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Managing nausea and vomiting of pregnancy: a survey of obstetrician-gynecologists.

Abstract

OBJECTIVE
To assess obstetrician-gynecologists' treatment of nausea and vomiting of pregnancy and to compare it with recommendations in an American College of Obstetricians and Gynecologists (ACOG) evidence-based practice bulletin on the topic.
STUDY DESIGN
A survey questionnaire was mailed to the 1075 ACOG fellows who constitute the Collaborative Ambulatory Research Network (CARN).
RESULTS
The most frequently recommended treatments for a patient with moderate to severe nausea with occasional vomiting were: eat frequent, small meals (93%); snack on soda crackers (68.5%); and take vitamin B6 plus doxylamine (67.1%). Two of 3 (66.7%) respondents had read the ACOG practice bulletin; most of those who had read it found it helpful (67.0%) or very helpful (29.5%). Respondents who read the practice bulletin were generally more willing to treat nausea and vomiting of pregnancy aggressively. They were more likely to be aware that early treatment is recommended to prevent progression to hyperemesis gravidarum and more likely to recommend the use of ginger (59.7% vs. 47.9%, p = 0.014), and to prescribe vitamin B6 (84.1% vs. 73.8%, p = 0.005) and vitamin B6 plus doxylamine (70.9% vs. 59.3%, p = 0.009).
CONCLUSION
Obstetrician-gynecologists' treatment and prescribing practices generally follow ACOG recommendations; the ACOG practice bulletin appears to have affected practice and knowledge.

Authors

Power ML, Milligan LA, Schulkin J

Source

The Journal of reproductive medicine 52:10 2007 Oct pg 922-8

MeSH

Female
Humans
Hyperemesis Gravidarum
Male
Nausea
Practice Guidelines as Topic
Pregnancy
Questionnaires
Treatment Outcome
Vomiting

Pub Type(s)

Comparative Study
Journal Article
Research Support, N.I.H., Extramural

Language

eng

PubMed ID

17977167