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Women's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview study.
Scand J Prim Health Care 2019; 37(1):30-40SJ

Abstract

OBJECTIVE

Hyperemesis gravidarum (HG) affects 0.3-3% of pregnant women and is a leading cause of hospitalization in early pregnancy. The aim of the study was to investigate women's treatment and management of HG, as well as the consequences of HG on women's daily life.

DESIGN AND SETTING

A cross-sectional study based on a structured telephone interview and an online questionnaire. Participants were recruited by social media and by the Norwegian patient's organization for HG.

SUBJECTS

Norwegian women that experienced HG.

MAIN OUTCOME MEASURE

Women's perspectives on management and consequences of HG.

RESULTS

The study included 107 women. Maternal morbidity was profound; about 3/4 of participants were hospitalized due to HG, and the majority showed clinical signs of dehydration (79%), ketonuria (75%), and >5% weight loss (84%). Antiemetics were used by >90% and frequently prescribed "as needed". Metoclopramide (71%) and meclozine (51%) were most commonly used. Participants described HG as having severe psychosocial consequences and profound impact on daily activities. Almost two out of five reported thoughts of elective abortion, and 8 women had at least one elective pregnancy termination due to HG. Overall, 20 women (19%) changed GPs due to dissatisfaction with HG management.

CONCLUSION

Despite the high psychosocial burden and major impact on daily activities, many women with HG reported a lack of support from healthcare professionals and suboptimal management. Greater awareness and knowledge among healthcare professionals is needed to improve care for women with HG. Key Points There is a paucity of studies on management and the consequences of HG on women's daily lives and psychosocial burden. We found that: • Many women described HG as one of their worst life experiences with profound morbidity. • Many women reported suboptimal management of HG and lack of support from healthcare professionals. • Greater understanding of patient perspectives among healthcare professionals is important to improve care and management for HG patients.

Authors+Show Affiliations

a Regional Medicines Information and Pharmacovigilance Centre (RELIS) , Oslo University Hospital , Oslo , Norway.b PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy , University of Oslo , Oslo , Norway.a Regional Medicines Information and Pharmacovigilance Centre (RELIS) , Oslo University Hospital , Oslo , Norway. b PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy , University of Oslo , Oslo , Norway.c Regional Medicines Information and Pharmacovigilance Centre (RELIS) , Haukeland University Hospital , Bergen , Norway. d Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.d Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.b PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy , University of Oslo , Oslo , Norway. e Department of Child Health and Development , Norwegian Institute of Public Health , Oslo , Norway.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30822254

Citation

Havnen, Gro C., et al. "Women's Perspectives On the Management and Consequences of Hyperemesis Gravidarum - a Descriptive Interview Study." Scandinavian Journal of Primary Health Care, vol. 37, no. 1, 2019, pp. 30-40.
Havnen GC, Truong MB, Do MH, et al. Women's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview study. Scand J Prim Health Care. 2019;37(1):30-40.
Havnen, G. C., Truong, M. B., Do, M. H., Heitmann, K., Holst, L., & Nordeng, H. (2019). Women's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview study. Scandinavian Journal of Primary Health Care, 37(1), pp. 30-40. doi:10.1080/02813432.2019.1569424.
Havnen GC, et al. Women's Perspectives On the Management and Consequences of Hyperemesis Gravidarum - a Descriptive Interview Study. Scand J Prim Health Care. 2019;37(1):30-40. PubMed PMID: 30822254.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Women's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview study. AU - Havnen,Gro C, AU - Truong,Maria Bich-Thuy, AU - Do,Mai-Linh H, AU - Heitmann,Kristine, AU - Holst,Lone, AU - Nordeng,Hedvig, Y1 - 2019/03/01/ PY - 2019/3/2/pubmed PY - 2019/5/29/medline PY - 2019/3/2/entrez KW - HG management KW - Hyperemesis gravidarum (HG) KW - Nausea and vomiting in pregnancy (NVP) KW - patient perspectives KW - pregnancy SP - 30 EP - 40 JF - Scandinavian journal of primary health care JO - Scand J Prim Health Care VL - 37 IS - 1 N2 - OBJECTIVE: Hyperemesis gravidarum (HG) affects 0.3-3% of pregnant women and is a leading cause of hospitalization in early pregnancy. The aim of the study was to investigate women's treatment and management of HG, as well as the consequences of HG on women's daily life. DESIGN AND SETTING: A cross-sectional study based on a structured telephone interview and an online questionnaire. Participants were recruited by social media and by the Norwegian patient's organization for HG. SUBJECTS: Norwegian women that experienced HG. MAIN OUTCOME MEASURE: Women's perspectives on management and consequences of HG. RESULTS: The study included 107 women. Maternal morbidity was profound; about 3/4 of participants were hospitalized due to HG, and the majority showed clinical signs of dehydration (79%), ketonuria (75%), and >5% weight loss (84%). Antiemetics were used by >90% and frequently prescribed "as needed". Metoclopramide (71%) and meclozine (51%) were most commonly used. Participants described HG as having severe psychosocial consequences and profound impact on daily activities. Almost two out of five reported thoughts of elective abortion, and 8 women had at least one elective pregnancy termination due to HG. Overall, 20 women (19%) changed GPs due to dissatisfaction with HG management. CONCLUSION: Despite the high psychosocial burden and major impact on daily activities, many women with HG reported a lack of support from healthcare professionals and suboptimal management. Greater awareness and knowledge among healthcare professionals is needed to improve care for women with HG. Key Points There is a paucity of studies on management and the consequences of HG on women's daily lives and psychosocial burden. We found that: • Many women described HG as one of their worst life experiences with profound morbidity. • Many women reported suboptimal management of HG and lack of support from healthcare professionals. • Greater understanding of patient perspectives among healthcare professionals is important to improve care and management for HG patients. SN - 1502-7724 UR - https://www.unboundmedicine.com/medline/citation/30822254/Women's_perspectives_on_the_management_and_consequences_of_hyperemesis_gravidarum_-_a_descriptive_interview_study L2 - http://www.tandfonline.com/doi/full/10.1080/02813432.2019.1569424 DB - PRIME DP - Unbound Medicine ER -