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      Hyperemesis gravidarum: current perspectives

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          Abstract

          Hyperemesis gravidarum is a complex condition with a multifactorial etiology characterized by severe intractable nausea and vomiting. Despite a high prevalence, studies exploring underlying etiology and treatments are limited. We performed a literature review, focusing on articles published over the last 10 years, to examine current perspectives and recent developments in hyperemesis gravidarum.

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          International statistical classification of diseases and related health problems

          GR Brämer (2010)
          Article 0 comments Cited 125 times – based on 0 reviews     Review now
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            Clinical practice. Nausea and vomiting in pregnancy.

            J Niebyl (2010)
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              Prenatal exposure to wartime famine and development of antisocial personality disorder in early adulthood.

              E. Susser, Ineke Hoek, R Neugebauer (1999)
              Several observational epidemiological studies report an association of pregnancy and obstetric complications with development of antisocial personality disorder (ASPD) in offspring. However, the precise nature and timing of the hypothesized biological insults are not known. To test whether severe maternal nutritional deficiency early in gestation is associated with risk for ASPD in offspring. Retrospective cohort study. From October 1944 to May 1945, the German army blockaded food supplies to the Netherlands, subjecting the western Netherlands first to moderate (official food rations, 4200-6300 kJ/d) then to severe (<4200 kJ/d) nutritional deficiency. The north and south were subjected to moderate nutritional deficiency only. Dutch men born in large urban areas in 1944-1946 who were given psychiatric examinations for military induction at age 18 years (N = 100543) were classified by the degree and timing of their prenatal exposure to nutritional deficiency based on their birthdate and birthplace. Diagnosis of ASPD by psychiatric interview at time of medical examination for military induction, using the International Classification of Diseases, Sixth Revision (ICD-6). Men exposed prenatally to severe maternal nutritional deficiency during the first and/or second trimesters of pregnancy exhibited increased risk for ASPD (adjusted odds ratio [OR], 2.5; 95% confidence interval [CI], 1.5-4.2). Third-trimester exposure to severe nutritional deficiency and prenatal exposure to moderate nutritional deficiency were not associated with risk for ASPD. Our data suggest that severe nutritional insults to the developing brain in utero may be capable of increasing the risk for antisocial behaviors in offspring. The possible implications of these findings for both developed countries and developing countries, where severe nutritional deficiency is widespread and often exacerbated by war, natural disaster, and forced migration, warrant study.
              Article 0 comments Cited 62 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (nlm-ta): Int J Womens Health
                Journal ID (iso-abbrev): Int J Womens Health
                Journal ID (publisher-id): International Journal of Women’s Health
                Title: International Journal of Women's Health
                Publisher: Dove Medical Press
                ISSN (Electronic): 1179-1411
                Publication date Collection: 2014
                Publication date (Electronic): 05 August 2014
                Volume: 6
                Pages: 719-725
                Affiliations
                [1 ]The Irish Centre for Fetal and Neonatal Translational Research, University College Cork, Cork, Ireland
                [2 ]National Perinatal Epidemiology Centre, Cork University Maternity Hospital, Wilton, Cork, Ireland
                Author notes
                Correspondence: Fergus P McCarthy, The Irish Centre for Fetal and Neonatal Translational Research, University College Cork, Cork University Maternity Hospital, Wilton, Cork, Ireland, Tel +353 21 4205023, Email fergusmccarthy@ 123456gmail.com
                Article
                Publisher ID: ijwh-6-719
                DOI: 10.2147/IJWH.S37685
                PMC ID: 4130712
                PubMed ID: 25125986
                SO-VID: cee8190f-a42a-415c-8ead-eaba8be19377
                Copyright © © 2014 McCarthy et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License
                License:

                The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.

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                Categories
                Subject: Review

                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: hyperemesis gravidarum,nausea,vomiting in pregnancy,pregnancy,antiemetics,adverse pregnancy outcomes
                Data availability:
                ScienceOpen disciplines: Obstetrics & Gynecology
                Keywords: hyperemesis gravidarum, nausea, vomiting in pregnancy, pregnancy, antiemetics, adverse pregnancy outcomes

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