Watermelon and dietary advice compared to dietary advice alone following hospitalization for hyperemesis gravidarum: a randomized controlled trial - BMC Pregnancy and Childbirth

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Watermelon and dietary advice compared to dietary advice alone following hospitalization for hyperemesis gravidarum: a randomized controlled trial - BMC Pregnancy and Childbirth
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Adding watermelon to the diet after hospital discharge for hyperemesis gravidarum (HG) improves bodyweight, HG symptoms, appetite, wellbeing and satisfaction, finds a study published in BMCPregnancyChildbirth

], the dietary advice leaflet was also added to the watermelon arm to permit evaluation of the pure impact of consuming watermelon as an intervention.

As to strengths, the trial is original in the evaluation of a simple diet-based approach to managing HG. The trial is powered to a realistic impact size estimation and the findings are in line with our hypothesis. There was minimal loss of data with only one participant who withdrew due to bereavement. Self-reported compliance was good. The trial was designed to minimize confounding from control arm watermelon consumption and from suggestion and placebo effect impacts.

As to limitations, the trial with a follow up of only 2 weeks, was not informative of a longer-term impact. Outcomes like inability to tolerate oral fluids or food, dehydration, daily functioning and considering terminating a wanted pregnancy as outcomes [ ] were not assessed. Nutritional intake was also not assessed in this study. The trial was not powered to evaluate outcomes such as rehospitalization and anti-emetic use.In conclusions, two weeks following their discharge from hospitalization for hyperemesis gravidarum, watermelon consumption can help reduce weight loss, lower nausea and vomiting, improve appetite, generate wellbeing and increase patient satisfaction.

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