The chance of recurrence of hyperemesis gravidarum: A systematic review

Dean, Caitlin; Bruin, Claartje; O’Hara, Margaret; Roseboom, Tessa J.; Leeflang, Mariska; Spijker, René; Painter, Rebecca C.

doi:10.1016/j.eurox.2019.100105

Cited by 17 publications

(32 citation statements)

References 33 publications

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“…Although large populations were included in their study, with the number of HG cases varying from 447 to 33 214, Dean et al 6 concluded that methods lacked both external validity and internal reliability. While ICD codes may seem an effective method for pregnancy data collection, attempts to validate them for identifying HG have proved unsuccessful 6 . Norwegian researchers found that the Medical Birth Registry and ICD codes were valid for mild, but not for severe, pregnancy sickness or HG 20 .…”

Section: Discussionmentioning

confidence: 99%

“…8,9 For such interventions to be appropriately implemented, the recurrence rate must be understood. 6 Both overestimating and underestimating the recurrence rate can have substantial impacts on people's lives. There are reports of families curtailing future pregnancies believing HG is unavoidable as well as reports of women deciding to terminate on the assumption that their risk in a future pregnancy is that of the general population.…”

Section: Introductionmentioning

confidence: 99%

“…The recurrence rate has been reported to be well above baseline risk, but literature shows a wide range varying from 15% to 81% 5 . A recent systematic review failed to produce an aggregate recurrence rate due to the contributing studies’ methodological shortcomings, including poor external validity and significant heterogeneity 6 …”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, there is evidence suggesting that early treatment and lifestyle preparation strategies may reduce the overall severity of the condition 8,9 . For such interventions to be appropriately implemented, the recurrence rate must be understood 6 …”

Section: Introductionmentioning

confidence: 99%

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Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study

Nijsten

Dean

Minnen

et al. 2021

Acta Obstet Gynecol Scand

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study

Nijsten

Dean

Minnen

et al. 2021

Acta Obstet Gynecol Scand

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“…Hyperemesis gravidarum may occur in some pregnant women due to pre-pregnancy psychiatric findings [3][4][5]20]. Uguz, et al [20] found that the rate of pre-pregnancy psychiatric disorder history was significantly higher in pregnant women diagnosed with hyperemesis gravidarum, and stated that this was a factor that might lead to the development of hyperemesis in pregnant women.…”

Section: Resultsmentioning

confidence: 99%

Depression and Anxiety Disorders in Patients with Hyperemesis Gravidarum and the Effect of This Disease on the Quality of Life

Dilşad¹,

Şefik²

2021

J Depress Anxiety Disord

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Nausea and vomiting during pregnancy is a common condition. Nausea occurs in 50-90% of pregnant women in the first trimester period. It has been reported that the cause of nausea in pregnancy is increased human chorionic gonadotrop hormone (HCG) level [1][2][3]. Hyperemesis gravidarum is a stubborn and severe clinical picture with nausea and vomiting. Nutritional disorders, dehydration, electrolyte disorders, weight loss and catatonia can also be added to this manifestation. Hyperemesis gravidarum, which can be seen in 0.5-2% of pregnant women, may be at a grade that may require hospitalization of some patients [1-5].Although it has been stated that factors such as increased beta-HCG level, steroids, multiple pregnancy, increase in body mass index and hyperemesis gravidarum history may play a role in the development of the hyperemesis gravidarum manifestation, the exact cause has not been determined [1,[5][6][7]. In some cases with severe hyperemesis gravidarum,serious complications such as Wernicke's encephalopathy and thromboembolism can be seen

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Hyperemesis gravidarum and eating disorders before and after pregnancy: A register‐based study

Terävä‐Utti,

Nurmi,

Laitinen

et al. 2023

Intl J Eating Disorders

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ObjectiveHyperemesis gravidarum (HG) is a severe form of excessive vomiting during pregnancy. The connection between psychiatric morbidity and HG has been debated, but only a few studies have focused on eating disorders (EDs). The objective of this study was to evaluate the association between HG and both pre‐pregnancy and new post‐pregnancy EDs.MethodsA register‐based controlled study. HG diagnoses were retrieved from healthcare registers between 2005 and 2017. Women with HG in their first pregnancy resulting in delivery were chosen as cases (n = 4265; the HG group) and women with no HG as controls (n = 302,663; the non‐HG group). The associations between EDs and HG were analyzed by binary logistic regression, adjusted with age, body mass index, smoking, socioeconomic status, and pre‐pregnancy psychiatric diagnoses.ResultsIn the HG group, 1.6% and in the non‐HG group, 0.2% had a pre‐pregnancy ED. Women with ED were more likely to have HG in their first pregnancy compared with women with no history of EDs (adjusted odds ratio [AOR] 9.4, 95% CI 6.52–13.66, p < .0001). Moreover, 0.4% of the women in the HG group and 0.1% of the women in the non‐HG group had a new ED diagnosis after pregnancy, and thus the women in the HG group were more likely to have an ED diagnosis after pregnancy (AOR I 3.5, 95% CI 1.71–7.15, p < .001, AOR II 2.7, 95% CI 1.30–5.69, p = .008).DiscussionWe found a bidirectional association between ED and HG, suggesting a shared etiology or risk factors between these disorders. This finding emphasizes the importance of collaboration across various specialties when treating these patients.Public SignificanceOur findings suggest a bidirectional association between HG and EDs before and after pregnancy. This finding provides essential information for healthcare professionals working with pregnant women. As both of these disorders are known to have far‐reaching effects on the lives of both the mother and her offspring, our results help clinicians to target special attention and interventions to the patients suffering from these disorders.

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The chance of recurrence of hyperemesis gravidarum: A systematic review

Cited by 17 publications

References 33 publications

Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study

Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study

Depression and Anxiety Disorders in Patients with Hyperemesis Gravidarum and the Effect of This Disease on the Quality of Life

Hyperemesis gravidarum and eating disorders before and after pregnancy: A register‐based study

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