Emesis Gravidarum
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Pregnant women with nausea and/or vomiting of pregnancy (NVP) in the first trimester. 2.Singleton intrauterine pregnancy confirmed by ultrasound. 3.Emesis gravidarum with a Pregnancy-Unique Quantification of Emesis (PUQE-24) score between 4 and 12, including [Mild (4–6) and Moderate (7–12)].
Exclusion criteria
Exclusion criteria: 1.Hyperemesis gravidarum requiring hospitalization or intravenous fluids (or Severe NVP (PUQE score = 13) 2.Multiple pregnancies 3.Vesicular mole pregnancy 4.Electrolytes imbalance (Abnormal levels of Na & K) 5.Evidence of ketonuria or acetone (= +1) in urine suggestive of hyperemesis gravidarum or metabolic ketosis. 6.Known allergies or hypersensitivity to ginger, chewing gum ingredients, or vitamin B Complex. 7.Use of antiemetic drugs within the previous 24–48 hours. 8.Pre-existing gastrointestinal diseases (e.g., peptic ulcer, inflammatory bowel disease, previous gastric surgery). 9. Chronic systemic diseases (e.g., liver disease, kidney disease, uncontrolled diabetes, thyroid disorders, severe anemia). 10. Use of hormonal therapy, corticosteroids, or psychiatric medications. 11. Smoking, alcohol consumption, or substance abuse. 12. History of dental issues (e.g., damage, dentures, loose or crowned teeth) 13. Temporomandibular joint (TMJ) disorders or surgeries
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.To evaluate and quantify the efficacy of ginger tablets, gum chewing, and vitamin B complex in reducing the severity of nausea and vomiting of pregnancy (NVP) using a standardized assessment tool (e.g., the Pregnancy-Unique Quantified Emesis/Nausea [PUQE] score). 2.To analyze the therapeutic superiority among the three modalities to determine which intervention provides the most significant clinical improvement in maternal symptoms. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess maternal satisfaction among the three intervention groups after using treatment. 2. To identify the recurrence of symptoms after discontinuation of treatment. | — |
Countries
Egypt
Contacts
Dr