The outpatient management and special considerations of nausea and vomiting in pregnancy.

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 Perinatol

journal_title

Seminars in perinatology

authors

Clark SM,Dutta E,Hankins GD

doi

10.1053/j.semperi.2014.08.014

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

496-502

issue

8

eissn

0146-0005

issn

1558-075X

pii

S0146-0005(14)00102-5

journal_volume

38

pub_type

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