Socio-ecomonic and other influences in nausea and vomiting of pregnancy and hyperemesis gravidarum, Zliten, Libya
Author(s): Abokresh Eisha GA and Mohamed Hamed FA
Abstract: Nausea and vomiting of pregnancy (NVP) constitutes a prevalent medical condition, impacting an estimated 70% of women during gestation. Hyperemesis Gravidarum (HG), a more severe manifestation of NVP, occurs in 0.3-10.8% of all pregnancies and is characterized by uncontrollable vomiting, which can result in dehydration, imbalances in electrolytes, nutritional deficits, and considerable weight reduction, frequently necessitating medical hospitalization. This research endeavor sought to investigate the socio-economic and additional factors correlated with NVP and HG. The research involved 250 pregnant women at Zliten Medical Center in Libya, conducted between January and December 2024. The age distribution of participants revealed that 58% were aged 20-24.9 years, 20.8% were 25-29.9 years old, and 12% were over 30 years old. Geographically, 75.6% resided in urban areas, while 24.4% were from rural regions. Educationally, 13.6% had no formal education, 50.4% had primary education, and 37.6% were housewives. Obstetric history showed that 49.2% were Primigravida, and 50.8% were multigravida. Additionally, 7.6% had multiple pregnancies, 28.8% had a history of HG, and 25.6% had gestational hypertension. Multivariable logistic regression identified several contributing factors, including a history of asthma or respiratory infections (17.2%), high intake of saturated fats (77.6%), and varying ginger consumption (44% occasionally, 24.4% regularly). Only 12.4% of women had adequate daily water intake, while 31.2% consumed sufficient Vitamin B-rich foods. Further research into the risk factors and treatment options for HG is crucial. Emphasizing modifiable factors and improving therapeutic approaches could help mitigate the impact of this condition on affected women and society.
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