Premium
A survey of prescribing for the management of nausea and vomiting in pregnancy in A ustralasia
Author(s) -
Raymond Stephen H.
Publication year - 2013
Publication title -
australian and new zealand journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.734
H-Index - 65
eISSN - 1479-828X
pISSN - 0004-8666
DOI - 10.1111/ajo.12045
Subject(s) - nausea , vomiting , pregnancy , medicine , obstetrics , family medicine , anesthesia , biology , genetics
Background There is an impression of poor management of pregnancy sickness in A ustralia, specifically an apparent total reliance on metoclopramide, as a first‐line choice. Aims To determine what management options are commonly used in by distributing a survey to F ellows and D iplomates of RANZCOG . Methods A web‐based survey questionnaire distributed using an email list obtained from RANZCOG . Results A total of 495 responses were received (23%). For morning sickness, 89% of those replying give dietary advice frequently or always, and 70% prescribe metoclopramide frequently or always, whereas 59% advise pyridoxine and 10% prescribe doxylamine. For hyperemesis gravidarum, 86% prescribe metoclopramide and 75% ondansetron. Conclusions Despite guidelines suggesting the use of antihistamines and dopamine agonists (phenothiazines), very few practitioners in this region make use of these in any numbers.