Treating nausea and vomiting during pregnancy: case outcome

doi:10.1136/bmj.328.7438.503

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Nicola Harker, general practitioner1,
Alan Montgomery, lecturer in primary care research2,
Tom Fahey, professor of primary care medicine (t.p.fahey@dundee.ac.uk)3

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

Correspondence to: T Fahey

Five weeks ago (31 January, p 276) we presented the case of Ms Reynolds, a 25 year old woman who presented to her general practitioner when eight weeks pregnant complaining of nausea and vomiting with light headedness.After an unsuccessful trial of prochlorperazine, she asked about alternatives to conventional drugs, and we suggested a trial of vitamin B-6 (pyridoxine) to relieve her symptoms (7 February, p 337). Because of the paucity of evidence for or against the use of vitamin B-6, we suggested an n of 1 trial as an objective way to assess whether it was effective. The table shows that vitamin B-6 did …