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Hyperemesis gravidarum is a condition of excessive nausea and vomiting during pregnancy, which can lead to dehydration, weight loss, potassium deficiency (hypokalemia), and serious metabolic disorders. If left untreated, this condition can trigger complications such as ketosis, liver dysfunction, and even death. The exact cause is unknown, but several predisposing factors, such as multiple pregnancies, hydatidiform moles, psychological conditions (such as stress, fear of pregnancy), and a decreased immune system in pregnant women, are believed to play a role (Maryunani, 2018). Persistent nausea and vomiting cause the body to use carbohydrate and fat reserves for energy, which produces toxic metabolites. As a result, body tissues receive fewer nutrients and oxygen. Furthermore, potassium loss through vomiting and urine can contribute to hypokalemia and worsen vomiting. According to Maryunani (2019), this condition occurs more frequently in 60–80% of primiparous pregnant women and 40–60% of multiparous pregnant women during the first trimester. This study used an analytical method with a cross-sectional approach to determine the relationship between knowledge and attitudes of pregnant women towards the occurrence of hyperemesis gravidarum. The results showed a significant relationship between knowledge (p = 0.015) and attitudes of pregnant women (p = 0.006) towards the occurrence of hyperemesis gravidarum. It is hoped that health workers, especially in Community Health Centers, will be more active in providing education to pregnant women regarding the prevention of hyperemesis gravidarum. Pregnant women are also expected to regularly check their pregnancies and seek appropriate information to maintain their health during pregnancy. This study used an analytical method with a cross-sectional approach to determine the relationship between knowledge and attitudes of pregnant women towards the occurrence of hyperemesis gravidarum. The results showed a significant relationship between knowledge (p = 0.015) and attitudes of pregnant women (p = 0.006) towards the occurrence of hyperemesis gravidarum.

Nausea and vomiting are common complaints experienced by pregnant women in the first trimester. If left unmanaged, these symptoms may develop into hyperemesis gravidarum, which poses risks to both mother and fetus. One non-pharmacological alternative is the use of ginger (Zingiber officinale) as a complementary therapy. This community service activity aimed to improve the knowledge and attitudes of pregnant women regarding the benefits of ginger decoction in reducing nausea and vomiting. The method included health education, hands-on practice in preparing ginger decoction, and pre-test and post-test evaluations. The activity was conducted at Pratama Madina Clinic, involving 45 first-trimester pregnant women. Results indicated a significant increase in knowledge, with pre-test scores averaging 4.53 and post-test scores rising to 8.33. The activity also led to positive behavioral changes and increased awareness of the safe use of herbal therapies during pregnancy. Ginger education proved to be an effective initiative for fostering social transformation within the pregnant women's community.

Hyperemesis gravidarum is a condition in which pregnant women experience excessive nausea and vomiting which interferes with daily activities and even results in dehydration. The aim of this research was to determine the factors that influence the incidence of Hyperemesis Gravidarum in 1st trimester pregnant women in the Lawe Sumur Nursing Community Health Center Area, Southeast Aceh Regency in 2023. This type of research is an analytical survey with the population being all pregnant women who visited Antenatal Care at the Lawe Sumur Care Community Health Center, Southeast Aceh Regency in October 2022-March 2023. The sampling technique used was probability sampling and the sampling technique used was accidental sampling. In conclusion, it was found that there was a relationship between maternal age and hyperemesis gravidarum, p value 0.007. There was a relationship between parity and hyperemesis gravidarum with a p value of 0.002 and a relationship between work and hyperemesis gravidarum, p value 0.000 at the Lawe Sumur Care Health Center, Southeast Aceh Regency. Suggestions from the results of this research can be used as input in order to improve services, especially in providing information about hyperemesis gravidarum in pregnant women and also in developing knowledge about factors related to hyperemesis gravidarum.

Hyperemesis gravidarum is a condition of excessive nausea and vomiting in pregnant women that is worse than morning sickness, the cause is unknown. Psychological factors can worsen this condition, causing dehydration, weight loss, electrolyte imbalance, and complications such as liver damage and retinal hemorrhage due to increased blood pressure during vomiting. Treatment is done by administering fluids, glucose, electrolytes, and vitamins through an IV. This study aims to analyze the factors that influence the incidence of hyperemesis gravidarum at the Pagar Merbau Health Center, Deli Serdang, in 2023. This study uses a descriptive correlational method with a cross-sectional design to analyze the relationship between independent and dependent variables simultaneously. Data were collected retrospectively from 36 respondents using a purposive sampling technique. The research instruments were questionnaires and observation sheets, while data analysis was carried out using the chi-square statistical test which showed a p value = 0.021. There is a significant relationship between age, knowledge, parity, and multiple pregnancies with the incidence of hyperemesis gravidarum in pregnant women at the Pagar Merbau Health Center, Deli Serdang.

Hyperemesis gravidarum (HEG) is a condition of persistent vomiting in pregnancy that causes various disturbances in the body's balance such as dehydration, electrolyte disturbances, metabolic and nutritional deficiencies and can even cause death. This study aims to determine the relationship between knowledge of pregnant women and the incidence of hyperemesis gravidarum at Fina Sembiring Midwife Practice Sari Rejo Clinic, Medan Polonia District, Medan City. This research is an analytical quantitative research using a cross sectional design. The population in this study were all pregnant women who made pregnancy visits at the Fina Sembiring Clinic in 2022, totaling 45 pregnant women. The sampling technique is total sampling. Data collection was analyzed by chi-square test. The results of this study indicate that there is a significant relationship between knowledge and the incidence of hyperemesis gravidarum at the Fina Sembiring Clinic with a p value <0.05 (0.002).