Adverse pregnancy outcomes in women with nausea and vomiting of pregnancy

作者：Temming Lorene^*; Franco Albert; Istwan Niki; Rhea Debbie; Desch Cheryl; Stanziano Gary; Joy Saju

来源：Journal of Maternal-Fetal and Neonatal Medicine, 2014, 27(1): 84-88.

DOI：10.3109/14767058.2013.806473

• Hyperemesis gravidarum
• nausea and vomiting of pregnancy
• obesity in pregnancy
• pregnancy outcomes
• pregnancy weight gain

Objective: To examine the influence of nausea and vomiting of pregnancy (NVP) on pregnancy outcomes.
Methods: Outcomes were compared for primigravidas with a current singleton gestation enrolled at < 20 weeks' gestation in a maternity risk screening and education program (n = 81 486). Patient-reported maternal characteristics and pregnancy outcomes were compared for women with and without NVP and within the NVP group for those with and without poor weight gain.
Results: 6.4% of women reported NVP as a pregnancy complication. Women reporting NVP were more likely to be younger, obese, single and smoke. They had higher rates of preterm delivery, pregnancy-induced hypertension and low birth weight < 2500 g. Almost one-quarter of women with NVP had lower than recommended weight gain. Poor weight gain was associated with a higher incidence of adverse outcomes. Obesity, tobacco use and poor pregnancy weight gain independently increased the odds of an adverse outcome.
Conclusion: NVP and subsequent poor weight gain may be associated with adverse pregnancy outcomes.

• 出版日期2014-1