PMID- 17977167
OWN - NLM
STAT- MEDLINE
DCOM- 20080125
LR  - 20151119
IS  - 0024-7758 (Print)
IS  - 0024-7758 (Linking)
VI  - 52
IP  - 10
DP  - 2007 Oct
TI  - Managing nausea and vomiting of pregnancy: a survey of 
      obstetrician-gynecologists.
PG  - 922-8
AB  - OBJECTIVE: To assess obstetrician-gynecologists' treatment of nausea and vomiting 
      of pregnancy and to compare it with recommendations in an American College of 
      Obstetricians and Gynecologists (ACOG) evidence-based practice bulletin on the 
      topic. STUDY DESIGN: A survey questionnaire was mailed to the 1075 ACOG fellows 
      who constitute the Collaborative Ambulatory Research Network (CARN). RESULTS: The 
      most frequently recommended treatments for a patient with moderate to severe 
      nausea with occasional vomiting were: eat frequent, small meals (93%); snack on 
      soda crackers (68.5%); and take vitamin B6 plus doxylamine (67.1%). Two of 3 
      (66.7%) respondents had read the ACOG practice bulletin; most of those who had 
      read it found it helpful (67.0%) or very helpful (29.5%). Respondents who read 
      the practice bulletin were generally more willing to treat nausea and vomiting of 
      pregnancy aggressively. They were more likely to be aware that early treatment is 
      recommended to prevent progression to hyperemesis gravidarum and more likely to 
      recommend the use of ginger (59.7% vs. 47.9%, p = 0.014), and to prescribe 
      vitamin B6 (84.1% vs. 73.8%, p = 0.005) and vitamin B6 plus doxylamine (70.9% vs. 
      59.3%, p = 0.009). CONCLUSION: Obstetrician-gynecologists' treatment and 
      prescribing practices generally follow ACOG recommendations; the ACOG practice 
      bulletin appears to have affected practice and knowledge.
FAU - Power, Michael L
AU  - Power ML
AD  - Research Department, American College of Obstetricians and Gynecologists, 
      Washington, DC 20024, USA. mpower@acog.org
FAU - Milligan, Lauren A
AU  - Milligan LA
FAU - Schulkin, Jay
AU  - Schulkin J
LA  - eng
GR  - R60 MC 05674/PHS HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PL  - United States
TA  - J Reprod Med
JT  - The Journal of reproductive medicine
JID - 0173343
SB  - IM
MH  - Female
MH  - Humans
MH  - Hyperemesis Gravidarum/*prevention & control/*therapy
MH  - Male
MH  - Nausea/*therapy
MH  - Practice Guidelines as Topic
MH  - Pregnancy
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Vomiting/*therapy
EDAT- 2007/11/06 09:00
MHDA- 2008/01/26 09:00
CRDT- 2007/11/06 09:00
PHST- 2007/11/06 09:00 [pubmed]
PHST- 2008/01/26 09:00 [medline]
PHST- 2007/11/06 09:00 [entrez]
PST - ppublish
SO  - J Reprod Med. 2007 Oct;52(10):922-8.