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What Causes Hyponatremia in Pregnancy?

Published in Pregnancy Complications 1 min read

Hyponatremia, or low sodium levels, during pregnancy can stem from different causes depending on the trimester.

Trimester Common Cause of Hyponatremia
First Trimester Hyperemesis Gravidarum
Second/Third Trimester Preeclampsia

Causes of Hyponatremia by Trimester

  • First Trimester: According to research, hyperemesis gravidarum is a primary cause of hyponatremia during this period [3]. Hyperemesis gravidarum is severe and persistent nausea and vomiting during pregnancy, leading to dehydration and electrolyte imbalances.

  • Second and Third Trimesters: Preeclampsia becomes a more frequent culprit in the later stages of pregnancy [3]. Preeclampsia is a pregnancy complication characterized by high blood pressure and signs of damage to another organ system, often the kidneys, which can affect sodium regulation.

In summary, while multiple factors can contribute to hyponatremia, hyperemesis gravidarum is common in early pregnancy, while preeclampsia is more common in the later stages.