Downloads

This section is still under development and we are uploading documents as quickly as possible. Please bear with us while we finish it and check back regularly.

These documents may help women who are suffering at home with Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum. (some of them are still underdevelopment and will be coming soon)

• Daily Diary for Nausea and Vomiting in Pregnancy Symptoms
• Fluid Balance chart to track you hydration at home (coming soon)
• Medication chart for tracking your medication at home.
• Information Leaflet about Nausea and Vomiting in Pregnancy
• Helpful Information Leaflet in Urdu
• Information about Hyperemesis Gravidarum

Research Articles

Here are a number of research documents and articles which are downloadable.

• Literature review of Nausea and Vomiting in Pregnancy by Dr Gadsby and Dr Barnie-Adshead, Oct 2011
• Assessment of Symptoms for GP's by Dr Gadsby and Dr Barnie-Adshead, 2011
• MUNCH S. A Qualitative Analysis of Physician Humanism: Women's Experiences with Hyperemesis Gravidarum. Journal of Perinatology, 2000; 20 - 540-547
• Ebrahimi 2010 Optimal Management of Nausea and Vomiting in Pregnancy, International Journal of Women's Health. 2010:2 241-248
• Motherisk (Canadian) Treatment Algorithm 2007
• Abstract and reference for EINARSON's 2004 study; Safety of Ondansetron for NVP
• Conference paper from our 2010 Pregnancy Sickness Support conference
• Gadsby, R. & Barnie-Adshead, A. 2011, Review of Severe Nausea and Vomting in Pregnancy: Should it be treated with appropriate pharmacology. TOG 2011:13; 107-111

Conference Papers

A number of excellent papers were presented at our 2010 national conference; these are downloadable here:

• Investigating the psycho-social impact of NVP - A personal journey. By Dr Brian Swallow
• Nausea, pregnancy sickness and the role of dietary protein. By Maralyn Green
• Nutrition and Hyperemesis Gravidarum. By Sarah Jones and Amiee Brecht-Doscher
• Preparation for the Hyperemesis Pregnancy. By Sarah Jones and Amiee Brecht-Doscher
• The impact and risk factors for HG; Treatments, genetics and epidemiology. By Marlena S. et al. 
• What is pregnancy sickness and why is it important? by The Pregnancy Sickness Support Trust
• Women's responses to nausea and vomiting in pregnancy. By Locock L., Alexander J. and Rozmovits J.

Other References

Here are some references for articles which we cannot provide access to; Healthcare professionals should be able to gain access through online libraries.

• Taylor R. 2009 Termination is not the Treatment of Choice for Severe Hyperemesis Gravidarum: Successful Management using Prednisolone. Obstetric Medicine 2009; 2: 34–37. 
  Summary: Severe hyperemesis gravidarum causes profound maternal morbidity. Termination of pregnancy is still offered before the use of medical therapy. This report describes management of a woman who had undergone two previous terminations for
  hyperemesis, and additionally presents the dosage profile of prednisolone used to successfully manage a consecutive series of 33 women with severe hyperemesis gravidarum. The treatment protocol is described. The group had a median weight loss in pregnancy of 5.5 kg (range 2.0–12.5 kg), had been admitted on a median of 3.0 (range 0–9) occasions and had spent 7.5 (range 0–25) days on i.v. fluids. Continuing vomiting prevented oral steroid therapy in 14 women and i.v. hydrocortisone (50 mg t.i.d.; two women required 100 mg t.i.d.) was used initially for 24–48 h. Nineteen women commenced prednisolone 10 mg t.i.d. and this achieved suppression of vomiting within 48 h in all but two women who required 15 mg t.i.d. Two distinct subtypes of hyperemesis gravidarum were identified. Remitting hyperemesis spontaneously ceases between 14 and 22 weeks gestation and accounts for approximately 80% of cases. In contrast, full-term hyperemesis persists until minutes after delivery. These separate sub-types have not previously been described. Steroid treatment of hyperemesis should be considered in women who fulfil the criteria of severe disease.

• ISMAIL S & KENNY L. 2007 Review on hyperemesis gravidarum Best Practice & Research Clinical Gastroenterology 21 (5) 755-769.

  Summary: Hyperemesis gravidarum is severe, intractable nausea and vomiting affecting 0.3–2% of pregnancies. It has a complex multifactorial aetiology. This review explores the current literature relating to the clinical manifestations, differential diagnosis, epidemiology, possible aetiology, maternal and foetal complications, and evidence-based management of hyperemesis.

• JARVIS S & NELSON-PIERCY C. 2011 Management of nausea and vomiting in pregnancy Clinical -Review article. British Medical Journal, 2011-12-23, 342; 1407-1412
  

• Koren G. and Maltepe C. 2004 Preemptive Therapy for Severe Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum. Journal of Obsterics and Gynecology 2004;24:500-503