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Current Women`s Health Reviews


ISSN (Print): 1573-4048
ISSN (Online): 1875-6581

Research Article

The Effect of Hyperemesis Gravidarum on Acceptance of Pregnancy and Quality of Life: A Comparative Study

Author(s): Tuğba Tahta* and Figen ALP Yilmaz

Volume 19, Issue 4, 2023

Published on: 24 October, 2022

Article ID: e210622206258 Pages: 8

DOI: 10.2174/1573404819666220621161715

Price: $65


Objective: This study was conducted to determine the effect of hyperemesis gravidarum diagnosis in pregnant women on their acceptance of pregnancy and quality of life.

Methods: This case-control study was conducted with 375 pregnancy 175 diagnosed with hyperemesis gravidarum (case group), 200 pregnant women with healthy pregnancy (control group), between July 2018 and February 2019, in Turkey. Data were collected with the Personal Information Form, World Health Organization’s Quality of Life Questionnaire Brief Version was used to ascertain quality of life and to determine adaptation to pregnancy, the “Prenatal Self-Evaluation Scale” was applied. Only the “Acceptance of Pregnancy” subdimensions were included in the study.

Results: Pregnancy acceptance was found to be significantly lower in pregnant women with hyperemesis gravidarum than in healthy pregnant women. The quality of life levels of the pregnant women with hyperemesis gravidarum were found to be lower than those in the healthy pregnant women.

Conclusion: Quality of life is affected by hyperemesis gravidarum. In addition, low quality of life and hyperemesis gravidarum negatively affect the acceptance of pregnancy. This result highlights that healthcare professionals should develop a strategy to improve the quality of life of women with hyperemesis and help them accept their pregnancy.

Keywords: Hyperemesis gravidarum, acceptance of pregnancy, quality of life, pregnancy, the effect of hyperemesis gravidarum, healthy pregnant women.

Graphical Abstract
Taşkın, L. Obstetrics and Women’s Health Nursing,, 16th ed; Sistem Ofset Matbaacılık:: Ankara, 2016.
Goodwin, T.M. Hyperemesis gravidarum. Obstet. Gynecol. Clin. N. Am., 2008, 35(3), 401-417.
Nurmi, M.; Rautava, P.; Gissler, M. Recurrence patterns of hyperemesis gravidarum. Am. J. Obstet. Gynecol., 2018, 219(5), 469.e1-469.e10.
Rashid, M.; Rashid, M.H.; Herath, R.P. Hyperemesis gravidarum and fetal gender: A retrospective study. J. Obstet. Gynaecol., 2012, 32(5), 475-478.
Einarson, T.R.; Piwko, C.; Koren, G. Quantifying the global rates of nausea and vomiting of pregnancy: A meta analysis. J. Popul. Ther. Clin. Pharmacol., 2013, 20(2), e171-e183.
[PMID: 23863575]
Daniels, J. Hyperemersis gravidarum: Past hysteria and present needs. BJOG, 2017, 124(1), 15-19.
McCarthy, F.P.; Murphy, A.; Khashan, A.S.; Higgins, J.R. Day care compared with inpatient management of nausea and vomiting of pregnancy. Obstet. Gynecol., 2014, 124(4), 743-748.
Dypvik, J.; Pereira, A.L.; Tanbo, T.G.; Eskild, A. Maternal human chorionic gonadotrophin concentrations in very early prennancy and risk of hyperemesis gravidarum: A retrospective cohort study of 4372 pregnancies after in vitro fertelization. Eur. J. Obstet. Gynecol. Reprod. Biol., 2017, 221, 12-16.
Chan, O.K.; Sahota, D.S.; Leung, T.Y.; Chan, L.W.; Lau, T.K. Nausea and vomiting in health‐related quality of life among Chinese pregnant women. Aust. N. Z. J. Obstet. Gynaecol., 2010, 50(6), 512-518.
Bustos, M.; Venkataramanan, R.; Caritis, S. Nausea and vomiting of pregnancy-What’s new? Auton. Neurosci., 2017, 202, 62-72.
Kuo, S.H.; Wang, R.H.; Tseng, H.C.; Jian, S.Y.; Chou, F.H. A comparison of different severities of nausea and vomiting during pregnancy relative to stress, social support and maternal adaptation. J. Midwifery Womens Health, 2007, 52(1), e1-e7.
Wood, H.; McKellar, L.V.; Lightbody, M. Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? a review of the literature. Women Birth, 2013, 26(2), 100-104.
Meighan, M.; Wood, A.F. The impact of hyperemesis gravidarum on maternal role assumption. J. Obstet. Gynecol. Neonatal Nurs., 2005, 34(2), 172-179.
Liu, M.C.; Kuo, S.H.; Chou, F.H.; Chan, T.F.; Yang, Y.H. Transformation of quality of life in prenatal women with nausea and vomiting. Women Birth, 2019, 32(6), 543-548.
[] [PMID: 30448103]
Heitmann, K.; Nordeng, H.; Havnen, G.C.; Solheimsnes, A.; Holst, L. The burden of nausea and vomiting during pregnancy: Severe impacts on quality of life, daily life functioning and willingness to become pregnant again - results from a cross-sectional study. BMC Pregnancy Childbirth, 2017, 17(1), 75.
[] [PMID: 28241811]
Piwko, C.; Ungar, W.J.; Einarson, T.R.; Wolpin, J.; Koren, G. The weekly cost of nausea and vomiting of pregnancy for women calling the Toronto Motherisk Program. Curr. Med. Res. Opin., 2007, 23(4), 833-840.
[] [PMID: 17407640]
Piwko, C.; Koren, G.; Babashov, V.; Vicente, C.; Einarson, T.R. Economic burden of nausea and vomiting of pregnancy in the USA. J. Popul. Ther. Clin. Pharmacol., 2013, 20(2), e149-e160.
[PMID: 23913638]
Soğukpınar, N.; Akmeşe, Z.B.; Hadımlı, A.; Balçık, M.; Akın, B. Risky pregnancy profile in maternity hospitals: Sample of Izmir province. J. Acad. Res. Nurs., 2018, 4(1), 37-44.
Swallow, B.L.; Lindow, S.W.; Masson, E.A.; Hay, D.M. Development of an instrument to measure nausea and vomiting in pregnancy. J. Obstet. Gynaecol., 2002, 22(5), 481-485.
[] [PMID: 12521412]
Türkmen, H. The effect of hyperemesis gravidarum on prenatal adaptation and quality of life: A prospective case-control study. J. Psychosom. Obstet. Gynaecol., 2020, 41(4), 282-289.
[] [PMID: 31651204]
Beydağ, K.D.; Mete, S. Validity and reliability study of the prenatal self-evaluation questionnaire. Atatürk Üniversitesi Hemşirelik Yüksekokulu Dergisi, 2008, 11(1), 16-24.
Eser, E.; Fidaner, H.; Fidaner, C.; Eser, S.Y.; Elbi, H.; Göker, E. WHOQOL – Psychometric properties of tlte WHOQOL-100 and WHOOOL. BREF 3P Dergisi 1999, 7(2), 23-40.
Çetinkaya, E. Investigation of the levels of quality of life and social support of pregnant women diagnosed with hyperemesis gravidarum. 2014. Available from: on 14.02.2018)
Taşçı, E.; Saruhan, A. Marital adjustment levels of pregnant women with and without hyperemesis gravidarum. In 4th International Reproductive Health and Family Planning Congress, Ankara 2005.
Çetin, F.C.; Demirci, N.; Çalık, Y.K.; Akıncı, A.Ç. Common physical complaints during pregnancy. Zeynep Kamil Tıp Bülteni, 2017, 48(4), 13-77.
Mutlugunes, E.; Mete, S. The relationship between the role of motherhood and acceptance of pregnancy with nausea and vomiting during pregnancy. Cumhuriyet Nurs. J., 2013, 2(1), 8-14.
Timur, S. Kızılırmak, A. Frequency of nausea-vomiting in early pregnancy and determination of the related factors. TAF Prevent. Med Bull., 2011, 10(3), 281-286.
Çiçek, N.; Akyürek, C.; Çelik, Ç.; Haberal, A. Gynecology and Birth Information, 2nd ed; Güneş Kitabevi, 2013.
Güleç, D.; Öztürk, R.; Şen, S.; Güneri Er, S. Comparing psychological symptoms in hyperemesis gravidarum and healthy pregnancies: A case-control study. Gaziantep Med. J., 2014, 20(2), 136-140.
Yekenkunrıl, D.; Mete, S. Investigation of relationsiıp in between nausea and vomiting in pregnancy, marital adjustment and spouse relationship. DEUHYO ED, 2012, 5(3), 89-95.
Karataş, T.; Mete, S. Relationship between social support and nausea and vomiting being in pregnancy. DEUHYO ED, 2012, 5(2), 47-52.
Yanıkkerem, E.; Çalım, S.İ.; Göker, A.; Koltan, S.O.; Koyuncu, F.M. Opinions and needs of pregnant women with hyperemesis gravidarum. Gümüşhane University. J. Health Sci., 2012, 1(4), 269-283.
Bülbül, M.; Kaplanoğlu, M.; Yıldırım, E.A.; Dilbaz, B. Hiperemezis gravidarum. Arch. Med. Rev. J., 2017, 26(3), 269-296.
Clark, S.; Hughes, B.; McDonald, S.S. The ımpact of nausea and vomiting of pregnancy on quality of life: Report of a national consumer survey and recommendations for ımproving care. Obstet. Gynecol. Surv., 2013, 68(9), 1-10.
Lacasse, A.; Rey, E.; Ferreira, E.; Morin, C.; Bérard, A. Nausea and vomiting of pregnancy: What about quality of life? BJOG: Int. J. Obst. Gynaecol., 2008, 115(12), 1484-1493.
[] [PMID: 18752585]
Da Costa, D.; Dritsa, M.; Verreault, N.; Balaa, C.; Kudzman, J.; Khalifé, S. Sleep problems and depressed mood negatively impact health-related quality of life during pregnancy. Arch. Women Ment. Health, 2010, 13(3), 249-257.
[] [PMID: 19728037]
Tendais, I.; Figueiredo, B.; Mota, J.; Conde, A. Physical activity, health-related quality of life and depression during pregnancy. Cad. Saude Publica, 2011, 27(2), 219-228.
[] [PMID: 21359458]
Kugahara, T.; Ohashi, K. Characteristics of nausea and vomiting in pregnant Japanese women. Nurs. Health Sci., 2006, 8(3), 179-184.
[] [PMID: 16911179]
Liu, M.C.; Kuo, S.H.; Lin, C.P.; Yang, Y.M.; Chou, F.H.; Yang, Y.H. Effects of professional support on nausea, vomiting, and quality of life during early pregnancy. Biol. Res. Nurs., 2014, 16(4), 378-386.
[] [PMID: 24113384]
Veenendaal, M.V.; van Abeelen, A.F.; Painter, R.C.; van der Post, J.A.; Roseboom, T.J. Consequences of hyperemesis gravidarum for offspring: A systematic review and meta-analysis. BJOG: Int. J. Obst. Gynaecol., 2011, 118(11), 1302-1313.
[] [PMID: 21749625]

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