Elective Pregnancy Termination in a Large Cohort of Women With Hyperemesis Gravidarum

Contraception. 2007 Dec;76(6):451-5. doi: 10.1016/j.contraception.2007.08.009. Epub 2007 Nov 9.


Background: This study was conducted to describe characteristics of women who terminated their pregnancies secondary to hyperemesis gravidarum (HG).

Study design: Data were obtained from a survey provided on an HG Web site from 2003 to 2005.

Results: Of 808 women who completed the survey, 123 (15.2%) had at least one termination due to HG, and 49 (6.1%) had multiple terminations. Prominent reasons given for the terminations were inability to care for the family and self (66.7%), fear that they or their baby could die (51.2%), or that the baby would be abnormal (22.0%). These same women were three times as likely to state that their health care providers were uncaring or did not understand how sick they were [64/123 (52.0%) vs. 168/685 (24.5%), odds ratio 3.34 (95% CI 2.21-5.05), p<.001].

Conclusion: These data suggest that the physical and psychological burden of HG has been underestimated, and that further education within the medical community may be warranted.

Publication types

  • Comparative Study
  • Research Support, N.I.H., Intramural

MeSH terms

  • Abortion, Therapeutic / psychology*
  • Adult
  • Cohort Studies
  • Family Health
  • Female
  • Health Status
  • Health Surveys
  • Humans
  • Hyperemesis Gravidarum / psychology*
  • Middle Aged
  • Physician-Patient Relations
  • Pregnancy
  • Registries