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Description of Learner The learner is a 35 years old, female, G4P3 (3003) 12-13th week AOG diagnosed of Hyperemesis Gravidarum. She has no learning difficulties, no hearing or speech defects. Her medium of communication is Ibaloi, however she can understand Ilocano and Tagalog. Learning Need/s: Pangtalo beses en nga kastoy ak no agsikog ak, jay dua nga nauna nga babae san to daytoy. Agsarwa ak ken agkapsot ak. Time allotment: 5-10 minutes OBJECTIVE CONTENT STRATEGY EVALUATION

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After the health teaching, the learner will be able to: 1. Describe her condition hyperemesis gravidarum in own words. 2. Enumerate at least 3 signs&symptoms of hyperemesis gravidarum 3. Differentiate morning sickness from hyperemesi gravidarum in own words 4. Enumerate at least 3 management to alleviate discomfort caused by hyperemesis gravidarum  What is hyperemesis gravidarum?  What can cause hyperemesis gravidarum?  Signs and symptoms of hyperemesis gravidarum  Morning sickness vs. hyperemesis gravidarum One-on-one discussion/ lecture with hand-out Oral feedback

One-on-one discussion/ lecture with hand-out

Oral feedback

One-on-one discussion/ lecture with hand-out

Oral feedback

 Management of hyperemesis gravidarum

One-on-one discussion/ lecture with hand-out

Oral feedback

LEARNING CONTENT WHAT IS HYPEREMESIS GRAVIDARUM?  Severe form of morning sickness, with excessive pregnancy-related nausea and/or vomiting that prevents adequate intake of food and fluids.  This peaks at 8-12 weeks of gestation. CAUSE/S:  It has unknown cause, however, some research claims that it is caused by increase in HCG (HUMAN CHORIONIC GONADOTROPIN). HCG is important in pregnancy as it ensures that the corpus luteum of the ovary continus to produce progesterone and estrogen. It also helps in suppressing the maternal immunologic response so the placenta wont be rejected. SIGNS&SYMPTOMS        Severe vomiting Nausea Poor appetite Dehydration Weight loss Fatigue Metabolic imbalances

MORNING SICKNESS vs. HYPEREMESIS GRAVIDARUM Morning Sickness: Nausea sometimes accompanied by vomiting Nausea that subsides at 12 weeks or soon after Vomiting that does not cause severe dehydration Vomiting that allows you to keep some food down Hyperemesis Gravidarum: Nausea accompanied by severe vomiting Nausea that does not subside Vomiting that causes severe dehydration Vomiting that does not allow you to keep any food down

MANAGEMENT           Drink lots of fluids to avoid dehydration. Drink small amounts of fluid often. Small frequent feeding rather than having heavy meals. Increase oral fluids and food intake at the time of the day when you feel least nauseated. Avoid fatty, hot and spicy foods. Avoid foods with smell that makes you feel nauseated. Early morning nausea may be helped by eating dry crackers before getting out of bed. Avoid having empty stomach. Lie down when nauseated. Have enough rest and sleep.

REFERENCES:  http://www.americanpregnancy.org/pregnancycomplications/hyperemesisgravidarum.html  http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0002468/  http://www.scribd.com/doc/21998979/Hyperemesis-Gravidarum  http://www.scribd.com/doc/44883818/hyperemesis-gravidarum