The American College of Obstetricians and Gynecologists (ACOG) has issued a new guide for doctors, which covers the issues of prevalence, risk factors and practical recommendations for the prevention and treatment of morning sickness and vomiting syndrome in pregnant women.
The authors of the manual emphasize that, despite the lack of reliable data on the causes of its occurrence, there are already effective means of preventing and combating this unpleasant "attribute" of pregnant women. Nausea and vomiting are frequent and early symptoms of pregnancy, occurring in 70-85% of cases.
As a rule, they appear in the first nine weeks of pregnancy and their intensity varies widely: from weak to severe, disturbing the general state of health and worsening the quality of life of a woman. Fortunately, an extremely severe variant of the course (hyperemesis gravidarum) is observed in no more than 2% of pregnant women. However, it is exactly such a course of morning sickness and vomiting syndrome that is pregnant, is the main indication for hospitalization in the first trimester and the second cause (after premature birth) of inpatient monitoring and treatment during the entire period of pregnancy.
The highest risk of developing hyperemesis gravidarum is in women with multiple pregnancies, daughters and sisters of those who already had this condition, with the fetal female, as well as with nausea and vomiting during the previous pregnancy. Among other risk factors that increase the chances of developing hyperemesis gravidarum, the presence of episodes of nausea and vomiting during movement (in transport) or migraine attacks.
Some women prefer not to be treated with nausea and vomiting in the morning during pregnancy, because they are not sure of the safety of such treatment. This is not right, because in some cases these symptoms can progress, which can complicate treatment and worsen the prognosis for the pregnant woman and her unborn child. Women should be aware that treatment of mild manifestations of this syndrome in most cases involves lifestyle changes and dietary recommendations. However, even with more severe variants of the course of nausea and vomiting of pregnant women, safe and effective treatment is possible.
Modern recommendations for the prevention and treatment of mornings nausea and vomiting of pregnant women is based on the results of properly planned quality research and include the following provisions:.
Women planning a pregnancy in the period of the expected conception should take multivitamins that reduce the likelihood of occurrence and severity of the syndrome. If there is nausea and vomiting of pregnant women, a safe and effective means of fighting this syndrome is the intake of vitamin B6 or its combination with an antihistamine drug doxylamine (first-line therapy) Less scientific -arguments of prevention and treatment of nausea and vomiting of pregnant women are:.
Ginger intake (non-drug treatment) Taking antihistamines (antiallergic) drugs from phenothiazide groups, benzamines in case of severe, resistant to treatment by other means. Initiate treatment as early as possible, with the first appearance of symptoms - reducing the likelihood of their weighting and development of hyperemesis gravidarum.
Treatment with the hormonal drug methylprednisolone is indicated in extreme cases, since it is associated with an increased risk of fetal abnormalities.
Medicus. En.
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