Hyperemesis gravidarum as a cause of maternal mortality
C. OBSTETRIC CONDITIONS RELATED TO NVP OR HG
23. HYPEREMESIS GRAVIDARUM AS A CAUSE OF MATERNAL MORTALITY
1925-1936 15 deaths of out 396 cases of hyperemesis gravidarum. (14)
In the whole North West Scotland there were 14 maternal deaths due to hyperemesis gravidarum between 1931 and 1940. There was one such death between 1940 and 1956. (9)
Lupzic Clinic, Pokorny, showed falling maternal mortality due to hyperemesis gravidarum:
|
1900-1924 |
2.8%
|
|
1925-1936 |
0.75%
|
|
1937-1954 |
0.28% |
|
1955-1959 |
0.0% |
(10)
Results from the treatment of moderately severe and severe cases of vomiting of pregnancy at the Boston Lying-in Hospital:
|
Years |
Deliveries |
Maternal Deaths |
Percentage |
|
1930-1933 |
12,675 |
7 |
0.047% |
|
1934-1937 |
14,600 |
0 |
|
(1)
In Britain the maternal mortality from hyperemesis fell from 159 per million total births in the years 1931-1940 to three per million total births between 1951 and 1960. (75)
Summary
Maternal mortality due to hyperemesis gravidarum became extremely rare after 1955.
GP Guidelines
Please note this guideline is for moderate to severe NVP symptoms rather than HG
RCOG Green-top Guideline No. 69
The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum
BMJ Clinical Update 2018
Management of severe pregnancy sickness and hyperemesis gravidarum
Understanding Risk
The risk of a baby being born with a congenital abnormality - the difference between relative and absolute risk
Become HG-Friendly
Help us build up a national network of 'HG-friendly' practitioners by registering with our quick form.
Latest tweet
RT @Pandas_uk: So true - PND does not care if your a mum or a dad. Either way it is ok not to be ok and remember. Admitting your struggling…
10:26 19th June
