Management

Multimodal treatment: Medical, Dietary, and

Psychological Support
Dietary management:
Eat more frequently in small portions + snacks
High carbohydrate and protein, low fat and acid
Drinks that contain electrolytes and other
supplements
Food abstinence Total Parenteral Nutrition
until symptoms can be managed
IV fluids : Normal saline or Hartmann solution
are suitable solutions; potassium chloride can be
added as needed
Management
Medications:
American Congress of Obstetricians and Gynecologists
Guidelines (2004) : dimenhydrinate, metoclopramide, or
promethazine
Anti-emetics: dopamin antagonists, phenothiazine, 5-HT3
antagonists
Steroids : IV hydrocortisone
Ginger
Antacids and H2-blockers or Proton Pump Inhibitors
Supplementary:
Pyridoxine
Thiamine
Vitamin C
Iron
Management
Patients with depressive and psychotic
symptoms Psychiatric counseling +
medication
Hypnotic-sedatives: Midazolam or Diazepam

Education:
Avoid stressful conditions
Family members provide physical and
emotional support
References
Siddik D. Kelainan Gastrointestinal. Di dalam:
Saifuddin AB, editor. Ilmu Kebidanan. Ed ke-
4. Jakarta: PT. Bina Pustaka Sarwono
Prawirohardjo; 2010. hlm 815-818.
JK Jueckstock, R Kaestner, I Mylonas.
Managing hyperemesis gravidarum: a
multimodal challenge. BMC Medicine. 2010;
8:46. Downloaded from
http://www.biomedcentral.com/1741-
7015/8/46