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Antiemetics in pregnancy

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Hello Everybody,

Nausea and vomiting during pregnancy is a common and frustrating problem for up to 3/4 of all pregnant women. Although this is commonly called "morning sickness," many pregnant women report nausea and vomiting throughout the day. Surprisingly, even though the symptoms may make a pregnant woman miserable, morning sickness only rarely causes serious problems for the mother or her baby.Treatment of most cases of nausea and vomiting during pregnancy revolve around education and support. In some cases, all that is needed is reassurance that the baby is ok. In other situations pregnant women should modify their diets, to avoid foods that make nausea worse. One example of this is milk. Some women need medication to fend off nausea and vomiting. Medications that may help include doxylamine with or without

pyridoxine (vitamin B6), and a number of stronger antiemetic medications that can be given rectally, orally, or through an IV line. These include prochlorperazine, promethazine, metoclopramide, Cyclizine.

When nausea and vomiting is very severe(hyperemesis gravidarum), the patient may need hospital admission with intravenous fluids and IV medications.

Regards,

Dr. Smita

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