A survey of prescribing for the management of nausea and vomiting in pregnancy in Australasia
Article first published online: 25 JAN 2013
© 2013 The Author ANZJOG © 2013 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 53, Issue 4, pages 358–362, August 2013
How to Cite
Raymond, S. H. (2013), A survey of prescribing for the management of nausea and vomiting in pregnancy in Australasia. Australian and New Zealand Journal of Obstetrics and Gynaecology, 53: 358–362. doi: 10.1111/ajo.12045
- Issue published online: 21 JUL 2013
- Article first published online: 25 JAN 2013
- Manuscript Accepted: 24 NOV 2012
- Manuscript Received: 12 NOV 2012
- morning sickness;
There is an impression of poor management of pregnancy sickness in Australia, specifically an apparent total reliance on metoclopramide, as a first-line choice.
To determine what management options are commonly used in by distributing a survey to Fellows and Diplomates of RANZCOG.
A web-based survey questionnaire distributed using an email list obtained from RANZCOG.
A total of 495 responses were received (23%). For morning sickness, 89% of those replying give dietary advice frequently or always, and 70% prescribe metoclopramide frequently or always, whereas 59% advise pyridoxine and 10% prescribe doxylamine. For hyperemesis gravidarum, 86% prescribe metoclopramide and 75% ondansetron.
Despite guidelines suggesting the use of antihistamines and dopamine agonists (phenothiazines), very few practitioners in this region make use of these in any numbers.