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Antenatal Care: Routine Care for the Healthy Pregnant Woman

Antenatal Care: Routine Care for the Healthy Pregnant Woman

NICE Clinical Guidelines - National Collaborating Centre for Women's and Children's Health (UK)

Version: March 2008

Management of common symptoms of pregnancy

The causes of nausea and vomiting in pregnancy are not known and, although the rise in human chorionic gonadotrophin (hCG) during pregnancy has been implicated, data about its association are conflicting. Nausea and vomiting occurs more commonly in multiple pregnancies and molar pregnancies. Nausea is the most common gastrointestinal symptom of pregnancy, occurring in 80–85% of all pregnancies during the first trimester, with vomiting an associated complaint in approximately 52% of women., [EL = 3] Hyperemesis gravidarum refers to pregnant women in whom fluid and electrolyte disturbances or nutritional deficiency from intractable vomiting develops early in pregnancy. This condition is much less common with an average incidence of 3.5/1000 deliveries 168 and usually requires hospital admission.

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