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Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study
INTRODUCTION: Hyperemesis gravidarum (HG) complicates 1% of pregnancies and has a major impact on maternal quality of life and well‐being. We know very little about HG’s long‐term impact after an affected pregnancy, including recurrence rates in future pregnancies, which is essential information for...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457209/ https://www.ncbi.nlm.nih.gov/pubmed/34033123 http://dx.doi.org/10.1111/aogs.14197 |
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author | Nijsten, Kelly Dean, Caitlin van der Minnen, Loïs M. Bais, Joke M. J. Ris‐Stalpers, Carrie van Eekelen, Rik Bremer, Henk A. van der Ham, David P. Heidema, Wieteke M. Huisjes, Anjoke Kleiverda, Gunilla Kuppens, Simone M. van Laar, Judith O. E. H. Langenveld, Josje van der Made, Flip Papatsonis, Dimitri Pelinck, Marie‐José Pernet, Paula J. van Rheenen‐Flach, Leonie Rijnders, Robbert J. Scheepers, Hubertina C. J. Vogelvang, Tatjana Mol, Ben W. Roseboom, Tessa J. Koot, Marjette H. Grooten, Iris J. Painter, Rebecca C. |
author_facet | Nijsten, Kelly Dean, Caitlin van der Minnen, Loïs M. Bais, Joke M. J. Ris‐Stalpers, Carrie van Eekelen, Rik Bremer, Henk A. van der Ham, David P. Heidema, Wieteke M. Huisjes, Anjoke Kleiverda, Gunilla Kuppens, Simone M. van Laar, Judith O. E. H. Langenveld, Josje van der Made, Flip Papatsonis, Dimitri Pelinck, Marie‐José Pernet, Paula J. van Rheenen‐Flach, Leonie Rijnders, Robbert J. Scheepers, Hubertina C. J. Vogelvang, Tatjana Mol, Ben W. Roseboom, Tessa J. Koot, Marjette H. Grooten, Iris J. Painter, Rebecca C. |
author_sort | Nijsten, Kelly |
collection | PubMed |
description | INTRODUCTION: Hyperemesis gravidarum (HG) complicates 1% of pregnancies and has a major impact on maternal quality of life and well‐being. We know very little about HG’s long‐term impact after an affected pregnancy, including recurrence rates in future pregnancies, which is essential information for women considering subsequent pregnancies. In this study, we aimed to prospectively measure the recurrence rate of HG and the number of postponed and terminated subsequent pregnancies due to HG. We also aimed to evaluate if there were predictive factors that could identify women at increased risk for HG recurrence, and postponing and terminating subsequent pregnancies. MATERIAL AND METHODS: We conducted a prospective cohort study. A total of 215 women admitted for HG to public hospitals in the Netherlands were enrolled in the original MOTHER randomized controlled trial and associated observational cohort. Seventy‐three women were included in this follow‐up study. Data were collected through an online questionnaire. Recurrent HG was defined as vomiting symptoms accompanied by any of the following: multiple medication use, weight loss, admission, tube feeding or if nausea and vomiting symptoms were severe enough to affect life and/or work. Outcome measures were recurrence, postponing, and termination rates due to HG. Univariable logistic regression analysis was used to identify predictive factors associated with HG recurrence, and postponing and terminating subsequent pregnancies. RESULTS: Thirty‐five women (48%) became pregnant again of whom 40% had postponed their pregnancy due to HG. HG recurred in 89% of pregnancies. One woman terminated and eight women (23%) considered terminating their pregnancy because of recurrent HG. Twenty‐four out of 38 women did not get pregnant again because of HG in the past. Univariable logistic regression analysis identifying possible predictive factors found that having a western background was associated with having weight loss due to recurrent HG in subsequent pregnancies (odds ratio 12.9, 95% CI 1.3–130.5, p = 0.03). CONCLUSIONS: High rates of HG recurrence and a high number of postponed pregnancies due to HG were observed. Women can be informed of a high chance of recurrence to enable informed family planning. |
format | Online Article Text |
id | pubmed-8457209 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-84572092021-09-28 Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study Nijsten, Kelly Dean, Caitlin van der Minnen, Loïs M. Bais, Joke M. J. Ris‐Stalpers, Carrie van Eekelen, Rik Bremer, Henk A. van der Ham, David P. Heidema, Wieteke M. Huisjes, Anjoke Kleiverda, Gunilla Kuppens, Simone M. van Laar, Judith O. E. H. Langenveld, Josje van der Made, Flip Papatsonis, Dimitri Pelinck, Marie‐José Pernet, Paula J. van Rheenen‐Flach, Leonie Rijnders, Robbert J. Scheepers, Hubertina C. J. Vogelvang, Tatjana Mol, Ben W. Roseboom, Tessa J. Koot, Marjette H. Grooten, Iris J. Painter, Rebecca C. Acta Obstet Gynecol Scand Pregnancy INTRODUCTION: Hyperemesis gravidarum (HG) complicates 1% of pregnancies and has a major impact on maternal quality of life and well‐being. We know very little about HG’s long‐term impact after an affected pregnancy, including recurrence rates in future pregnancies, which is essential information for women considering subsequent pregnancies. In this study, we aimed to prospectively measure the recurrence rate of HG and the number of postponed and terminated subsequent pregnancies due to HG. We also aimed to evaluate if there were predictive factors that could identify women at increased risk for HG recurrence, and postponing and terminating subsequent pregnancies. MATERIAL AND METHODS: We conducted a prospective cohort study. A total of 215 women admitted for HG to public hospitals in the Netherlands were enrolled in the original MOTHER randomized controlled trial and associated observational cohort. Seventy‐three women were included in this follow‐up study. Data were collected through an online questionnaire. Recurrent HG was defined as vomiting symptoms accompanied by any of the following: multiple medication use, weight loss, admission, tube feeding or if nausea and vomiting symptoms were severe enough to affect life and/or work. Outcome measures were recurrence, postponing, and termination rates due to HG. Univariable logistic regression analysis was used to identify predictive factors associated with HG recurrence, and postponing and terminating subsequent pregnancies. RESULTS: Thirty‐five women (48%) became pregnant again of whom 40% had postponed their pregnancy due to HG. HG recurred in 89% of pregnancies. One woman terminated and eight women (23%) considered terminating their pregnancy because of recurrent HG. Twenty‐four out of 38 women did not get pregnant again because of HG in the past. Univariable logistic regression analysis identifying possible predictive factors found that having a western background was associated with having weight loss due to recurrent HG in subsequent pregnancies (odds ratio 12.9, 95% CI 1.3–130.5, p = 0.03). CONCLUSIONS: High rates of HG recurrence and a high number of postponed pregnancies due to HG were observed. Women can be informed of a high chance of recurrence to enable informed family planning. John Wiley and Sons Inc. 2021-06-26 2021-09 /pmc/articles/PMC8457209/ /pubmed/34033123 http://dx.doi.org/10.1111/aogs.14197 Text en © 2021 The Authors. Acta Obstetricia et Gynecologica Scandinavica published by John Wiley & Sons Ltd on behalf of Nordic Federation of Societies of Obstetrics and Gynecology (NFOG) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Pregnancy Nijsten, Kelly Dean, Caitlin van der Minnen, Loïs M. Bais, Joke M. J. Ris‐Stalpers, Carrie van Eekelen, Rik Bremer, Henk A. van der Ham, David P. Heidema, Wieteke M. Huisjes, Anjoke Kleiverda, Gunilla Kuppens, Simone M. van Laar, Judith O. E. H. Langenveld, Josje van der Made, Flip Papatsonis, Dimitri Pelinck, Marie‐José Pernet, Paula J. van Rheenen‐Flach, Leonie Rijnders, Robbert J. Scheepers, Hubertina C. J. Vogelvang, Tatjana Mol, Ben W. Roseboom, Tessa J. Koot, Marjette H. Grooten, Iris J. Painter, Rebecca C. Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study |
title | Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study |
title_full | Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study |
title_fullStr | Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study |
title_full_unstemmed | Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study |
title_short | Recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: Follow up of the MOTHER study |
title_sort | recurrence, postponing pregnancy, and termination rates after hyperemesis gravidarum: follow up of the mother study |
topic | Pregnancy |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8457209/ https://www.ncbi.nlm.nih.gov/pubmed/34033123 http://dx.doi.org/10.1111/aogs.14197 |
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