ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy.
ACOG Practice Bulletin No. 189: Nausea And Vomiting Of Pregnancy.
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DOI：
10.1097/aog.0000000000002456
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发表时间：
2018-01-01
影响因子：
7.2
通讯作者：
中科院分区：
文献类型：
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妊娠恶心和呕吐是一种常见的疾病，会影响孕妇和胎儿的健康。它可以降低妇女的生活质量，也大大有助于医疗保健费用和工作时间损失（1，2）。由于孕吐在怀孕早期很常见，产科医生，其他产科护理提供者和孕妇可能会尽量减少妊娠恶心和呕吐的存在，因此，治疗不足（1）。此外，一些妇女不寻求治疗，因为担心药物的安全性（3）。一旦妊娠期恶心和呕吐进展，控制症状可能会变得更加困难。早期治疗可以防止更严重的并发症，包括住院治疗（4）。对于更严重的病例，可以使用安全有效的治疗方法，轻度的妊娠恶心和呕吐病例可以通过改变生活方式和饮食来解决。妇女对症状严重程度的认识在决定是否、何时以及如何治疗妊娠恶心和呕吐方面起着至关重要的作用。妊娠恶心呕吐应与其他原因引起的恶心呕吐相区别。本文件的目的是审查关于妊娠恶心和呕吐的诊断和管理的最佳证据。
Nausea and vomiting of pregnancy is a common condition that affects the health of a pregnant woman and her fetus. It can diminish a woman's quality of life and also significantly contributes to health care costs and time lost from work (1, 2). Because morning sickness is common in early pregnancy, the presence of nausea and vomiting of pregnancy may be minimized by obstetricians, other obstetric care providers, and pregnant women and, thus, undertreated (1). Furthermore, some women do not seek treatment because of concerns about the safety of medications (3). Once nausea and vomiting of pregnancy progresses, it can become more difficult to control symptoms. Treatment in the early stages may prevent more serious complications, including hospitalization (4). Safe and effective treatments are available for more severe cases, and mild cases of nausea and vomiting of pregnancy may be resolved with lifestyle and dietary changes. The woman's perception of the severity of her symptoms plays a critical role in the decision of whether, when, and how to treat nausea and vomiting of pregnancy. Nausea and vomiting of pregnancy should be distinguished from nausea and vomiting related to other causes. The purpose of this document is to review the best available evidence about the diagnosis and management of nausea and vomiting of pregnancy.