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 pregnant complaining of nausea and vomiting. These symptoms were associated with a feeling of light headedness. Ms Reynolds had no relevant medical history and had not suffered from nausea and vomiting in her two previous pregnancies. Initially she was treated with prochlorperazine, which she took for five days, but this did not relieve her symptoms.

She presented again two weeks later, still vomiting up to four times a day, with associated nausea and light headedness. Her blood pressure was 120/75 mm Hg sitting and standing, and urine analysis showed no abnormality.

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

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