What is hyperemesis gravidarum ?

 What is hyperemesis gravidarum ?

- peristent n/v unable to keep food down 

- significant weight loss 

-dehydration( dry mucouse membranes, tenting of skin , concentrated urine) 

-elyte and acid base imbalance 

-psychological factors can be unusual stress, emotional immaturity , passivity, ambivalence about pregnancy 

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