一项关于澳大利亚和新西兰妊娠期恶心和呕吐管理处方的调查。
A survey of prescribing for the management of nausea and vomiting in pregnancy in Australasia.
作者信息
Raymond Stephen H
机构信息
Department of Obstetrics and Gynaecology, Royal Hobart Hospital, Hobart, Tasmania, Australia.
出版信息
Aust N Z J Obstet Gynaecol. 2013 Aug;53(4):358-62. doi: 10.1111/ajo.12045. Epub 2013 Jan 25.
BACKGROUND
There is an impression of poor management of pregnancy sickness in Australia, specifically an apparent total reliance on metoclopramide, as a first-line choice.
AIMS
To determine what management options are commonly used in by distributing a survey to Fellows and Diplomates of RANZCOG.
METHODS
A web-based survey questionnaire distributed using an email list obtained from RANZCOG.
RESULTS
A total of 495 responses were received (23%). For morning sickness, 89% of those replying give dietary advice frequently or always, and 70% prescribe metoclopramide frequently or always, whereas 59% advise pyridoxine and 10% prescribe doxylamine. For hyperemesis gravidarum, 86% prescribe metoclopramide and 75% ondansetron.
CONCLUSIONS
Despite guidelines suggesting the use of antihistamines and dopamine agonists (phenothiazines), very few practitioners in this region make use of these in any numbers.
背景
在澳大利亚，人们认为妊娠剧吐的管理情况不佳，特别是明显完全依赖甲氧氯普胺作为一线选择。
目的
通过向澳大利亚皇家妇产科医师学院的会员和专科医师发放调查问卷，确定常用的管理方案。
方法
使用从澳大利亚皇家妇产科医师学院获得的电子邮件列表分发基于网络的调查问卷。
结果
共收到495份回复（23%）。对于晨吐，89%的回复者经常或总是给出饮食建议，70%的回复者经常或总是开甲氧氯普胺，而59%的回复者建议使用吡哆醇，10%的回复者开多西拉敏。对于妊娠剧吐，86%的回复者开甲氧氯普胺，75%的回复者开昂丹司琼。
结论
尽管指南建议使用抗组胺药和多巴胺激动剂（吩噻嗪类），但该地区很少有从业者大量使用这些药物。
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