SEARCH

SEARCH BY CITATION

Keywords:

  • metoclopramide;
  • morning sickness;
  • ondansetron;
  • pregnancy

Background

There is an impression of poor management of pregnancy sickness in Australia, specifically an apparent total reliance on metoclopramide, as a first-line choice.

Aims

To determine what management options are commonly used in by distributing a survey to Fellows and Diplomates of RANZCOG.

Methods

A web-based survey questionnaire distributed using an email list obtained from RANZCOG.

Results

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.

Conclusions

Despite guidelines suggesting the use of antihistamines and dopamine agonists (phenothiazines), very few practitioners in this region make use of these in any numbers.