- FoI Number
- 2023-251
- Subject
- Hyperemesis Gravidarum
- Date Received
- 31/07/2023
- Request and Response
-
Nausea and vomiting in pregnancy (NVP)/Hyperemesis Gravidarum (HG): a survey of UK practice
Hospital name: Gilbert Bain Hospital, Lerwick, Shetland Islands
Trust: N/A
Maternal medicine network (if known):
Details of hyperemesis service
Response
1
Are your patients routinely offered screening for NVP/HG at their booking visit?
No
2
Do you offer community care for women with NVP/HG? (e.g. in a community day centre or at home)
No
3
Do you offer ambulatory management for women with NVP/HG?
No
If yes, where?
Choose an item.
If ‘Other’ please specify:
4
If admitted to hospital in which locations are NVP/HG managed?
Obstetric ward throughout entire gestation
If ‘Different setting depending on gestation’ please specify (e.g. gynaecology ward <18 weeks, obstetric ward >18 weeks gestation):
5
Which of the following criteria do you use for admission for inpatient management? Select all that apply.
Continued nausea and vomiting, inability to keep down oral antiemetics
✓
Continued nausea and vomiting associated with weight loss despite oral antiemetics
✓
Ketonuria
✓
Confirmed/suspected comorbidity (e.g. urinary tract infection)
Other
If ‘Other’ please specify:
Assessment and management
Which drugs/therapies are routinely recommended by your service? Please check the appropriate box.
Therapy As 1st line medication As 2nd line medication As 3rd line medication Only after 1st trimester For a maximum of 5 days As required (PRN) Ginger Acustimulations Hypnosis Ondansetron ✓ Cyclizine ✓ Domperidone Prochlorperazine ✓ Promethazine ✓ Chlorpromazine Metoclopramide ✓ Thiamine Pyridoxine Corticosteroids Diazepam Proton pump inhibitor 7
Do you require patients to sign a risk form when prescribed any of the above?
No
If ‘Yes’, please specify:
8
Which IV rehydration do you routinely offer? Please select all:
0.9% Normal saline
✓
Hartmann’s solution
Dextrose
9
Do you offer enteral or parenteral nutrition for patients resistant to treatment?
No
10
Are patients routinely offered a mental health screen?
No
Pre-pregnancy counselling
Response
11
Does your unit offer pre-pregnancy counselling for women with a history of severe NVP/HG?
No
12
Do you have any further comments regarding management of NVP/HG patients in your trust?
