RISK FACTORS, SIGNS & SYMPTOMS & INVESTIGATIONS & DIAGNOSIS
RISK FACTORS
- Multiple pregnancies
- First pregnancy
- Previous hyperemesis gravidarum
- Family history of NVP/hyperemesis gravidarum
- Oral iron supplementation
- Opiate use
SIGNS & SYMPTOMS
Hyperemesis gravidarum features:
- Persistent vomiting
- Dehydration
- Electrolyte disturbances
- Weight loss >5%
INVESTIGATIONS & DIAGNOSIS
Severity assessment:
- PUQE score: <6 mild, 7-12 moderate, 13-15 severe
- HELP score: for monitoring hospital treatment
- Review every 24-72 hours on treatment