Hyperemesis Gravidarum (Severe Nausea & Vomiting During Pregnancy): Management and Treatment

How is hyperemesis gravidarum treated?

The type of treatment that is required depends on how ill a woman becomes. Possible treatments might include:

• Preventive measures: These might include a pressure-point wristband — similar to those used for motion sickness — vitamin B6, and/or ginger.
• Small frequent meals: Nausea and vomiting might be treated with dry foods (such as crackers), small frequent meals, and emotional support.
• Intravenous fluids: It is important for a pregnant woman to maintain her fluid intake. Intravenous (IV) fluids might be needed if a woman continues to vomit throughout pregnancy. In severe cases, the woman might require hospitalization and given IV fluids. IV fluids might be discontinued when a woman is able to take in fluids by mouth.
• Total parenteral nutrition: The most severe cases of hyperemesis gravidarum might require that complex, balanced solutions of nutrients be given through an IV throughout pregnancy. This is called total parenteral nutrition (TPN).
• Medicines: Medicine to prevent nausea is used when vomiting is persistent and poses possible risks to the mother or baby. If a woman cannot take medicines by mouth, the drugs might be administered through an IV or a suppository. Medicines used to prevent nausea include Promethazine, Meclizine, and Droperidol.