Complications of hyperemesis gravidarum Maternal complications • Weight loss (10-20% of body weight) • Dehydration • Electrolyte abnormalities o Hyponatraemia, from persistent vomiting (leading to lethargy, headache, confusion, nausea, vomiting, and seizures), or overzealous correction of hyponatraemia, which can lead to central pontine myelinolysis o Hypokalaemia (skeletal muscle weakness, cardiac arrhythmias) • Vitamin deficiencies o Vitamin B-1 deficiency can lead to Wernicke’s encephalopathy. This may also be precipitated by high concentrations of dextrose o Vitamin B-12 and vitamin B-6 deficiencies may also occur, leading to anaemia and peripheral neuropathies • Mallory-Weiss tears of the oesophagus • Postpartum complications: persistence of symptoms and food aversions, postpartum gallbladder dysfunction, and symptoms of post-traumatic stress disorder
Posted on: Thu, 30 Jan 2014 05:08:18 +0000
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