Association Between Morning Sickness and Quality of Life Among Pregnant Females

Morning Sickness and Quality of Life Among Pregnant Females

Authors

  • Aimen Arshad University Institute of Dietetics and Nutritional Sciences, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan
  • Maria Aslam University Institute of Dietetics and Nutritional Sciences, Faculty of Allied Health Sciences, The University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v2i02.25

Keywords:

Nausea and Vomiting of Pregnancy (NVP), Quality of Life (QOL), Hyperemesis gravidarum, World Health Organization Quality of Life Instrument (WHOQOL-BREF), Depression.

Abstract

Nausea and vomiting during pregnancy (NVP) is very common and may have great impact on quality of life of women. Nausea and vomiting causes negative effect on physical and mental health of women Objective: To find the association between morning sickness and nausea and vomiting in pregnant women Methods: A Cross Sectional study performed at Sir Ganga Ram Hospital Lahore for period of 4 months. 100 pregnant females were selected by non-probability sampling technique. The information on nausea and vomiting was measured by using questionnaire at enrollment, as well as potential confounders (i.e., maternal/gestational age, educational level, parity, body mass index, chronic/infectious conditions, sleep quality, headache, anxiety, and depression) WHOQOL scale was used to assess the quality of life of patients Results: Out of 100 pregnant females, 45 females were in their 1st trimester, 37 females were in their 2nd trimester and 18 were in their 3rd trimester of pregnancy. The mean age of patients was 1.85±0.989. 76 were suffering from morning sickness at some point.  Low scores were found for physical health domain, psychological domain and environmental domain of WHOQOL among pregnant females. There was a strong association between fatigue due to nausea and physical health domain and psychological health domain of WHOQOL. There was also a strong association between depression and disturbed activities due to nausea and vomiting. There was no significant association found in socio-economic status and nausea and vomiting Conclusions: Nausea and vomiting is a physically morbid disease, affecting most pregnancies. Nausea and vomiting have a significant detrimental impact on quality of life, especially physical quality of life. It also affects psychological health of a person causing depression. Despite this, we found low treatment, even in those with moderate/severe symptoms. Women should be encouraged to seek assistance for morning sickness and hyperemesis gravidarum from the health practitioner.

References

[ ] McCarthy FP, Lutomski JE, Greene RA. Hyperemesis gravidarum: current perspectives. International journal of women's health. 2014;6:719. doi: 10.2147/IJWH.S37685.

[ ] Susanti E, Nurdiyan A, Putra Y. Effects of Musa Paradisiaca on Emesis Gravidarum in Pregnant Women. In2nd Syedza Saintika International Conference on Nursing, Midwifery, Medical Laboratory Technology, Public Health, and Health Information Management (SeSICNiMPH 2021) 2021 Oct 28 (pp. 381-387). Atlantis Press.

[ ] Gabra A. Risk factors of hyperemesis gravidarum. Health Science Journal. 2018;12(6):1-5. doi:10.21767/1791-809X.1000603

[ ] Szanto KB, Li J, Cordero P, Oben JA. Ethnic differences and heterogeneity in genetic and metabolic makeup contributing to nonalcoholic fatty liver disease. Diabetes, metabolic syndrome and obesity: targets and therapy. 2019;12:357. doi: 10.2147/DMSO.S182331.

[ ] Bustos M, Venkataramanan R, Caritis S. Nausea and vomiting of pregnancy-What's new?. Autonomic Neuroscience. 2017 Jan;202:62-72. doi: 10.1016/j.autneu.2016.05.002.

[ ] Fejzo MS, Trovik J, Grooten IJ, Sridharan K, Roseboom TJ, Vikanes Å, Painter RC, Mullin PM. Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nature Reviews Disease Primers. 2019 Sep;5(1):1-7. doi: 10.1038/s41572-019-0110-3.

[ ] Sole KB, Staff AC, Laine K. The association of maternal country of birth and education with hypertensive disorders of pregnancy: A population‐based study of 960 516 deliveries in Norway. Acta obstetricia et gynecologica Scandinavica. 2018 Oct;97(10):1237-47. doi: 10.1111/aogs.13393.

[ ] Bai G, Korfage IJ, Groen EH, Jaddoe VW, Mautner E, Raat H. Associations between nausea, vomiting, fatigue and health-related quality of life of women in early pregnancy: the generation R study. PloS one. 2016 Nov;11(11):e0166133. doi: 10.1371/journal.pone.0166133.

[ ] Watson B, Broadbent J, Skouteris H, Fuller-Tyszkiewicz M. A qualitative exploration of body image experiences of women progressing through pregnancy. Women and Birth. 2016 Feb 1;29(1):72-9. doi: 10.1016/j.wombi.2015.08.007.

[ ] Fejzo MS, Trovik J, Grooten IJ, Sridharan K, Roseboom TJ, Vikanes Å, Painter RC, Mullin PM. Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nature Reviews Disease Primers. 2019 Sep;5(1):1-7. doi: 10.1038/s41572-019-0110-3.

[ ] Erkamp JS, Geurtsen ML, Duijts L, Reiss IK, Mulders AG, Steegers EA, Gaillard R, Jaddoe VW. Associations of Maternal Early-Pregnancy Glucose Concentrations With Placental Hemodynamics, Blood Pressure, and Gestational Hypertensive Disorders. American journal of hypertension. 2020 Jul;33(7):660-9. doi: 10.1093/ajh/hpaa070.

[ ] Lagadec N, Steinecker M, Kapassi A, Magnier AM, Chastang J, Robert S, Gaouaou N, Ibanez G. Factors influencing the quality of life of pregnant women: a systematic review. BMC pregnancy and childbirth. 2018 Dec;18(1):1-4. doi: 10.1186/s12884-018-2087-4.

[ ] de Pablo GS, Vaquerizo-Serrano J, Catalan A, Arango C, Moreno C, Ferre F, Shin JI, Sullivan S, Brondino N, Solmi M, Fusar-Poli P. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of affective disorders. 2020 Oct;275:48-57. doi: 10.1016/j.jad.2020.06.022.

[ ] Tan PC, Kartik B, Thanendran P, Zakaria R, Win ST, Omar SZ. Taste, smell and food-related nausea and vomiting responses in hyperemesis gravidarum: a case-controlled study. Scientific reports. 2020 Mar;10(1):1-8. doi: 10.1038/s41598-020-61114-y.

[ ] Mousa A, Naqash A, Lim S. Macronutrient and micronutrient intake during pregnancy: an overview of recent evidence. Nutrients. 2019 Feb;11(2):443. doi: 10.3390/nu11020443.

[ ] Fiaschi L, Nelson‐Piercy C, Deb S, King R, Tata LJ. Clinical management of nausea and vomiting in pregnancy and hyperemesis gravidarum across primary and secondary care: a population‐based study. BJOG: An International Journal of Obstetrics & Gynaecology. 2019 Sep;126(10):1201-11. doi: 10.1111/1471-0528.15662.

[ ] Bebitoglu BT. Frequently used herbal teas during pregnancy-short update. Medeniyet medical journal. 2020;35(1):55. doi: 10.5222/MMJ.2020.69851.

[ ] Stanisiere J, Mousset PY, Lafay S. How safe is ginger rhizome for decreasing nausea and vomiting in women during early pregnancy? Foods. 2018 Apr;7(4):50. doi: 10.3390/foods7040050.

[ ] Almeida-Brasil CC, Silveira MR, Silva KR, Lima MG, Faria CD, Cardoso CL, Menzel HJ, Ceccato MD. Quality of life and associated characteristics: application of WHOQOL-BREF in the context of Primary Health Care. Ciencia & saude coletiva. 2017;22:1705-16. doi: 10.1590/1413-81232017225.20362015.

[ ] Fejzo MS, Trovik J, Grooten IJ, Sridharan K, Roseboom TJ, Vikanes Å, Painter RC, Mullin PM. Nausea and vomiting of pregnancy and hyperemesis gravidarum. Nature Reviews Disease Primers. 2019 Sep ;5(1):1-7. doi: 10.1038/s41572-019-0110-3.

[ ] Schrager NL, Adrien N, Werler MM, Parker SE, Van Bennekom C, Mitchell AA, National Birth Defects Prevention Study. Trends in first‐trimester nausea and vomiting of pregnancy and use of select treatments: Findings from the National Birth Defects Prevention Study. Paediatric and Perinatal Epidemiology. 2021 Jan;35(1):57-64. doi: 10.1111/ppe.12705.

[ ] Almond D, Edlund L, Joffe M, Palme M. An adaptive significance of morning sickness? Trivers–Willard and Hyperemesis Gravidarum. Economics & Human Biology. 2016 May;21:167-71. doi: 10.1016/j.ehb.2016.02.001.

[ ] Colodro-Conde L, Cross SM, Lind PA, Painter JN, Gunst A, Jern P, Johansson A, Lund Maegbaek M, Munk-Olsen T, Nyholt DR, Ordoñana JR. Cohort Profile: Nausea and vomiting during pregnancy genetics consortium (NVP Genetics Consortium). International journal of epidemiology. 2017 Apr ;46(2):e17. doi: 10.1093/ije/dyv360.

[ ] Beyazit F, Sahin B. Effect of nausea and vomiting on anxiety and depression levels in early pregnancy. The Eurasian journal of medicine. 2018 Jun;50(2):111. doi: 10.5152/eurasianjmed.2018.170320.

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Published

2021-12-31
CITATION
DOI: 10.54393/pjhs.v2i02.25
Published: 2021-12-31

How to Cite

Arshad, A., & Aslam, M. (2021). Association Between Morning Sickness and Quality of Life Among Pregnant Females : Morning Sickness and Quality of Life Among Pregnant Females. Pakistan Journal of Health Sciences, 2(02), 23–28. https://doi.org/10.54393/pjhs.v2i02.25

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