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dc.contributor.authorHavnen, Gro Cecilie
dc.contributor.authorTruong, Maria Bich-Thuy
dc.contributor.authorHuynh Do, Mai-Linh
dc.contributor.authorHeitmann, Kristine
dc.contributor.authorHolst, Lone
dc.contributor.authorNordeng, Hedvig Marie Egeland
dc.date.accessioned2019-08-23T11:48:48Z
dc.date.available2019-08-23T11:48:48Z
dc.date.issued2019
dc.identifier.citationHavnen GC, Truong BT, Huynh Do M, Heitmann K, Holst L, Nordeng HME. Women's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview study. Scandinavian Journal of Primary Health Care. 2019;37(1):30-40eng
dc.identifier.urihttp://hdl.handle.net/1956/20720
dc.description.abstract<p>Objective:&nbsp;Hyperemesis gravidarum (HG) affects 0.3&ndash;3% of pregnant women and is a leading cause of hospitalization in early pregnancy. The aim of the study was to investigate women&rsquo;s treatment and management of HG, as well as the consequences of HG on women&rsquo;s daily life.</p> <p>Design and setting:&nbsp;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&rsquo;s organization for HG.</p> <p>Subjects:&nbsp;Norwegian women that experienced HG.</p> <p>Main outcome measure:&nbsp;Women&rsquo;s perspectives on management and consequences of HG.</p> <p>Results:&nbsp;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 &gt;5% weight loss (84%). Antiemetics were used by &gt;90% and frequently prescribed &ldquo;as needed&rdquo;. 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.</p> <p>Conclusion:&nbsp;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.</p>eng
dc.language.isoengeng
dc.publisherTaylor & Franciseng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.subjectHyperemesis gravidarum (HG)eng
dc.subjectNausea and vomiting in pregnancy (NVP)eng
dc.subjectpatient perspectiveseng
dc.subjectHG managementeng
dc.subjectpregnancyeng
dc.titleWomen's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview studyeng
dc.typeJournal articleeng
dc.date.updated2019-05-16T07:16:39Z
dc.rights.holderCopyright 2019 The Author(s)eng
dc.type.versionpublishedVersioneng
bora.peerreviewedPeer reviewedeng
dc.type.documentJournal article
dc.identifier.cristinID1697885
dc.identifier.doi10.1080/02813432.2019.1569424eng
dc.source.issn0281-3432eng
dc.source.issn1502-7724eng
dc.relation.journalScandinavian Journal of Primary Health Care


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