Presentation preface definiton risk factor conclusion.pptx

7/29/2019 Presentation preface definiton risk factor conclusion.pptx

1/15


2/15

Preface

Nausea and vomiting occurred in 50-90% of

pregnancy.

In a study of 360 pregnant women

2% have nausea and vomit just in the morning

80% of them lasting for the whole day.


3/15

Preface(2)

If it troubles your acticity and causing

complication then we call this hiperemsis

gravidarum.

Ketonuria

Dehidration

Hipokalemia

Weight loss >3kg or 5% of weight


4/15

Preface(3)

25% percent of hiperemesis patient was

treated in ward

Some caused depression and idea of

terminating the pregnancy


5/15

Definition

According to The Norwegian Society of

Gynecology and Obstetrics (NFOG),

hiperemesis gravidarum is nausea and

vomiting that occurred before 20 weeks of

gestation age and this condition persist, it

cause dehidration, weight loss, fluid and

electrolyte.


6/15

Usually hiperemesis symptom emerge in ealry

first trisemester 4th to 10th week.

The peak symptom raise starting from 8 weeks

to maximum at 12 weeks and resolved at 20

weeks of gestation.


7/15

Hiperemesis gravidarum were categorized tothere stage Stage 1

Endless vomiting

timbul toleransi terhadap makanan dan minuman berat badan menurun

nyeri epigastrium

muntah pertama keluar makanan, lendir dan sedikit cairanempedu dan yang terakhir keluar darah

Nadi meningkat hingga 100 kali per menit dan tekanan darahsistolik menurun

Mata cekung dan lidah kering, turgor kulit berkurang danurin sedikit tetapi masih dalam batas normal.


8/15

Stage 2

Gejala yang timbul lebih berat daripada derajat I

semua yang dimakan dan diminum dimuntahkankembali oleh pasien

rasa haus yang hebat

sub-febril

nadi cepat dan lebih dari 100-140 kali per menit

tekanan darah sitolik kurang dari 80 mmHg

apatis, kulit pucat, lidah kotor, kadang ikterus, terdapataseton dan bilirubin dalam urin serta berat badan yangcepat menurun.


9/15

Stage 3

Hiperemesis gravidarum tingkat III sangat jarang terjadi

Keadaan ini merupakan kelanjutan dari hiperemesis

gravidarum tingkat II yang ditandai dengan muntahyang berkurang atau bahkan berhenti

tetapi kesadaran pasien menurun (delirium sampai

koma)

Pasien dapat mengalami ikterus, sianosis, nistagmus,gangguan jantung dan dalam urin ditemukan bilirubin

dan protein


10/15

Risk Factor

Moms factor

Age and obstetric history

Body Mass Index(BMI)

History of past illness

Babys factor

Male or female?

Twin pregnancy

Mola Hidatidosa

Range of pregnancy


11/15

Conclusion

Hiperemesis gravidarum occurred in 0.5-2%

pregnancy in the world.

hiperemesis gravidarum is nausea and

vomiting that occurred before 20 weeks of

gestation age and this condition persist, it

cause dehidration, weight loss, fluid and

electrolyte.


12/15

Usually hiperemesis symptom emerge in ealry

first trisemester 4th to 10th week.

The peak symptom raise starting from 8 weeks

to maximum at 12 weeks and resolved at 20

weeks of gestation.


13/15

Hiperemesis can be triggered by some of

these hormones

Estrogen

Progesterone

ACTH

Kortisol

Growth Hormone

Prolactin


14/15

The most common symptomp found is nausea and

vomiting that lasting for the whole day.

Hiperemesis gravidarum can cause fluid and

electrolyte imbalance. The most important therepy is parenteral fluid

delivery and electrolyte corection.


15/15

Hiperemesis gravidarum can cause complication

to mother and baby.

Electrolyte imbalance

Nutrition deficit

Weight loss

Documents

Presentation preface definiton risk factor conclusion.pptx