Assessment of nausea and vomiting of pregnancy on antenatal clients of Addis Ababa

Abstract

Abstract

Background: Nausea and vomiting of pregnancy (NVP) are common symptoms experienced during pregnancy. Both mild and severe symptoms can have significant morbidities and socioeconomic impact. Despite its frequency and associated distress, its exact cause is unknown. No study was done addressing this particular important issue in our country and this study will serve as a bench mark for future work on the topic in the Ethiopian context.

Objective: To assess nausea and vomiting of pregnancy on ANC (antenatal care) clients of three hospitals of Addis Ababa.

Methods: A descriptive facility based cross-sectional study, done in three teaching hospitals of Addis Ababa, the capital city of Ethiopia. Semi-structured questionnaires were administered to random sample of 384 pregnant women. Descriptive statistic was used to summarize data. P-value and χ² test were used to measure associations.

Results: The prevalence of nausea and vomiting of pregnancy was 74.5%, with 4.4% being admitted for severe symptoms. It was found out that 91% had symptoms in the 1st trimester, 2.1% after mid pregnancy, and 85% were triggered by smell and taste. Primigravidity, nulliparity, excessive salivation and food aversion were significantly associated with nausea and vomiting connected with pregnancy. Significant associations were also observed between admission for severity and being unmarried, loss to work, affected relationship, more frequent vomiting, and early onset of symptoms. Severe frequency of vomiting was a major factor associated with admission for severity and loss to work.

Conclusion and recommendation: Nausea and vomiting of pregnancy found in this study were similar to other studies. Sensory stimuli were major trigger of symptoms and more frequent vomiting was linked with more admission. Importance of supportive measures, rest, counseling and advice on diet and life style modification needs to be underscored and early treatment of vomiting need to be considered. [Ethiop. J. Health Dev. 2013;27(3):200-207]