Review of NVP and HG and Early Pharmacotherapeutic Intervention

NVP occurs in 50–90% of pregnancies, making it a common medical condition in pregnancy. Women present differently with any combination of signs and symptoms. It is appropriate to take the pregnancy-related versus nonpregnancy-related approach when determining the cause of nausea and vomiting but oth...

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Main Authors: Shannon M. Clark, Maged M. Costantine, Gary D. V. Hankins
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Obstetrics and Gynecology International
Online Access:http://dx.doi.org/10.1155/2012/252676
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author Shannon M. Clark
Maged M. Costantine
Gary D. V. Hankins
author_facet Shannon M. Clark
Maged M. Costantine
Gary D. V. Hankins
author_sort Shannon M. Clark
collection DOAJ
description NVP occurs in 50–90% of pregnancies, making it a common medical condition in pregnancy. Women present differently with any combination of signs and symptoms. It is appropriate to take the pregnancy-related versus nonpregnancy-related approach when determining the cause of nausea and vomiting but other causes should be considered. The most common etiologies for NVP include the hormonal changes associated with pregnancy, the physiologic changes in the gastrointestinal tract, and a genetic predisposition. Up to 10% of women will require pharmacotherapy to treat the symptoms of NVP despite conservative measures. ACOG currently recommends that a combination of oral pyridoxine hydrochloride and doxylamine succinate be used as first-line treatment for NVP if pyridoxine monotherapy does not relieve symptoms. A review of NVP and early pharmacotherapeutic management is presented due to the fact that NVP is largely undertreated, and investigations into the safe and effective pharmacotherapies available to treat NVP are lacking.
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spelling doaj-art-577646b17fa34494b9d885f0095974032025-02-03T05:51:53ZengWileyObstetrics and Gynecology International1687-95891687-95972012-01-01201210.1155/2012/252676252676Review of NVP and HG and Early Pharmacotherapeutic InterventionShannon M. Clark0Maged M. Costantine1Gary D. V. Hankins2Division of MFM, Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USADivision of MFM, Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USADivision of MFM, Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Boulevard, Galveston, TX 77555, USANVP occurs in 50–90% of pregnancies, making it a common medical condition in pregnancy. Women present differently with any combination of signs and symptoms. It is appropriate to take the pregnancy-related versus nonpregnancy-related approach when determining the cause of nausea and vomiting but other causes should be considered. The most common etiologies for NVP include the hormonal changes associated with pregnancy, the physiologic changes in the gastrointestinal tract, and a genetic predisposition. Up to 10% of women will require pharmacotherapy to treat the symptoms of NVP despite conservative measures. ACOG currently recommends that a combination of oral pyridoxine hydrochloride and doxylamine succinate be used as first-line treatment for NVP if pyridoxine monotherapy does not relieve symptoms. A review of NVP and early pharmacotherapeutic management is presented due to the fact that NVP is largely undertreated, and investigations into the safe and effective pharmacotherapies available to treat NVP are lacking.http://dx.doi.org/10.1155/2012/252676
spellingShingle Shannon M. Clark
Maged M. Costantine
Gary D. V. Hankins
Review of NVP and HG and Early Pharmacotherapeutic Intervention
Obstetrics and Gynecology International
title Review of NVP and HG and Early Pharmacotherapeutic Intervention
title_full Review of NVP and HG and Early Pharmacotherapeutic Intervention
title_fullStr Review of NVP and HG and Early Pharmacotherapeutic Intervention
title_full_unstemmed Review of NVP and HG and Early Pharmacotherapeutic Intervention
title_short Review of NVP and HG and Early Pharmacotherapeutic Intervention
title_sort review of nvp and hg and early pharmacotherapeutic intervention
url http://dx.doi.org/10.1155/2012/252676
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