Evidence-Based Approaches to Managing Nausea and Vomiting in Early Pregnancy

Tekoa L. King, CNM, MPH; Patricia Aikins Murphy, CNM, DrPH


J Midwifery Womens Health. 2009;54(6):430-444. 

In This Article


No single therapy for NVP is clearly the safest and most efficacious.[16] The etiology of NVP is probably multifactorial, the spectrum of illness ranges from mild to severe, and the impact of the disorder on one's life is subjective. In addition, many women do not want to use medications during the first trimester of pregnancy because of concerns about teratogenicity.[119] Finally, the degree of disability is determined solely by the woman's perception of her ability to function, which may not be reflected in a particular PUQE Index score. Therefore, the treatment of NVP has to be individualized.


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