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Hyperemesis Gravidarum


Treatment & Monitoring

What are the treatments for the condition?

The primary treatment for HEG should focus on diet and replacing fluids, if the woman has become dehydrated. Dietary changes that may help include:

  • eating frequent small meals rather than three large ones
  • eating when hungry, even if it is not mealtime
  • avoiding foods that do not appeal to the pregnant woman
  • avoiding foods high in fat and protein
  • staying away from spicy foods
  • eating more foods that have dry carbohydrates
  • drinking more carbonated drinks
  • drinking teas made from peppermint or ginger
  • eating soothing foods such as soup, soda crackers, unbuttered toast, gelatin, or frozen desserts
  • avoiding milk products, which may be hard to digest for some women
  • stopping prenatal vitamins and iron until nausea and vomiting go away
  • drinking plenty of fluids to stay hydrated
  • In severe cases, a woman may need to enter the hospital for IV fluids, vitamins, and electrolytes. Medicines such as antiemetics and sedatives can also be used to calm the nausea. These include:

  • promethazine
  • hydroxyzine
  • trimethobenzamide
  • prochlorperazine
  • What are the side effects of the treatments?

    The side effects depend upon which medicines are used to control nausea.

    What happens after treatment for the condition?

    In most women, HEG clears up by the second trimester. If a woman is not gaining enough weight, she may need to be given IV fluids and nutrients again.


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