Effect of Hyperemesis Gravidarum on Pregnancy Adaptation: A Case-Control Study

Objectives:To examine the effect of hyperemesis gravidarum (HG) on pregnancy adaptation. Methodology: This research was performed as a case-control study at a maternity hospital between April and August 2016. The research included 148 pregnant women. Hyperemesis Gravidarum was diagnosed in 42 cases (106 in the control group). An introductory form and a Prenatal Self-Evaluation Questionnaire (PSEQ) were used as data collection tools. Results: The pregnant women from the case and control group had similar socio-demographic and obstetric characteristics. When median scores from the pregnant women in the case and control groups on the PSEQ and sub-questionnaires were compared, there was a significant decrease in a pregnant woman's concern for wellbeing of self and baby (p=0.000), acceptance of pregnancy (p=0.000), identification with motherhood role (p=0.001), preparation for labor (p=0.001), fear of helplessness and loss of control in labor (p=0.008), relationship with mother (p=0.001), relationship with husband/partner (p=0.012) and PSEQ total points (p=0.000). Conclusions: Hiperemezis Gravidarum adversely affects a pregnant woman's well-being of self and baby, acceptance of pregnancy, identification with motherhood role, preparation for labor, fear of helplessness and loss of control in labor, relationship with her mother relationship with husband or partner and pregnancy adaptation.