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

Shannon M. Clark, Eryn Dutta, Gary D.V. Hankins

Research output: Contribution to journalReview article

7 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)496-502
Number of pages7
JournalSeminars in Perinatology
Volume38
Issue number8
DOIs
StatePublished - Dec 1 2014

Keywords

  • Nausea
  • Outpatient management
  • Pregnancy
  • Reflux
  • Vomiting

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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