Abstract:
:With 50-90% of pregnant women experiencing nausea and vomiting of pregnancy (NVP), the burden of illness can become quite significant if symptoms are under-treated and/or under-diagnosed, thus allowing for progression of the disease. The majority of these women will necessitate at least one visit with a provider to specifically address NVP, and up to 10% or greater will require pharmacotherapy after failure of conservative measures to adequately control symptoms. As a result, initiation of prompt and effective treatment in the outpatient setting is ideal. Once NVP is diagnosed and treatment is started, it is crucial to track symptoms in order to assess for a decrease in or resolution of symptoms as well as an escalation in symptoms requiring additional therapy. Of note, co-existing gastroesophageal reflux disease (GERD), Helicobacter pylori infection, and psychosocial factors may have a negative impact on the management of NVP. Ultimately, every woman has her own perception of disease severity and desire for treatment. It is critical that both the provider and patient be proactive in the diagnosis and management of NVP.
journal_name
Semin Perinatoljournal_title
Seminars in perinatologyauthors
Clark SM,Dutta E,Hankins GDdoi
10.1053/j.semperi.2014.08.014subject
Has Abstractpub_date
2014-12-01 00:00:00pages
496-502issue
8eissn
0146-0005issn
1558-075Xpii
S0146-0005(14)00102-5journal_volume
38pub_type
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
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journal_title:Seminars in perinatology
pub_type: 杂志文章,评审
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journal_title:Seminars in perinatology
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