No abstract available.
Female ; Hyperemesis Gravidarum* ; Pregnancy ; Thyroid Gland*

No abstract available.
Female ; Hyperemesis Gravidarum* ; Hyperthyroidism* ; Pregnancy ; Wernicke Encephalopathy*

Traditionally, total parenteral nutrition(TPN) has been used when patients with hypaemesis gravidarum failed to respond to conservative management, but now many physicians attempt to enteral feeding via nasogastric tube because TPN is expensive and has many complications. Recently, we experienced 2 cases of hyperemesis gravidarum successfully managed by enteral feeding via nasogastric tube, therefore we think that this method may be carefully considered to the patients with hyperemesis gravidarum failed to respond to conservative management. So we report them with brief review of the literatures.
Enteral Nutrition* ; Female ; Humans ; Hyperemesis Gravidarum* ; Pregnancy

We have experienced two cases of Wernicke's encephalopathy associated with hypere-mesis gravidarum. Delay in it's diagnosis caused a protracted illness and persisting neurol-ogic deficits. Because of its association with chronic alcoholism, possibility of Wernicke's encephalopathy may not be considered in early stage of disease. The clinical feature, the principle of management and the prevention of Wernicke's encephalopathy are discussed.
Alcoholism ; Diagnosis ; Female ; Hyperemesis Gravidarum* ; Pregnancy ; Wernicke Encephalopathy*

PURPOSE: The purpose of this study was to determine the effects of Nei-Guan(P6) acupressure on nausea and vomiting in pregnant women having hyperemesis gravidarum. METHOD: The research design was a randomized control-group pretest-posttest repeated measure design with counter balancing. For the experimental treatment, P6 acupressure was carried out for ten minutes. Data was collected from April 1. 2003 to April 30. 2004. The participants were 66 patients admitted with hyperemesis gravidarum. They were divided into three groups, a P6 acupressure group, placebo point group and a control group. RESULT: Hyperemesis gravidarum patients who received P6 acupressure during admission experienced much less nausea and vomiting than the placebo acupressure and control group(F=8.259, p=.001). CONCLUSION: Nei-Guan(P6) acupressure is considered an effective intervention for reducing nausea and vomiting in pregnant women having hyperemesis gravidarum. Further more Nei-Guan(P6) acupressure maybe used as an independent nursing intervention method for pregnant women with severe nausea and vomiting.
Pregnancy ; Hyperemesis Gravidarum/*therapy ; Humans ; Female ; Adult ; *Acupressure

No abstract available.
Female ; Hyperemesis Gravidarum* ; Hypokalemia* ; Myelinolysis, Central Pontine* ; Pregnancy

*Abortion, Habitual ; *Dysmenorrhea ; *Hyperemesis Gravidarum ; *Hypnosis ; *Infertility, Female ; *Therapeutics ; *Pregnancy

PURPOSE: The purpose of this study was to explore NVP process in woman. METHOD: This study is based on grounded theory methodology by Strauss & Corbin. The participant were 12 women selected by theoretical sampling. The data were collected by in-depth interviews using audiotape recording over a period of five months. The data were analyzed simultaneously by a constant comparative method in which new data were continuously coded in categories and properties according to Strauss and Corbin' methodology. RESULT: NVP is caused by having an empty stomach and irritation of smell. NVP occur in connection with environmental change and overworking. The central incident about NVP in Woman were aggravation of physical condition and irritability of emotional state. Intervening condition that conclude action/interational strategies of NVP -Coping behavior is related to family support. Action/interational strategies to NVP-Coping in woman were dependence on medical treatment, change in food intake, rest, removal of smell, conversion in attention.. NVP in woman result in ambivalence. CONCLUSION: It is suggested that the result of this study may contributed to the development NVP-coping strategy for woman. There is need to develop family support system and individualized care plan respect to food favorite.
Eating ; Female ; Grounded Theory* ; Humans ; Hyperemesis Gravidarum ; Methods ; Nausea* ; Pregnancy ; Smell ; Stomach ; Tape Recording ; Vomiting*

Wernicke's encephalopathy is an acute-onset illness characterized by mental confusion, ataxia and ophthalmoplegia due to a thiamine deficiency. Immediate administration of thiamine prevents progression of the disease and reverses brain lesions. We have experienced a case of Wernicke's encephalopathy associated with hyperemesis gravidarum. As Wernicke's encephalopathy is mostly associated with chronic alcoholism, the possibility of Wernicke's encephalopathy may be ignored in young women. We emphasize the need for thiamine supplementation in the patient requiring intravenous alimentation such as hyperemesis gravidarum.
Alcoholism ; Ataxia ; Brain ; Female ; Humans ; Hyperemesis Gravidarum* ; Ophthalmoplegia ; Pregnancy ; Thiamine ; Thiamine Deficiency ; Wernicke Encephalopathy*

Werniche's encephalopathy is clinically characterized by the acute onset of global confusion, ataxia, gaze paresis, and nystagmus. It result from a deficiency in thiamine, an essential coenzyme in intermediate carbohydrate metabolism. The prompt use of thiamine prevents progression of the disease and reverses those lesions that have not yet progressed to the point of fixed structural change. We experienced a case of Wemiches encephalopathy associated with hyperemesis gravidarum, which happens to the patient who are injected only dextrose without thiamine. Therefore, we emphasize the need of thiamine replacement in hyperemesis gravidarum.
Ataxia ; Carbohydrate Metabolism ; Female ; Glucose ; Humans ; Hyperemesis Gravidarum ; Paresis ; Pregnancy ; Thiamine