Vomiting and Nausea in the First 12 Weeks of Pregnancy

Iatrakis, Georgios; Sakellaropoulos, Gerasimos; Kourkoubas, A.; Kabounia, Stavroula E.

doi:10.1159/000288062

Cited by 39 publications

(24 citation statements)

References 6 publications

(6 reference statements)

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“…A link between marriage and NVP has been reported previously, whereby stress related to poor communication between partners was associated with the severity of NVP. 35 A protective effect against nausea and NVP for smokers is suggested by our findings, supporting previous studies. 5,8,35 We found nausea and NVP to be associated with previous experiences of NVP, as was multiparity: findings that support previous studies.…”

Section: <0001supporting

confidence: 92%

“…35 A protective effect against nausea and NVP for smokers is suggested by our findings, supporting previous studies. 5,8,35 We found nausea and NVP to be associated with previous experiences of NVP, as was multiparity: findings that support previous studies. 7,11,36 Although the NVP group reported the highest energy intake, GWG was lowest in that group.…”

Section: <0001supporting

confidence: 92%

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Nausea and vomiting in pregnancy: associations with maternal gestational diet and lifestyle factors in the Norwegian Mother and Child Cohort Study

Chortatos

Haugen

Iversen

et al. 2013

BJOG

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Objective To investigate primarily the dietary intake, as well as demographics and selected lifestyle factors, of women experiencing nausea and vomiting in pregnancy, nausea only, or women who are symptom free.Design Prospective cohort study.Setting The Norwegian Mother and Child Cohort Study, a population-based pregnancy cohort.Sample Analyses were based on 51 675 Norwegian pregnancies.Methods Dietary intake was assessed by a self-reported food frequency questionnaire answered in the first trimester of pregnancy, as were data regarding nausea and vomiting. Chi-squared tests, one-way analysis of variance, and multiple linear regression were used.Main outcome measures Nausea and vomiting in pregnancy (NVP), gestational weight gain (GWG), and dietary intake.Results We found that 17 070 (33%) women experienced NVP, 20 371 (39%) experienced only nausea, and 14 234 (28%) were symptom free. Women with NVP were younger and heavier at pregnancy onset, with the lowest GWG and highest energy intake during pregnancy, primarily from carbohydrates and added sugars, compared with the other groups (P < 0.001). In multiple linear regression analysis of GWG and group adjusted for body mass index (BMI), gestational length, smoking during pregnancy, and energy intake, a significant interaction was found between BMI and group (P < 0.001). A significant effect of group (P < 0.001) was found in all BMI strata, except among underweight women (P = 0.65).Conclusions Our study suggests that women with NVP are characterised by high intakes of carbohydrates and added sugar, primarily from sugar-containing soft drinks. Whether higher intakes of carbohydrates are a response aimed to alleviate symptoms, or are actually provoking the condition, is not known.

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Section: <0001supporting

confidence: 92%

Section: <0001supporting

confidence: 92%

Nausea and vomiting in pregnancy: associations with maternal gestational diet and lifestyle factors in the Norwegian Mother and Child Cohort Study

Chortatos

Haugen

Iversen

et al. 2013

BJOG

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“…However, in the study of Annagur et al (26), no significant difference in terms of both the obstetric history and existence of a general medical condition was observed between HG and control groups of pregnant cases. It was suggested in the literature that HG could be associated with the relations between spouses and the Düşünen Adam The Journal of Psychiatry and Neurological Sciences, Volume 28, Number 2, June 2015 communication with the family members as well as the stress level (36,38). No difference was found in our study, between HG group and the control group in terms of stress, familial characteristics, marriage characteristics and relational satisfaction.…”

Section: Discussioncontrasting

confidence: 52%

Eating attitudes, depression and anxiety levels of patients with hyperemesis gravidarum hospitalized in an obstetrics and gynecology clinic

Kender¹,

Yüksel²,

Ger³

et al. 2015

Dusunen Adam

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Eating attitudes, depression and anxiety levels of patients with hyperemesis gravidarum hospitalized in an obstetrics and gynecology clinicObjective: Nausea and vomiting are the first symptoms of pregnancy, and hyperemesis gravidarum is more severe form. The aim of the study was to investigate socio-demographic and clinical features, eating attitudes, depression and anxiety levels of this diagnosis in which etiology remains unclarified. Method: Fifty one hyperemesis gravidarum patients hospitalized in obstetrics and gynecology clinic of Okmeydanı Training and Research Hospital between October 2012-May 2013 were included in the study. Forty one pregnant women with no hyperemesis gravidarum diagnosis who applied to obstetrics and gynecology outpatient clinic were taken as control group. Socio-demographic data, features about family and marriage, medical and psychiatric history, family history and features about pregnancy have been collected with face to face interview. Beck Depression Inventory, Beck Anxiety Inventory and Eating Attitudes Test were applied to cases. Results: Socio-demographic data showed no difference between hyperemesis gravidarum and control groups. No significant difference in medical and psychiatric history and features about pregnancy was found between two groups. Family history of psychiatric disorder was found significantly higher in hyperemesis gravidarum group. Depression and anxiety levels were significantly higher in hyperemesis gravidarum group compared to control group. A significant difference was detected in eating attitudes of two groups. Discussion: Depression and anxiety levels were higher in pregnant women diagnosed with hyperemesis gravidarum compared to control group, and eating attitudes were more negative. There was no difference between hyperemesis gravidarum and control group in socio-demographic data and features about pregnancy, but family history of psychiatric disorder was associated with hyperemesis gravidarum. Psychiatry consultation might be useful in treatment and follow-up of hyperemesis gravidarum cases. Key words: Anxiety, depression, eating attitudes, hyperemesis gravidarum ÖZET Hiperemezis gravidarum nedeniyle kadın doğum servisinde yatan hastalarda yeme tutumları, depresyon ve anksiyete düzeyleri Amaç: Bulantı ve kusma gebeliğin ilk belirtilerinden olup hiperemezis gravidarum bu durumun daha ciddi bir hal almasıdır. Çalışmamızda etiyolojisi tam olarak aydınlanmamış olan bu tanının sosyo-demografik ve klinik özellikler, yeme tutumları, depresyon ve anksiyete düzeyleri ile ilişkisinin araştırılması amaçlanmıştır. Yöntem: Çalışmaya Okmeydanı Eğitim ve Araştırma Hastanesi'nde Ekim 2012-Mayıs 2013 tarihleri arasında Kadın Hastalıkları ve Doğum kliniğinde hiperemezis gravidarum tanısı ile yatarak izlenen 51 hasta dahil edildi. Aynı kurumun kadın hastalıkları ve doğum polikliniğine başvuran ve hiperemezis gravidarum tanısı olmayan 41 gebe kontrol grubu olarak alındı. Olgularla yüzyüze yapılan görüşmelerde sosyo-demografik bilgiler, evlilik ve aile özellikler...

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“…In general, there is a positive relationship between psychological and physiological functioning during pregnan cy [5][6][7][8]. Thus, Yatrakis et al [9] administered a specially constructed questionnaire to 102 pregnant women in the First 12 weeks of preg nancy. They reported that vomiting and nau sea correlated with unsuitable diet (big and rare meals), poor communication with the hus band and/or the obstetrician, and stress result ing from inadequate information about preg nancy, childbirth and the health of the fetus.…”

Section: Psychological Etiological Factorsmentioning

confidence: 99%

Psychiatric Aspects of Hyperemesis gravidarum

Iancu

Kotler

Spivak

et al. 1994

Psychother Psychosom

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Hyperemesis gravidarum is a potentially dangerous disorder of pregnancy characterized by severe and protracted vomiting. It is suggested that psychosocial factors may have a role in determining whether the pregnant woman experiences a transient spell of mild vomiting or progresses towards the much rarer but more significant pernicious vomiting. Psychotherapy, hypnotherapy and behavior therapy have been reported to contribute to the treatment of patients with hyperemesis gravidarum. A review of the etiological factors as well as of the therapeutic approaches is presented.

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Vomiting and Nausea in the First 12 Weeks of Pregnancy

Cited by 39 publications

References 6 publications

Nausea and vomiting in pregnancy: associations with maternal gestational diet and lifestyle factors in the Norwegian Mother and Child Cohort Study

Nausea and vomiting in pregnancy: associations with maternal gestational diet and lifestyle factors in the Norwegian Mother and Child Cohort Study

Eating attitudes, depression and anxiety levels of patients with hyperemesis gravidarum hospitalized in an obstetrics and gynecology clinic

Psychiatric Aspects of Hyperemesis gravidarum

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