Yesterday evening shift, one Omani pregnant lady came with her husband. She was pregnant for 5 weeks, i.e. she was in her first trimester. Her complaints were marked nausea, vomiting and unable to eat anything. She was having that issue for the last several days but yesterday was severe.
I checked her vitals; BP was 90/60 mmHg, mildly dehydrated. Other general findings were normal.
I gave her one injectable antiemetic (anti-vomiting) drug along with intravenous fluid (for dehydration). Also prescribed one antiemetic tablet for home use.
Nausea and vomiting are quite common in early pregnancy. Almost all ladies experience this, more or less. There is nothing to worry about, and no 100% effective medications to make those stop. Under normal conditions, after the first trimester (after 12 weeks or 3 months), nausea and vomiting stop.
However, if the condition turns into a severe one, it is called hyperemesis gravidarum. A very severe form of vomiting and nausea along with dehydration are needed to be treated in a hospital setting with intravenous fluids and anti-vomiting infections. Hyperemesis gravidarum may persist beyond the first trimester.
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