Hyperemesis gravidarum

Pregnancy-associated nausea and vomiting is a very common condition with an estimated prevalence rate ranged from 50% to 85%, but for the majority self-management suffices.1–4 The popular term "morning sickness" is a misnomer and may be minimized by obstetricians or other obstetric providers, and pregnant women, resulting in high possibility of under-treatment. Practice bulletin of the American College of Obstetricians and Gynecologists recommends that early intervention and treatment of nausea and vomiting of pregnancy is needed to prevent progression to hyperemesis gravidarum, which is characterized by persistent vomiting, weight loss of more than 5%, ketonuria, electrolyte abnormalities (hypokalemia), and dehydration (high urine specific gravity), resulting in the diminishment of the woman's quality of life and significant contribution to health care costs and time lost from work.

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