Abstract
Nausea and vomiting are a frequent physiological status during pregnancy, which may affect 70-80% of pregnant women and the cause is unknown.
The diagnosis is mainly clinical and identification is easy when the symptoms are typical. Treatment should begin with nonpharmacological measures as little heavy but more frequent meals, giving preference to solid foods and cold, avoid liquids in the morning, spicing scarce, avoiding fried and fatty foods.
The initial pharmacological management: pyridoxine (Vitamin B6) at doses of 10-25mg every 8 hours, and at the persistence of symptoms, Doxylamine + pyridoxine.
Keywords
Hyperemesis. vomiting. nausea. pregnancy. pyridoxine.
References
1. DeCherney A, Nathan L, Laufer N, Roman A. “Diagnóstico y Tratamiento Ginecoobstétricos”. 2014, 11ª edición: 493-494.
2. González A, Álvarez E, Veiga A, Gómez M.D. “Síntomas y signos digestivos durante la gestación: náuseas y vómitos / hiperémesis gravídica”. Semergen. 2011;37(10):559-564.
3. Sibaja L, Vargas N. “Manejo de la Hiperemesis Gravídica”. Revista médica de CR y Centroamérica 2011(599):441-445.
4. Tamay A.G, Kuscu N.K. “Hyperemesis gravidarum: Current aspect”. Joournal of Obstetric and Gynaecology 2011;31:708-712.
2. González A, Álvarez E, Veiga A, Gómez M.D. “Síntomas y signos digestivos durante la gestación: náuseas y vómitos / hiperémesis gravídica”. Semergen. 2011;37(10):559-564.
3. Sibaja L, Vargas N. “Manejo de la Hiperemesis Gravídica”. Revista médica de CR y Centroamérica 2011(599):441-445.
4. Tamay A.G, Kuscu N.K. “Hyperemesis gravidarum: Current aspect”. Joournal of Obstetric and Gynaecology 2011;31:708-712.
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