{"id":357,"date":"2024-10-25T16:29:37","date_gmt":"2024-10-25T16:29:37","guid":{"rendered":"https:\/\/kankarbagh.com\/dorothy\/?p=357"},"modified":"2024-10-26T07:58:43","modified_gmt":"2024-10-26T07:58:43","slug":"16-vomiting-in-pregnancy","status":"publish","type":"post","link":"https:\/\/kankarbagh.com\/dorothy\/2024\/10\/25\/16-vomiting-in-pregnancy\/","title":{"rendered":"16. Vomiting in Pregnancy"},"content":{"rendered":"

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16. Vomiting In Pregnancy<\/strong><\/p><\/blockquote><\/figure>\n\n\n\n<\/iframe>\n\n\n\nHi guys I am back with another video , in this video we will be discussing about the vomiting in pregnancies , so vomiting in pregnancies is a very common in a pregnant lady ; it is also called morning sickness and it can happen at any time in a day. It starts from the onset of pregnancy until 16 weeks, it usually subsides . What are the causes of vomiting in pregnancy ? Higher level of HCG Higher level of estrogen Higher level of progesterone Thyroxine Prolactin and placental growth hormone Now let us understand the hyperemesis gravidarum, it is a severe case of nausea and vomiting which leads to Dehydration, electrolytes and acid base imbalance which leads to hypokalemia and alkalosis. It causes starvation and ketosis because when a woman vomits more fats in her body are being utilized but at the cost of producing ketone bodies. Ketone bodies induces more and more vomiting . Liver damage and jaundice can occur in some cases , rule out the other causes as this is as diagnosis of exclusion . So other causes must be environmental and female fetus increases the risk whereas smoking decreases the risk .important causes of late pregnancy vomiting are: pre eclamptic toxemia and fatty liver . The complications of hyperemesis are esophageal tears, diaphragmatic rupture, acute kidney injury due to dehydration. Decreased potassium causing cardiac arrhythmias, coagulopathy due to vit k deficiency . In case of treatment in obstetrics we can give a diet modification to the patient that is we can ask the patient to split the meals , I mean not to take a bunch of meal in one take , so that it would be easier for the patient to cope up with the situation . The tablet given in case of mild vomiting are Tab Doxylamine+ B6 ( pyridoxine ) In case of moderate vomiting are prochlorperazine , promethazine and metoclopramide which is given orally and ondansetron which is given rectally . In case of severe vomiting the IV hydration is given which includes normal saline , ringer lecture and dextrose and Anti Emetics is given which includes IV promethazine , IV prochlorperazine , IV ondansetron , IV metoclopramide and add 100 g of Thiamine . Overdose of ondansetron causes serotonin syndrome. What is serotonin syndrome? Now it is a classical triad which includes Neuromuscular hyperactivity, ANS over activity ,Altered mental status . The neuromuscular hyperactivity causes : muscle rigidity , hyperkinesis and seizures . ANS overactivity causes increased HR ,diaphoresis and hyperthermia . Altered mental status causes agitation , confusion and anxiety . So this is what we have known here , see you in the next video , thank you !<\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"16. Vomiting In Pregnancy Hi guys I am back with another video , in this video we will be discussing about the vomiting in pregnancies , so vomiting in pregnancies is a very common in a pregnant lady ; it is also called morning sickness and it can happen at any time in a day. […]<\/p>\n","protected":false},"author":1,"featured_media":358,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19],"tags":[52,51,50],"class_list":["post-357","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-obst-gyn","tag-morning-sickness","tag-pregnancy","tag-vomiting"],"_links":{"self":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/357","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/comments?post=357"}],"version-history":[{"count":2,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/357\/revisions"}],"predecessor-version":[{"id":556,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/357\/revisions\/556"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media\/358"}],"wp:attachment":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media?parent=357"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/categories?post=357"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/tags?post=357"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}