Evidence map›Paper›PMID 42439868›Full record

ArticleInquiry : a journal of medical care organization, provision and financing

Symptom Severity and Quality of Life Impact in Hyperemesis Gravidarum and Nausea of Pregnancy: Evidence From a Large Cross-Sectional Study.

Hadeel Shabana, Adan Abu Harthieh, Sima Abu Gharbyeh, Taysir Alsadder, Mohammad Jaber, Ramzi Shawahna

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Article in Inquiry : a journal of medical care organization, provision and financing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hadeel ShabanaDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.
Adan Abu HarthiehDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.
Sima Abu GharbyehDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.
Taysir AlsadderDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.
Mohammad JaberDepartment of Medicine, Faculty of Medicine and Allied Health Sciences, An-Najah National University, Nablus, Palestine.
Ramzi ShawahnaDepartment of Physiology, Pharmacology, and Toxicology, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine.ORCID 0000-0002-2403-610X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionThis study aimed to evaluate the severity of symptoms and their impact on quality of life among women experiencing hyperemesis gravidarum (HG) and nausea and vomiting of pregnancy (NVP).MethodsA cross-sectional study was conducted in hospitals and primary healthcare centers. Data were collected using validated questionnaires that contained the Windsor 2021 criteria for HG diagnosis, PUQE-24 for symptom severity, and NVPQoL for health-related QoL.ResultsAmong 380 participants, 167 (43.9%) met the Windsor 2021 criteria for HG. The mean PUQE-24 score was 5.4 ± 2.5, with 112 (29.4%) reporting moderate to severe symptoms. A prior history of HG was strongly associated with current HG diagnosis (OR = 3.47, 95% CI: 1.55-7.80, p = 0.003) and increased PUQE scores by 1.58 points (p < 0.001). PUQE score itself was a significant associated factor, with each one-point increase linked to a 30% higher likelihood of HG diagnosis (OR = 1.30, 95% CI: 1.15-1.48, p < 0.001). Gestational age was inversely related to severity (B = -0.06 per week, SE = 0.01, p < 0.001). Unhealthy or special diets were associated with higher PUQE scores (B = 0.67, SE = 0.30, p = 0.024). Each unit increase in PUQE score was linked to a 6.18-point rise in NVPQoL scores (p < 0.001). A current HG diagnosis was also significantly associated with poorer QoL, contributing to a 17.79-point increase in NVPQoL scores (p < 0.001).ConclusionsThis study provides the first comprehensive application of validated diagnostic and severity tools for NVP and HG in Palestine, highlighting global risk factors such as prior history of HG and gestational age, as well as region-specific determinants including dietary patterns and limited access to evidence-based pharmacological treatments. Findings are informative for clinicians, policymakers, and researchers, underscoring the need for context-sensitive guidelines and inclusive maternal health strategies.

Indexed as

Hyperemesis GravidarumNauseaQuality of LifeAdultCross-Sectional StudiesFemaleHumansPregnancySeverity of Illness IndexSurveys and Questionnairesdeterminants of healthhealth and social care serviceshyperemesis gravidarummaternal healthnausea and vomiting of pregnancyPUQE-24quality of lifewindsor 2021 criteria

Identifiers

PMID42439868
PMCPMC13365636

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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.