title: [Hyperemesis gravidarum: management and nutritional implications; case report and review of literature].
abstract: BACKGROUND
  Hyperemesis gravidarum is a state of severe nausea and vomiting during pregnancy, leading to dehydration, electrolyte and acid-base disorders, malnutrition and weight loss (> 5%). The prevalence of hyperemesis gravidarum is 0.3-2.3% of all pregnancies.
  
  
  OBJECTIVE
  To demonstrate the effectiveness of nutritional support in a case of a complicated hyperemesis gravidarum. A case of a 25 years old woman with hyperemesis gravidarum, who had weight loss of 17.7%, dehydration, electrolyte disorders and arrhythmias, managed with enteral and parenteral nutrition at home until week 26 of gestation reaching to cover 70% of her caloric requirements orally, getting a healthy product and a stable nutritionally mother in late pregnancy.
  
  
  CONCLUSIONS
  The multidisciplinary management and specialized nutritional management in such cases it is compulsory to carry the patient and the product at the end of pregnancy in optimal conditions.
authors.affiliation: Servicio de Nutricion Clínica, Unidad de Falla Intestinal SANVITE, Guadalajara.. karinadeharoconde@gmail.com.
authors.forename: Karina
authors.initials: K
authors.lastname: De Haro
authors.affiliation: Servicio de Nutricion Clínica, Unidad de Falla Intestinal SANVITE, Guadalajara.. karinadeharoconde@gmail.com.
authors.forename: Karen
authors.initials: K
authors.lastname: Toledo
authors.affiliation: Servicio de Nutricion Clínica, Unidad de Falla Intestinal SANVITE, Guadalajara.. karinadeharoconde@gmail.com.
authors.forename: Yolanda
authors.initials: Y
authors.lastname: Fonseca
authors.affiliation: Servicio de Nutricion Clínica, Unidad de Falla Intestinal SANVITE, Guadalajara.. karinadeharoconde@gmail.com.
authors.forename: Diego
authors.initials: D
authors.lastname: Arenas
authors.affiliation: Servicio de Cirugía General, Unidad de Falla Intestinal SANVITE, Guadalajara. Mexico.. karinadeharoconde@gmail.com.
authors.forename: Humberto
authors.initials: H
authors.lastname: Arenas
authors.affiliation: Servicio de Cirugía General, Unidad de Falla Intestinal SANVITE, Guadalajara. Mexico.. karinadeharoconde@gmail.com.
authors.forename: Karla
authors.initials: K
authors.lastname: Leonher
mesh_terms: D000328:Adult; D003131:Combined Modality Therapy; D002149:Energy Intake; D005260:Female; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000178:diet therapy / Q000628:therapy*; D018529:Nutritional Support / Q000379:methods*; D011247:Pregnancy; D015431:Weight Loss