What is Hyepremesis Gravidarum (HG)?

בחילות בהריון כל היום

The most severe level of nausea and vomiting is called in medical language “Hyepremesis gravidarum”. The Hypermesis Gravidarum Education and Research Association defines the phenomenon as “nausea and vomiting which occur excessively during pregnancy and inhibit the ability to eat and drink properly”. The phenomenon is considered a common complication of pregnancy. The percentage of women who suffer from this phenomenon is 0.3%-2%.

The risk factor of having Hyepremesis gravidarum are: a  history of the disease during a previous pregnancy, obesity, multiple embryos’ pregnancy, first pregnancy and a disease called gestational trophoblastic disease, that causes abnormal proliferation of cells in the womb.

Hyepremesis gravidarum usually occurs during the first trimester of the pregnancy. The initial symptoms of this disease are: vomiting more than 3-4 times a day, leading to a weight loss of about 2.5 kg, dizziness caused by the nausea and vomiting, inability to eat and drink leading to dehydration due to the nausea and vomiting. 

In each of these cases, it is recommended to seek immediate medical advice. 

Diagnosis of the phenomenon is based on the doctor’s questions, medical history, physical examination and sometimes lab tests that assist the doctor with the diagnosis process. 

אשה מקיאה בהיריון

Click here for more tips about how to prevent nausea and vomiting during pregnancy from deteriorating to a condition of Hyepremesis gravidarum. Also, click here for information about nutrition and life style changes that prevent nausea and vomiting during pregnancy.

Some of the women who suffered from Hyepremesis gravidarum during pregnancy refrain from planning another pregnancy because they feel they would not be able to endure this torment again. If you have a history of nausea and vomiting during pregnancy or Hyepremesis Gravidarum, it is important that you consult with your gynecologist as early as at the planning stage or as soon as you find out you are pregnant. That way, your doctor can come up with a suitable plan, which will include follow up and treatments that will prevent the situation from escalating, and in doing so, your doctor will help you go through your pregnancy in the best way possible.


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