what new solutions at Montpellier University Hospital?

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Between 50 and 80% of pregnant women experience nausea, but for some, these symptoms can take on enormous proportions. This hormonal disorder, hyperemesis gravidarum (HG)affects around 30% of pregnant women, with more or less serious consequences. This condition can profoundly alter the quality of life of the mother-to-be and have an impact on the health of her baby. Faced with this observation, Montpellier University Hospital decided to act to raise awareness of this still little-known pathology. It is therefore launching teleconsultations to offer rapid and appropriate support.

Although most pregnant women experience the famous “morning sickness”, it can, in certain cases, become so frequent and violent that it leads to severe dehydration and worrying weight loss. “I have patients who vomit more than five times a day, and even some who vomit more than 100 times a day,” explains Philippe Deruelle, professor of obstetrics and gynecology at the Arnaud de Villeneuve University Hospital in Montpellier. “More than an impairment of quality of life, this disease can, in extreme cases, lead to serious complications and even death. »

“I have patients who vomit more than five times a day, and even some who vomit more than 100 times a day”

Hyperemesis gravidarum, in its most severe form, affects approximately 1% of pregnant women, but it is often minimized or misunderstood. This pathology is characterized by an inability to eat or drink properly, incessant vomiting and permanent nausea. “It is a subject that is still too often taboo, despite the serious consequences it can have,” laments Philippe Deruelle. “Illnesses affecting women in medicine are always a little less well taken care of than those of men. We still too often tell them ‘Be happy, you’re pregnant’ or ‘It will pass’, while they are going through real hell. »

Fast and specialized support with teleconsultation

To respond to this urgent need, the Montpellier University Hospital has set up a teleconsultation system allowing women to benefit from support within 48 to 72 hours: “The objective of this consultation is to respond to women quickly , regardless of their place of residence in France. » Thanks to the dedicated email ([email protected]), any woman in pain can seek medical help. “We can transmit prescriptions electronically, but it is essential to also rely on local practitioners. Collaboration with general practitioners is crucial to assess the patient’s clinical condition and ensure complete follow-up,” says the professor of gynecology.

In addition to the medical aspect, the Montpellier University Hospital also wishes to provide comprehensive support to patients. “Pregnant women affected by hyperemesis gravidarum must be supported not only medically, but also psychologically. Associations and patient partners are there to offer moral support and practical advice. » The first workshop, which will be held online in Novemberaims to prepare patients for the risks and symptoms they may encounter during a new pregnancy.

Towards increased recognition of the disorder

The Montpellier University Hospital hopes that these new measures will allow better care and wider recognition of hyperemesis gravidarum: “We are receiving more and more requests from patients looking for a practitioner capable of helping them. » Currently, 15 women are being followed for this disorder. With around two emails per day from patients in distress, online consultations have become an essential tool. “This teleconsultation work, which we have been carrying out for two and a half years with the association fighting hyperemesis gravidarum, is an essential response to a medical problem that is often ignored,” concludes Philippe Deruelle.

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