EVALUATION AND MANAGEMENT OF SIALORRHEA OF PREGNANCY WITH CONCOMITANTHYPEREMESIS

This article describes two gravid patients who presented with first-tr imester sialorrhea and hyperemesis. Although excessive salivation, esp ecially when accompanied by protracted nausea and vomiting, is an unus ual occurrence, it can have serious consequences for both the mother a nd fetus when left untreated. Initially, phenothiazine was prescribed and later belladonna alkaloid was added separately to the two treatmen t regimens. In order to successfully treat the excessive salivation, i t was necessary to control the nausea and vomiting. Eradication of sia lorrhea and hyperemesis were effected 10 days posttreatment. For both patients, pregnancy, delivery, and postpartum intervals proceeded unev entfully. Mothers and infants remain in good health 2 years posttreatm ent.