(2025). Assessment of Anxiety Complaint: Concerning PUQE Score of Nausea and Vomiting in the First Trimester. The Egyptian Journal of Hospital Medicine, 98(1), 30-35. doi: 10.21608/ejhm.2025.401094
. "Assessment of Anxiety Complaint: Concerning PUQE Score of Nausea and Vomiting in the First Trimester". The Egyptian Journal of Hospital Medicine, 98, 1, 2025, 30-35. doi: 10.21608/ejhm.2025.401094
(2025). 'Assessment of Anxiety Complaint: Concerning PUQE Score of Nausea and Vomiting in the First Trimester', The Egyptian Journal of Hospital Medicine, 98(1), pp. 30-35. doi: 10.21608/ejhm.2025.401094
Assessment of Anxiety Complaint: Concerning PUQE Score of Nausea and Vomiting in the First Trimester. The Egyptian Journal of Hospital Medicine, 2025; 98(1): 30-35. doi: 10.21608/ejhm.2025.401094
Assessment of Anxiety Complaint: Concerning PUQE Score of Nausea and Vomiting in the First Trimester
Background: Hyperemesis gravidarum (HG), a more serious variant of nausea and vomiting during pregnancy (NVP), significantly impacts family life, social functioning, daily activities, and the intent to have more children. Objectives: To assess the correlation between the grade of nausea and vomiting in the first trimester of pregnancy [assessed by pregnancy unique quantification of emesis score (PUQE score)] and the degree of anxiety [assessed by General Anxiety Disorder assessment questionnaire (GAD-7 questionnaire)]. Patients and methods: This was a prospective cross-sectional study conducted at Department of Obstetrics and Gynecology, Menoufia University Hospital from June 2023 to April 2024. The study comprised 104 pregnant women in the first trimester complaining of NVP. For each participant, total PUQE-24 score was computed. Accordingly, participants were divided into 3 groups: mild NVP (4 – 6), moderate NVP (7 – 12), and severe (≥13, also known as HG). Additionally, GAD-7 questionnaire was completed by all participants and accordingly, the anxiety degree was categorized into 4 groups: minimal anxiety (0–4), mild anxiety (5–9), moderate anxiety (10–14), and severe anxiety (15–21). Then, the correlation between degree of NVP and anxiety level was investigated. Results: The mean age was 27.29 ±5 years, the mean BMI was 22.51 kg/m2 and the mean gestational age was 10.16±2.31 weeks. Regarding PUQE Score, it was mild grade in 63.5% of cases (66/104), moderate grade in 36.5% of cases (38/104) and none of the participants experienced a severe degree of PUQE Score. Regarding GAD-7, minimal, mild and severe GAD-7 grades were observed in 87.5%, 11.5 % and 1% of cases respectively. There was a statistically significant correlation between PUQE scores and GAD-7 questionnaire scores. Conclusion: There was a significant correlation between the grade of nausea and vomiting in the first trimester of pregnancy (assessed by PUQE score) and the degree of anxiety (assessed by GAD-7 score), however the majority of cases (87.5%) developed minimal anxiety disorder.
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