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The Management of Nausea and Vomiting of Pregnancy: Synthesis of National Guidelines.

TitleThe Management of Nausea and Vomiting of Pregnancy: Synthesis of National Guidelines.
Publication TypeJournal Article
Year of Publication2019
AuthorsTsakiridis, I., Mamopoulos A., Athanasiadis A., & Dagklis T.
JournalObstet Gynecol Surv
Volume74
Issue3
Pagination161-169
Date Published2019 Mar
ISSN1533-9866
KeywordsFemale, Humans, Hyperemesis Gravidarum, Practice Guidelines as Topic, Pregnancy
Abstract

Importance: Nausea and vomiting of pregnancy (NVP) affects a high proportion of the pregnant population.Objective: The aim of this study was to compare and synthesize recommendations from national guidelines regarding the management of NVP.Evidence Acquisition: A descriptive review of 3 recently published national guidelines on NVP was conducted: Royal College of Obstetricians and Gynaecologists on "The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum," American College of Obstetricians and Gynecologists on "Nausea and Vomiting of Pregnancy," and Society of Obstetricians and Gynaecologists of Canada on "The Management of Nausea and Vomiting of Pregnancy." These guidelines were summarized and compared in terms of the recommended management of pregnant women. The quality of evidence was also reviewed based on the method of reporting.Results: Several differences were identified on the different guidelines regarding the management of NVP. Frequent small meals and avoidance of iron supplements are recommended for prevention. The consumption of ginger, acustimulations, antihistamines, phenothiazines, dopamine, and serotonin 5-hydroxytryptamine type 3 receptor antagonists is routinely recommended for use in the community as treatment.Conclusions: Evidence-based medicine may lead to the adoption of an international guideline for the management of NVP, which may lead to a more effective management of that entity.

DOI10.1097/OGX.0000000000000654
Alternate JournalObstet Gynecol Surv
PubMed ID31634919

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