A small proportion of primigravida develops the condition which may recur in subsequent pregnancies. Multigravida very rarely gets this condition.
Symptoms: (1) Patient can take nothing by mouth as excessive vomiting of the stomach contents with bile, later coffee-ground in character. Severe retching and nausea is often present. Vomiting occurs day and night despite on eating or drinking; (2) Progressive emaciation; (3) Constipation; (4) Oliguria; (5) Mental symptoms – restlessness, sleeplessness, apathy and even coma and confusion with loss of memory; (6) Eye symptoms – diplopia, dimness of vision and even blindness may occur in severe cases.
Signs: Severe case. (1) Patient is emaciated with evidences of dehydration. There is loss of weight; (2) Tongue – dry brown and furred; (3) Pulse – tachycardia, usually soft; (4) Temperature may rise; (5) Blood pressure usually falls due to dehydration; (6) Jaundice may appear; (7) Evidences of Korsakoff’s syndrome, polyneuritis may be evident; (8) Patient shows evidence of early pregnancy. There may be abnormal pregnancy like hydatidiform mole or acute hydramnios with twins. Mild and moderate cases show evidences of lesser severity.
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