Evidence map›Paper›PMID 30822254›Full record

ArticleScandinavian journal of primary health care2019

Women's perspectives on the management and consequences of hyperemesis gravidarum - a descriptive interview study.

Gro C Havnen, Maria Bich-Thuy Truong, Mai-Linh H Do, Kristine Heitmann, Lone Holst, Hedvig Nordeng

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
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  7. Hyperemesis in Pregnancy: Complications and Treatment.Medical sciences (Basel, Switzerland) · 2025
    Review
  8. Article
  9. Article
  10. Observational
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  12. Diagnosis and treatment of hyperemesis gravidarum.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Review
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  14. Article
  15. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 1 country.

Gro C Havnena Regional Medicines Information and Pharmacovigilance Centre (RELIS) , Oslo University Hospital , Oslo , Norway.
Maria Bich-Thuy Truongb PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy , University of Oslo , Oslo , Norway.
Mai-Linh H Doa Regional Medicines Information and Pharmacovigilance Centre (RELIS) , Oslo University Hospital , Oslo , Norway.
Kristine Heitmannc Regional Medicines Information and Pharmacovigilance Centre (RELIS) , Haukeland University Hospital , Bergen , Norway.
Lone Holstd Department of Global Public Health and Primary Care , University of Bergen , Bergen , Norway.
Hedvig Nordengb PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy , University of Oslo , Oslo , Norway.
Oslo University Hospital · NOHaukeland University Hospital · NONorwegian Institute of Public Health · NOUniversity of Bergen · NOUniversity of Oslo · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveHyperemesis gravidarum (HG) affects 0.3-3% of pregnant women and is a leading cause of hospitalization in early pregnancy. The aim of the study was to investigate women's treatment and management of HG, as well as the consequences of HG on women's daily life. DESIGN AND

settingA cross-sectional study based on a structured telephone interview and an online questionnaire. Participants were recruited by social media and by the Norwegian patient's organization for HG. SUBJECTS: Norwegian women that experienced HG.

main outcome measureWomen's perspectives on management and consequences of HG.

resultsThe study included 107 women. Maternal morbidity was profound; about 3/4 of participants were hospitalized due to HG, and the majority showed clinical signs of dehydration (79%), ketonuria (75%), and >5% weight loss (84%). Antiemetics were used by >90% and frequently prescribed "as needed". Metoclopramide (71%) and meclozine (51%) were most commonly used. Participants described HG as having severe psychosocial consequences and profound impact on daily activities. Almost two out of five reported thoughts of elective abortion, and 8 women had at least one elective pregnancy termination due to HG. Overall, 20 women (19%) changed GPs due to dissatisfaction with HG management.

conclusionDespite the high psychosocial burden and major impact on daily activities, many women with HG reported a lack of support from healthcare professionals and suboptimal management. Greater awareness and knowledge among healthcare professionals is needed to improve care for women with HG. Key Points There is a paucity of studies on management and the consequences of HG on women's daily lives and psychosocial burden. We found that: • Many women described HG as one of their worst life experiences with profound morbidity. • Many women reported suboptimal management of HG and lack of support from healthcare professionals. • Greater understanding of patient perspectives among healthcare professionals is important to improve care and management for HG patients.

Indexed as

Activities of Daily LivingAttitudeHyperemesis GravidarumPregnant PeopleQuality of LifeAbortion, InducedAdultAntiemeticsCross-Sectional StudiesDehydrationEmotionsFemaleHospitalizationHumansKetosisMeclizineAntiemeticsMeclizineMetoclopramideHG managementHyperemesis gravidarum (HG)Nausea and vomiting in pregnancy (NVP)patient perspectivespregnancy

Identifiers

PMID30822254
PMCPMC6454401
OpenAlexW2918408029

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.