SA Pharmacy, Flinders Medical Centre, SA Health, Adelaide, South Australia, Australia.
Hyperemesis Australia, Sydney, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2021 Aug;61(4):616-620. doi: 10.1111/ajo.13359. Epub 2021 May 13.
We conducted an online survey of 249 Australian women who currently or previously experienced severe nausea and vomiting of pregnancy (NVP) or hyperemesis gravidarum (HG) and examined their experiences in being denied medications during pregnancy. One in four women reported being denied medications for NVP/HG, which most commonly involved doxylamine and encounters with community pharmacists. Women's experiences reflected that lack of awareness of guidelines and unfavourable risk-benefit assessments appeared to be key barriers to facilitating medication access. Approaches towards identifying and effectively addressing barriers to the provision of effective treatments for severe NVP and HG are urgently needed.
我们对 249 名目前或曾经经历过严重妊娠恶心和呕吐（NVP）或妊娠剧吐（HG）的澳大利亚女性进行了在线调查，并研究了她们在怀孕期间被拒绝用药的经历。四分之一的女性报告说被拒绝使用 NVP/HG 的药物，其中最常见的是羟嗪和与社区药剂师的接触。女性的经历反映出缺乏对指南的认识和对风险效益评估的不利，这似乎是阻碍药物获得的关键因素。迫切需要寻找并有效解决为严重 NVP 和 HG 提供有效治疗的障碍。
