Clinical practice guidelines for the management of hyperemesis gravidarum: A systematic review and quality appraisal with AGREE II

Abstract

Background and objectiveNausea, vomiting and hyperemesis in early pregnancy are common in primary care, and hospital care is required in severe cases. The aim of this review is to appraise relevant clinical practice guidelines (CPGs) to manage hyperemesis gravidarum (HG) by using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) checklist. MethodsA systematic search was conducted employing PubMed, Cochrane and ScienceDirect from inception until May 2021. The quality of four CPGs were evaluated by two appraisers independently using the AGREE II checklist. ResultsFour international CPGs that fulfilled the criteria were included in this review; all scored over 50% according to the AGREE II tool. Applying a modified categorisation standard, CPGs were considered as either 'recommended' or 'recommended with modifications'. DiscussionThe synthesis of all four CPGs suggested similar management strategies for HG, with minor differences. Medical practitioners could use the guiding principles of management on the basis of the needs of individual patients. NAUSEA AND VOMITING IN PREGNANCY A systematic review and quality appraisal with AGREE IIClinical practice guidelines for the management of hyperemesis gravidarum: A systematic review and quality appraisal with AGREE II

Guidelines for Treatment of Hyperemesis Gravidarum and Implementation in Clinical Practice in Norway: A Descriptive Study

“…Clinical practice guidelines are intended to equip clinicians with current evidence to provide quality care. Management strategies for HG have recently been assessed as similar across international HG treatment guidelines [21], to which the NGF guideline closely aligns [11]. In total, 26 of 28 participating departments used either the NGF guideline or local HG protocols which were comparable to the NGF guidelines.…”

Relaxation response, brainwaves, and quality of life in women with nausea and vomiting during pregnancy

“…NPV in early pregnancy often occurs during initial treatment. In severe cases, it requires hospitalization with five days average length of stay (Wong et al, 2022).…”

“…The high incidence of nausea and vomiting among pregnant women in the first trimester in the community requires pregnant women to understand how to deal with NVP (Iskandar, 2017). One of the methods pregnant use women use to overcome this problem is complementary therapy (Wong et al, 2022). The therapies for NPV include acupuncture, acupressure, ginger, and aromatherapy (Liu et al, 2022;Somoyani, 2018).…”