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If HG continued past mid-pregnancy, did you experience complications during delivery related to your poor health such as a strained ligaments/joints, pelvic floor damage, prolonged or weak pushing, fainting, low blood pressure, low pain tolerance, forceps/assisted delivery, broken bones, nerve damage, low amniotic fluid, fetal problems due to difficult delivery, etc.?

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Patient Comfort Measures

Women with hyperemesis are very miserable and deserve to be treated with great compassion. Extra measures taken to give her comfort are beneficial both physically and psychologically.

  • Make sure that intravenous fluids are warmed before administration to avoid discomfort and calorie loss due to shivering.
  • Offer warmed blankets and a bed (v. reclining chair).
  • If multiple sticks are required for an IV, use Lidocaine and utilize most skilled personnel to avoid scarring. Remember: Most HG patients require multiple admissions for each pregnancy!
  • Give antiemetics and vitamins PO, IV or PR, avoid IM injections due to muscle atrophy and discomfort.
  • Minimize noise and odors, as well as interruptions to her rest.
  • Order a PT consult for education on progressive exercise to minimize atrophy. Remember: This patient will soon have an infant(s) that will require a lot of lifting and care - atrophy will impair her significantly, thus requiring more assistance!
  • Keep stimuli to a minimum (light, noise, odors, interruptions) and room temperature comfortable for patient.
  • Daily weights are not necessary for most patients during an extended stay. Consider qod weights.
  • Offer her the chance to express her feelings in an atmosphere of compassion and empathy.
  • Take her complaints seriously and do all you can to help her cope with the misery, stress, and discomfort.

Updated on: Apr. 18, 2013

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