Clinical management of nausea and vomiting in pregnancy and hyperemesis gravidarum across primary and secondary care: a population-based study
| Autor: | Shilpa Deb, Catherine Nelson-Piercy, Laila J. Tata, R King, Linda Fiaschi |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty medicine.drug_class Nausea Vomiting Population Severity of Illness Index Secondary Care 03 medical and health sciences Hyperemesis gravidarum Young Adult 0302 clinical medicine Pregnancy Internal medicine Hyperemesis Gravidarum Ethnicity Prevalence Medicine Antiemetic Humans education education.field_of_study 030219 obstetrics & reproductive medicine Primary Health Care business.industry Obstetrics and Gynecology Prenatal Care medicine.disease Health Surveys United Kingdom Hospitalization Pregnancy Complications Relative risk Cohort Antiemetics Female medicine.symptom business Maternal Age |
| Zdroj: | BJOG : an international journal of obstetrics and gynaecology. 126(10) |
| ISSN: | 1471-0528 |
| Popis: | OBJECTIVES To assess how nausea and vomiting in pregnancy (NVP) and hyperemesis gravidarum (HG) are managed and treated across primary and secondary care. DESIGN Population-based pregnancy cohort. SETTING Medical records (CPRD-GOLD) from England. POPULATION 417 028 pregnancies during 1998-2014. METHODS Proportions of pregnancies with recorded NVP/HG diagnoses, primary care treatment, and hospital admissions were calculated. Multinomial logistic regression was employed to estimate adjusted relative risk ratios (aRRRs) with 99% confidence intervals (CIs) for the association between NVP/HG management paths and maternal characteristics. MAIN OUTCOME MEASURES NVP/HG diagnoses, treatments, and hospital admissions. RESULTS Overall prevalence of clinically recorded NVP/HG was 9.1%: 2.1% had hospital admissions, 3.4% were treated with antiemetics in primary care only, and 3.6% had only recorded diagnoses. Hospital admissions and antiemetic prescribing increased continuously during 1998-2013 (trend P |
| Databáze: | OpenAIRE |
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