1.Two Cases of Hyperemesis Gravidarum Managed by Enteral Feeding via Nasogastric Tube.
Ki Bum AHN ; Young Mee WANG ; Jong Kyou PARK ; Ok Cherl SHIN ; Jung Cherl CHO ; Jin Ho KIM ; Sun Hi HONG ; Chang Seong KANG
Korean Journal of Obstetrics and Gynecology 1998;41(12):3073-3076
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
2.Hyperemesis Gravidarum and Thyroid Function.
Journal of Korean Society of Endocrinology 1998;13(1):12-15
No abstract available.
Female
;
Hyperemesis Gravidarum*
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Pregnancy
;
Thyroid Gland*
3.A Case of Wernicke's Encephalopathy in Hyperemesis Gravidarum Associated with Hyperthyroidism.
Tae Jin SONG ; Do Hyun KIM ; Won Joo KIM ; Kyung Yul LEE
Journal of the Korean Neurological Association 2006;24(5):521-523
No abstract available.
Female
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Hyperemesis Gravidarum*
;
Hyperthyroidism*
;
Pregnancy
;
Wernicke Encephalopathy*
4.The Effect of P6 Acupressure for Symptom Control in Pregnant Women Having Hyperemesis Gravidarum.
Journal of Korean Academy of Nursing 2005;35(3):593-601
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
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Hyperemesis Gravidarum/*therapy
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Humans
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Female
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Adult
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*Acupressure
5.Two Cases of Wernicke's Encephalopathy with Hyperemesis Gravidarum.
Min Young JUNG ; Yong CHO ; Yong Pil KIM
Korean Journal of Obstetrics and Gynecology 1997;40(8):1735-1739
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
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Diagnosis
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Female
;
Hyperemesis Gravidarum*
;
Pregnancy
;
Wernicke Encephalopathy*
6.A Case of Central Pontine Myelinolysis Associated with Hypokalemia in Hyperemesis Gravidarum.
Gun Han LIM ; Seung An LEE ; Hyung Min KIM ; Jin Ho KIM ; Hoo Won KIM
Journal of the Korean Neurological Association 2007;25(2):260-262
No abstract available.
Female
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Hyperemesis Gravidarum*
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Hypokalemia*
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Myelinolysis, Central Pontine*
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Pregnancy
8.A Case of Wernicke's Encephalopathy Associated with Hyperemesis Gravidarum.
Seung Hyun LEE ; Se Jin LEE ; Yun Kyung LEE ; Jung Sang HA ; Jun LEE
Yeungnam University Journal of Medicine 2004;21(1):91-95
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
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Ataxia
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Brain
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Female
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Humans
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Hyperemesis Gravidarum*
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Ophthalmoplegia
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Pregnancy
;
Thiamine
;
Thiamine Deficiency
;
Wernicke Encephalopathy*
9.The Sex Ratio of Offspring in Pregnancies Complicated with Hyperemesis Gravidarum.
Hun Young CHO ; Jung Ryul LEE ; Yoo Kyong LEE ; In Sang KU ; Jin Young CHA ; Seung Ryong KIM ; Moon Il PARK ; Sam Hyun CHO ; Sung Ro CHUNG ; Youn Yeung HWANG ; Hyung MOON
Korean Journal of Perinatology 2002;13(2):141-146
OBJECTIVES: There are a few studies reporting difference in sex ratio at birth in pregnancies complicated with hyperemesis gravidarum but it has not been reported in domestic journals yet. The purpose of this study is to evaluate difference of sex ratio in hyperemesis gravidarum patients compared to normal pregnant women. MATERIALS AND METHODS: We identified 111 women who were diagnosed as hyperemesis gravidarum and had delivered babies in Hanyang University Hospital between Jan. 1995 to Dec. 2000. The control group was 1995 women who had no obstetric problems including hyperemesis gravidarum during the pregnancy and had delivered baby at term. We compared the sex ratio of infant and the characteristics of these two groups. The study group was divided into two subgroups depending on the severity of disease, mild group and severe group, and difference of sex ratio in these group were also compared. We analyzed the data using student T-test and chi-square test and p-value < 0.05 was considered as statistically significant. RESULTS: Compared to sex ratio(female:male) of control group(44.8:55.2), hyperemesis gravidarum showed the sex ratio of 58.6:41.4(p=0.005). There was no further difference of sex ratio between two subgroups of hyperemesis gravidarum according to severity of disease. CONCLUSION: In pregnancies complicated with hyperemesis gravidarum the sex ratio of female was significantly high. The studies based on more variables and larger population would produce more accurate results.
Female
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Humans
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Hyperemesis Gravidarum*
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Infant
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Parturition
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Pregnancy*
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Pregnant Women
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Sex Ratio*
10.A Case of Wernicke's Encephalopathy associated with Hyperemesis Gravidarum.
Yong Seok CHOI ; Jong Oh KIM ; Seong Lim LEE ; Seung Kyu SONG ; Bong Choon JO
Korean Journal of Obstetrics and Gynecology 2001;44(10):1909-1912
Hyperemesis gravidarum is characterized by severe nausea, vomiting followed by weight loss, dehydration, electrolyte imbalance and acid-base derangements. Its treatment was composed of adequate fluid therapy, electrolyte replacement and nutrient supply. In severe case, it also leads to a variety of neurological symptoms including confusion, gait disturbance and nystagmus, possibly due to thiamine deficiency and may result in so called Wernicke's disease. We have experienced a case of Wernicke's encephalopathy associated with severe hyperemesis gravidarum and this case is presented with a brief review of literature.
Dehydration
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Female
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Fluid Therapy
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Gait
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Hyperemesis Gravidarum*
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Nausea
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Pregnancy
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Thiamine Deficiency
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Vomiting
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Weight Loss
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Wernicke Encephalopathy*