Treating nausea and vomiting during pregnancy: case progression

doi:10.1136/bmj.328.7435.337

BMJ 2004;328:337 (7 February), doi:10.1136/bmj.328.7435.337

Clinical review

Interactive case report

Treating nausea and vomiting during pregnancy: case progression

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.

Last week (31 January, p 276) we presented the case of Ms Reynolds,a 25 year old woman who presented to her general practitionerwhen eight weeks pregnant complaining of nausea and vomitingwith light headedness. After an unsuccessful trial of prochlorperazine,she asked about alternatives to conventional drugs. We invitedresponses on which therapeutic options are safe to consideror recommend in pregnancy, what study design might provide evidencefor their relative efficacy in an individual patient, and whatproportion of patients and pregnant women use complementarytherapies. To look at the discussion of the case so far go tobmj.com

One of us (NH) is interested in complementary medicine and suggesteda trial of vitamin B-6 (pyridoxine) to relieve the patient'ssymptoms. We searched Medline (1996 onwards, limiting our searchto review articles) using the MeSH terms "hyperemesis gravidarum"or "nausea" or "vomiting" and "pregnancy." We obtained . . . [Full text of this article]

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