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The Motherisk Nausea and Vomiting of Pregnancy (NVP) Forum

Motherisk receives questions from around the world about morning sickness symptoms, effects, treatments and ways to cope. Those questions and answers are posted here for anyone to read, provided the reader acknowledges and accepts the proviso and disclaimer below.

Treatment algorithm for NVP

NVP Counselor
Date: 2005-09-13

Question:
My sister is 6 weeks pregnant (third pregnancy, but with one child (10 months old). With each pregnancy, she has had severe nausea and vomiting (late into her pregnancy), incapacitating her in every way. Today she was hospitalized for dehydration and was given IV anti-emetics with effect. Since discharge she has not been able to keep down the oral anti-emetics prescribed. I am a RN and work in palliation. We often send patients home with SC butterfly port in order to self-inject Maxeran. Has this been an option in dealing with morning sickness? Thanks.

Answer:
Please consult our NVP treatment algorithm posted on this website under Updates (February 2002). It outlines all the medications used for NVP/HG. Some are available as suppositories. The mode of delivery of treatment is left to the attending physician. We suggest you discuss the algorithm with your sister's physician, and share your experience and questions with him/her.

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