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Women with nausea and vomiting in pregnancy should be offered more support, say RCOG guidelines

BMJ 2016; 353 doi: https://doi.org/10.1136/bmj.i3509 (Published 23 June 2016) Cite this as: BMJ 2016;353:i3509
  1. Jacqui Wise
  1. London

Healthcare professionals should offer more support to pregnant women affected by nausea and vomiting or hyperemesis gravidarum, say new guidelines from the Royal College of Obstetricians and Gynaecologists.1

Nausea and vomiting affects as many as 80% of pregnant women and is one of the most common reasons that they are admitted to hospital. Hyperemesis gravidarum affects 1-3% of pregnant women, and the guidelines say that this can be diagnosed when protracted nausea and vomiting are associated with a triad of symptoms: weight loss of more than 5% of pre-pregnancy weight, dehydration, and electrolyte imbalance.

The guidelines say that women who have vomiting but are not dehydrated can be managed …

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