A 29-year-old woman at 8 weeks' gestation presents with persistent vomiting, weight loss of 4 kg and ketonuria. She is dehydrated but haemodynamically...

Question

A 29-year-old woman at 8 weeks' gestation presents with persistent vomiting, weight loss of 4 kg and ketonuria. She is dehydrated but haemodynamically stable. According to Australian guidance on hyperemesis gravidarum, what is the most appropriate initial management?

Accepted Answer

Admit for intravenous fluids, thiamine and antiemetics

Answer

Reassurance and oral antiemetics at home only

Answer

Start corticosteroids immediately as first-line therapy

Answer

Advise termination of pregnancy

Answer

No thiamine is needed unless overt Wernicke's encephalopathy develops

au-amc MCQ (SBA): Hyperemesis gravidarum

A 29-year-old woman at 8 weeks' gestation presents with persistent vomiting, weight loss of 4 kg and ketonuria. She is dehydrated but haemodynamically stable. According to Australian guidance on hyperemesis gravidarum, what is the most appropriate initial management?