Evaluation of the Nutrition and Health Status of Pregnancy According to the Severity of Emezis

Ekin Altın Bayar; Aybala Tazeoğlu; Fatma Bengü Kuyulu Bozdoğan

doi:10.31067/acusaglik.1049789

Research Article

Evaluation of the Nutrition and Health Status of Pregnancy According to the Severity of Emezis

Year 2022, Volume: 13 Issue: 4, 599 - 606, 01.10.2022

Ekin Altın Bayar , Aybala Tazeoğlu , Fatma Bengü Kuyulu Bozdoğan

https://doi.org/10.31067/acusaglik.1049789

Abstract

Abstract
Objective: Gestational emesis affects the whole pregnancy process and the newborn baby after pregnancy, starting from the early stages of pregnancy. In this study, it was aimed to investigate the factors affecting gestational emesis.
Materials-Methods: This study evaluated the relationship between the severity of nausea-vomiting and nutrition and health status of 100 pregnant women aged 18-40 years who applied to the Nutrition-Diet and Gynecology Clinic in a private hospital.
Results: The mean age of the participants was 29.66±5.47. It was determined that the severity of vomiting increased as the number of pregnancies of the participants increased (p<0.05). It was determined that as the severity of vomiting increased, the energy intake averages of the pregnant women decreased significantly. Those with 'severe' emesis were found to be significantly lower than those with 'moderate' emesis, which derived most of their energy from carbohydrates and fats (p=0.002, p=0.02, respectively).
Conclusion: Many underlying factors affect the severity of vomiting in pregnant women. The increase in the severity of vomiting adversely affects the nutritional and health status of pregnant women. For this reason, the severity of nausea and vomiting should be taken into account in ensuring proper nutrition and improving health conditions in pregnant women.

Keywords

Pregnancy, hyperemesis gravidarum, nutritional status

References

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2. Ying L, Wu LH, Loke AY. The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review. J Assist Reprod Genet. 2016 Jun;33(6):689-701. doi: 10.1007/s10815-016-0690-8.
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5. American College of Obstetricians and Gynecologists. Nausea and vomiting pregnancy, ACOG Practice Bulletin No. 189, Obstets. Gynecol., 2018, 131: 15- 30.
6. Castillo MJ, Phillippi JC. Hyperemesis gravidarum: a holistic overview and approach to clinical assessment and management. J Perinat Neonatal Nurs. 2015 Jan-Mar;29(1):12-22; quiz E1. doi: 10.1097/JPN.0000000000000075. PMID: 25534678.
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9. Koren G, Piwko C, Ahn E, Boskovic R, Maltepe C, Einarson A, Navioz Y, Ungar WJ. Validation studies of the Pregnancy Unique-Quantification of Emesis (PUQE) scores. J Obstet Gynaecol. 2005 Apr;25(3):241-4. doi: 10.1080/01443610500060651. PMID: 16147725.
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12. Taş E., Üstüner I., Özdemir H., Dikeç A., Avşar A., (2010) Gebe Kadınların Beslenme Durumunun Değerlendirilmesi. Bidder Tıp Bilimleri Dergisi, Cilt:2(1):7-12
13. Sucu M, Büyükkurt S, Evrüke İC, Demir SC, Özgünen FT, Kadayıfçı O. Gebelikte Bulantı-Kusması Olan Hastaların Hastaneye Yatış Endikasyonlarının Değerlendirilmesinde PUQE (Pregnancy-Unique Quantification of Emesis and Nausea) Testinin Yeri. J Clin Obstet Gynecol. 2009;19(6):317-321.
14. Özdil M., Küçükkömürcü Ş., Özakın C., Özerkan K., Gençler B., Orhan O. Hiperemezis Gravidarum Etiyopatogenezinde Helicobacter pylori Enfeksiyonunun Yeri. J Turkish-German Gynecol Assoc. 2008 9(1).
15. Swallow BL, Lindow SW, Masson EA, Hay DM. Psychological health in early pregnancy: relationship with nausea and vomiting. J Obstet Gynaecol. 2004 Jan;24(1):28-32. doi: 10.1080/01443610310001620251. PMID: 14675977.
16. Karataş T., Mete S., (2012) Gebelikte Bulantı Kusma Sorunu Yaşama Durumu İle Sosyal Destek Arasındaki İlişkinin İncelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 5 (2):47-52
17. Moos MK. Unintended pregnancies: a call for nursing action. MCN Am J Matern Child Nurs. 2003 Jan-Feb;28(1):24-30; quiz 31. PMID: 12514353.
18. Noğay NH. "Gebe Kadınların Beslenme Durumlarının Değerlendirilmesi". Ejovoc (Electronic Journal of Vocational Colleges) 1 (2011 ): 51-57
19. Işık MT. (2010) Gebelik Sürecinde Tıbbi Aydınlatma. T.C. Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü Tıp Tarihi ve Etik Anabilimdalı, Doktora Tezi, Adana. 20. Swensen AR, Harnack LJ, Ross JA. Nutritional assessment of pregnant women enrolled in the Special Supplemental Program for Women, Infants, and Children (WIC). J Am Diet Assoc. 2001 Aug;101(8):903-8. doi: 10.1016/S0002-8223(01)00221-8. PMID: 11501864.
21. Fejzo MS, Poursharif B, Korst LM, Munch S, MacGibbon KW, Romero R, Goodwin TM. Symptoms and pregnancy outcomes associated with extreme weight loss among women with hyperemesis gravidarum. J Womens Health (Larchmt). 2009 Dec;18(12):1981-7. doi: 10.1089/jwh.2009.1431. PMID: 20044860; PMCID: PMC2828197.
22. Türkiye’ye Özgü Beslenme Rehberi (TÜBER) (2016), T.C. Sağlık Bakanlığı. Türkiye’ye Özgü Beslenme Rehberi. Sağlık Bakanlığı Yayınları.
23. Garipağaoğlu M., Budak N., Elmacıoğlu F., Bulut A. (2007) İstanbul’da Yaşayan Bir Grup Gebe Kadının Beslenme Durumunun Değerlendirilmesi. Türk Aile Hekimleri Dergisi, 11(1): 27-31.

Year 2022, Volume: 13 Issue: 4, 599 - 606, 01.10.2022

Ekin Altın Bayar , Aybala Tazeoğlu , Fatma Bengü Kuyulu Bozdoğan

https://doi.org/10.31067/acusaglik.1049789

Abstract

References

1. Soma-Pillay P, Nelson-Piercy C, Tolppanen H, Mebazaa A. Physiological changes in pregnancy. Cardiovasc J Afr. 2016 Mar-Apr;27(2):89-94. doi: 10.5830/CVJA-2016-021.
2. Ying L, Wu LH, Loke AY. The effects of psychosocial interventions on the mental health, pregnancy rates, and marital function of infertile couples undergoing in vitro fertilization: a systematic review. J Assist Reprod Genet. 2016 Jun;33(6):689-701. doi: 10.1007/s10815-016-0690-8.
3. Samur G. Gebelik ve Laktasyon Döneminde Beslenme. Turkiye Klinikleri Nutrition and Dietetics-Special Topics. 2015;1(1):20-5.
4. Body C, Christie JA. Gastrointestinal Diseases in Pregnancy: Nausea, Vomiting, Hyperemesis Gravidarum, Gastroesophageal Reflux Disease, Constipation, and Diarrhea. Gastroenterol Clin North Am. 2016 Jun;45(2):267-83. doi: 10.1016/j.gtc.2016.02.005. PMID: 27261898.
5. American College of Obstetricians and Gynecologists. Nausea and vomiting pregnancy, ACOG Practice Bulletin No. 189, Obstets. Gynecol., 2018, 131: 15- 30.
6. Castillo MJ, Phillippi JC. Hyperemesis gravidarum: a holistic overview and approach to clinical assessment and management. J Perinat Neonatal Nurs. 2015 Jan-Mar;29(1):12-22; quiz E1. doi: 10.1097/JPN.0000000000000075. PMID: 25534678.
7. McParlin C, O'Donnell A, Robson SC, Beyer F, Moloney E, Bryant A, Bradley J, Muirhead CR, Nelson-Piercy C, Newbury-Birch D, Norman J, Shaw C, Simpson E, Swallow B, Yates L, Vale L. Treatments for Hyperemesis Gravidarum and Nausea and Vomiting in Pregnancy: A Systematic Review. JAMA. 2016 Oct 4;316(13):1392-1401. doi: 10.1001/jama.2016.14337. PMID: 27701665.
8. www.who.int/bmi. Erişim tarihi: 15 Haziran 2013.
9. Koren G, Piwko C, Ahn E, Boskovic R, Maltepe C, Einarson A, Navioz Y, Ungar WJ. Validation studies of the Pregnancy Unique-Quantification of Emesis (PUQE) scores. J Obstet Gynaecol. 2005 Apr;25(3):241-4. doi: 10.1080/01443610500060651. PMID: 16147725.
10. Bebispro for Windows, Stuttgart, Germany; Turkish Version (Bebis 4), Istanbul, 2004. Program uses data from Bundeslebensmittelschlüssel (BLS) 11.3 and USDA 15.
11. İrge E., Timur S., Zincir H., Oltuluoğlu H., Dursun S.STED.Sürekli Tıp Eğitimi Dergisi. 2005. Gebelikte Beslenmenin Değerlendirilmesi. 14(7): 157-160.
12. Taş E., Üstüner I., Özdemir H., Dikeç A., Avşar A., (2010) Gebe Kadınların Beslenme Durumunun Değerlendirilmesi. Bidder Tıp Bilimleri Dergisi, Cilt:2(1):7-12
13. Sucu M, Büyükkurt S, Evrüke İC, Demir SC, Özgünen FT, Kadayıfçı O. Gebelikte Bulantı-Kusması Olan Hastaların Hastaneye Yatış Endikasyonlarının Değerlendirilmesinde PUQE (Pregnancy-Unique Quantification of Emesis and Nausea) Testinin Yeri. J Clin Obstet Gynecol. 2009;19(6):317-321.
14. Özdil M., Küçükkömürcü Ş., Özakın C., Özerkan K., Gençler B., Orhan O. Hiperemezis Gravidarum Etiyopatogenezinde Helicobacter pylori Enfeksiyonunun Yeri. J Turkish-German Gynecol Assoc. 2008 9(1).
15. Swallow BL, Lindow SW, Masson EA, Hay DM. Psychological health in early pregnancy: relationship with nausea and vomiting. J Obstet Gynaecol. 2004 Jan;24(1):28-32. doi: 10.1080/01443610310001620251. PMID: 14675977.
16. Karataş T., Mete S., (2012) Gebelikte Bulantı Kusma Sorunu Yaşama Durumu İle Sosyal Destek Arasındaki İlişkinin İncelenmesi. Dokuz Eylül Üniversitesi Hemşirelik Yüksekokulu Elektronik Dergisi, 5 (2):47-52
17. Moos MK. Unintended pregnancies: a call for nursing action. MCN Am J Matern Child Nurs. 2003 Jan-Feb;28(1):24-30; quiz 31. PMID: 12514353.
18. Noğay NH. "Gebe Kadınların Beslenme Durumlarının Değerlendirilmesi". Ejovoc (Electronic Journal of Vocational Colleges) 1 (2011 ): 51-57
19. Işık MT. (2010) Gebelik Sürecinde Tıbbi Aydınlatma. T.C. Çukurova Üniversitesi Sağlık Bilimleri Enstitüsü Tıp Tarihi ve Etik Anabilimdalı, Doktora Tezi, Adana. 20. Swensen AR, Harnack LJ, Ross JA. Nutritional assessment of pregnant women enrolled in the Special Supplemental Program for Women, Infants, and Children (WIC). J Am Diet Assoc. 2001 Aug;101(8):903-8. doi: 10.1016/S0002-8223(01)00221-8. PMID: 11501864.
21. Fejzo MS, Poursharif B, Korst LM, Munch S, MacGibbon KW, Romero R, Goodwin TM. Symptoms and pregnancy outcomes associated with extreme weight loss among women with hyperemesis gravidarum. J Womens Health (Larchmt). 2009 Dec;18(12):1981-7. doi: 10.1089/jwh.2009.1431. PMID: 20044860; PMCID: PMC2828197.
22. Türkiye’ye Özgü Beslenme Rehberi (TÜBER) (2016), T.C. Sağlık Bakanlığı. Türkiye’ye Özgü Beslenme Rehberi. Sağlık Bakanlığı Yayınları.
23. Garipağaoğlu M., Budak N., Elmacıoğlu F., Bulut A. (2007) İstanbul’da Yaşayan Bir Grup Gebe Kadının Beslenme Durumunun Değerlendirilmesi. Türk Aile Hekimleri Dergisi, 11(1): 27-31.

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Details

Primary Language	English
Subjects	Nutrition and Dietetics
Journal Section	Research Article
Authors	Ekin Altın Bayar 0000-0002-8381-088X Aybala Tazeoğlu 0000-0002-4144-8456 Fatma Bengü Kuyulu Bozdoğan 0000-0003-4400-6271
Publication Date	October 1, 2022
Submission Date	December 28, 2021
Published in Issue	Year 2022Volume: 13 Issue: 4

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EndNote	Altın Bayar E, Tazeoğlu A, Kuyulu Bozdoğan FB (October 1, 2022) Evaluation of the Nutrition and Health Status of Pregnancy According to the Severity of Emezis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 13 4 599–606.

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