thereon subsides gradually. These symptoms are more prominent in the first pregnancy with a tendency to be carried forward later. Usually it runs in families, mothers and sisters suffer the same scenario. In case of more than one baby and corresponding hormonal rush the vomiting condition surfaces in severe form. However psychological factor do play an important role and may lead to the above with over anxiety where the stressful effect surmounts the mind badly presenting in form of the nauseating physical signs.
How the mother presents?
During the early phase there is continuous vomiting despite of not having anything too. Normal activities are restrained but otherwise the mother look normal and alright.
In the later phase of hyper emesis gravid arum vomiting increase in amount and frequency and nausea persists in between. The vomitus is often dark coloured or even blood stained. Often the frequency of urination decrease with excessive loss of fluids in form of vomiting. The suffering mother presents all evidences of dehydration. Constipation is present with stomach aches. Mother feels drained and wants to stay in bed all time.
Further loss of weight with continuous loss is marked with sunken eyes and lustreless skin. Pulse is usually high with a low blood pressure and mild temperature around 100 degrees Celsius.
How to manage?
Here every effort is done to ease difficulty and prevent any complications that may result with loss.
- The medicos suggest hospitalising the mother as soon as one is detected with the condition. Sometimes the environment at home may not be a healthy one and to curtail odds often relatives are not allowed to meet the expecting mother.
- Fluid restoration is primary, intravenous drip with expert hands has to be used
- At times sedative may have to use to calm the excited senses and relieve the uneasy agony.
- Anti emetics have to be used to make things swift and sound
- Vitamins are also injected to raise metabolism
- Further general hygiene is to be maintained at all times, she needs to be supported in a neat and clean surrounding
- With restoration and retention of food slowly and steadily the mother is directed towards normal life.
In extreme cases where despite of all efforts the condition doesn’t improve then harsh step like termination has to be adopted. Or else the mother starts to show signs of complications then putting a full stop would be a wise option to save a life.