Even among pregnant women, there are groups who need special attention.
Women with Hyperemesis gravidarum or severe vomitings.
Usually morning sickness is common in early pregnancy, but it subsides after first trimester. In previously well nourished women it does not require any intervention.
Oral supplementation is first tried in severe cases.
Enteral feeding is the next option
Small quantities of infusion- 30ml/hour – are given for 24 hours and then gradually oral intake should be initiated.
Women with low pre pregnancy weight or poor weight gain- who do not take adequate oral feed or even enteral feed areconsidered for parenteral nutrition.