Frequency, diagnosis and management of hyperemesis gravidarum.

• Autores: Salas, Alejandro, Salvador, Jorge, Trelles, Juan, Maradiegue, Eduardo
• Formato: artículo
• Fecha de Publicación: 2015
• Institución: Sociedad Peruana de Obstetricia y Ginecología
• Repositorio: Revista SPOG - Revista Peruana de Ginecología y Obstetricia
• Lenguaje: español
• OAI Identifier: oai:ojs.spog:article/1415
• Enlace del recurso: http://www.spog.org.pe/web/revista/index.php/RPGO/article/view/1415
• Nivel de acceso: acceso abierto

OBJECTIVE: To determine the frequency, diagnosis and management of hyperemesis gravidarum. DlSEÑO observational descriptive retrospective study. LOCATION: Department of Gynecology and Obstetrics Hospital Cayetano Heredia between January 1994 and December 1997. SUBJECTS: One hundred twenty-six patients. RESULTS: a frequency of 0.7% in the study period, was found half the patients (52.4%) were nulliparous, 13.5% reported having presented hyperemesis in previous pregnancies, pregnancy was not desired at 19 %, it required to be readmitted 12.7%. In 59.5% he corresponded to mild hyperemesis gravidarum and 40.5% for hyperemesis gravidarum with metabolic disorders. In treating the most widely used drug metoclopramide was 84, 1% of cases. The most common complication was dehydration (40.5%), three cases of Wernicke encephalopathy was found, no recorded cases of kidney failure or maternal death. 92.1% showed improvement of symptoms in less than five days, and 91.3% was discharged before the week of hospitalization. CONCLUSIONS: a frequency of 0.7% of hyperemesis gravidarum is determined. The management allowed for a speedy recovery and shorter hospital stay without the development of hospital complications and maternal death.