Treatment of nausea and vomiting during pregnancy: presentation

doi:10.1136/bmj.328.7434.276

BMJ 2004;328:276 (31 January), doi:10.1136/bmj.328.7434.276

Clinical review

Interactive case report

Treatment of nausea and vomiting during pregnancy: presentation

Nicola Harker, general practitioner¹, Alan Montgomery, lecturer in primary care research², Tom Fahey, professor of primary care medicine³

¹ Dean Lane Family Practice, Bedminster, Bristol, ² Division of Primary Health Care, University of Bristol, ³ Tayside Centre for General Practice, University of Dundee, Dundee DD2 4AD

Correspondence to: T Fahey t.p.fahey@dundee.ac.uk

The first 150 words of the full text of this article appear below.

Ms Reynolds, a 25 year old woman, primiparous with one miscarriage,presented to her general practitioner when eight weeks pregnantcomplaining of nausea and vomiting. These symptoms were associatedwith a feeling of light headedness. Ms Reynolds had no relevantmedical history and had not suffered from nausea and vomitingin her two previous pregnancies. Initially she was treated withprochlorperazine, which she took for five days, but this didnot relieve her symptoms.

She presented again two weeks later, still vomiting up to fourtimes a day, with associated nausea and light headedness. Herblood pressure was 120/75 mm Hg sitting and standing, and urineanalysis showed no abnormality.

Ms Reynolds was happy to be pregnant and was living with herboyfriend. Her daughter was 5 years old and fit and well. Theylived in a council owned flat with no specific social problems,but she commented that her . . . [Full text of this article]

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