The management of nausea and vomiting of pregnancy.
OBJECTIVE
To review the evidence-based management of nausea and vomiting of pregnancy (NVP) and hyperemesis gravidarum.


METHODS
MEDLINE and Cochrane database searches were performed using the medical subject headings (MeSH) of treatment, nausea, vomiting, pregnancy, and hyperemesis gravidarum. The quality of evidence reported in these guidelines has been described using the Evaluation of Evidence criteria outlined in the Report of the Canadian Task Force on the Periodic Health Exam.


RESULTS
NVP has a profound effect on women's health and quality of life during pregnancy, as well as a financial impact on the health care system, and its early recognition and management are recommended. (III-B) COST: Costs, including hospitalizations, additional office visits, and time lost from work, may be reduced if NVP is treated early.
Arsenault
Marc-Yvon
MY
Lane
Carolyn A
CA
MacKinnon
Catherine Jane
CJ
Bartellas
Elias
E
Cargill
Yvonne M
YM
Klein
Michael C
MC
Martel
Marie-Jocelyne
MJ
Sprague
Ann E
AE
Wilson
Ann Kathleen
AK
D000465:Algorithms; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D000932:Antiemetics / Q000627:therapeutic use; D000529:Complementary Therapies / Q000379:methods / Q000592:standards; D017281:Cost of Illness; D003663:Decision Trees; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D006939:Hyperemesis Gravidarum / Q000191:economics / Q000523:psychology / Q000628:therapy*; D008019:Life Style; D009325:Nausea / Q000191:economics / Q000523:psychology / Q000628:therapy*; D009774:Obstetrics / Q000379:methods* / Q000592:standards; D011247:Pregnancy; D011248:Pregnancy Complications / Q000191:economics / Q000523:psychology / Q000628:therapy*; D011256:Pregnancy Outcome / Q000453:epidemiology; D011295:Prenatal Care / Q000379:methods* / Q000592:standards; D011736:Pyridoxine / Q000627:therapeutic use; D011788:Quality of Life; D013256:Steroids; D014839:Vomiting / Q000191:economics / Q000523:psychology / Q000628:therapy*
D000893:Anti-Inflammatory Agents; D000932:Antiemetics; D013256:Steroids; D011736:Pyridoxine