Is hyperemesis gravidarum a neuropsychiatric disorder?

被引:0
作者
Nicholson, Simon D. [1 ]
机构
[1] North Devon Dist Hosp, Home Treatment Team, Barnstaple, England
关键词
PREGNANCY; DEPRESSION; ANXIETY; NAUSEA; RISK; SYMPTOMS; PATIENT;
D O I
10.1002/pnp.807
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Hyperemesis gravidarum occurs in up to 2 % of pregnancies. It is customary to regard the condition as purely an obstetric issue. However, there are reasonable grounds for reframing it as a neuropsychiatric state dependent upon genetic factors and involving peptides active within the central nervous system. Neurological abnormalities can also arise due to Wernicke's encephalopathy and the electrolyte abnormalities of refeeding syndrome. Aside from rehydration and antiemetic drugs, the condition can respond well to certain psychotropic medications and to psychological interventions, it may therefore be reasonable to regard hyperemesis of pregnancy as requiring both psychiatric and medical expertise for comprehensive management.
引用
收藏
页码:5 / 9
页数:5
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