GPs may be delaying cancer referrals due to ‘concerns about over-referrals’

GPs may be delaying cancer referrals due to ‘concerns about over-referrals’

September 21 2017 A new study has identified a wide variation in referral practice for suspected...

Malaria cases in UK increase by more than 15% in 2016

Malaria cases in UK increase by more than 15% in 2016

September 20 2017 There were 1,618 cases of malaria reported in the UK in 2016, an increase of...

New IBD toolkit available for GPs

New IBD toolkit available for GPs

September 20 2017 Crohn’s & Colitis UK has issued a new inflammatory bowel disease...

Back to school health advice issued regarding asthma and measles

Back to school health advice issued regarding asthma and measles

September 6 2017 Advice about the risk of increased prevalence of certain health conditions...

Mental health conditions predominate in fit note diagnoses

Mental health conditions predominate in fit note diagnoses

September 6 2017 Mental health and behavioural conditions account for nearly one-in-three known...

  • GPs may be delaying cancer referrals due to ‘concerns about over-referrals’

    GPs may be delaying cancer referrals due to ‘concerns about over-referrals’

    Thursday, 21 September 2017 15:21
  • Malaria cases in UK increase by more than 15% in 2016

    Malaria cases in UK increase by more than 15% in 2016

    Wednesday, 20 September 2017 14:43
  • New IBD toolkit available for GPs

    New IBD toolkit available for GPs

    Wednesday, 20 September 2017 14:50
  • Back to school health advice issued regarding asthma and measles

    Back to school health advice issued regarding asthma and measles

    Wednesday, 06 September 2017 17:00
  • Mental health conditions predominate in fit note diagnoses

    Mental health conditions predominate in fit note diagnoses

    Wednesday, 06 September 2017 16:57

nauseaJune 29 2016

New guidance for healthcare professionals to support pregnant women experiencing nausea and vomiting and hyperemesis gravidum have been published.

The Royal College of Obstetricians and Gynaecologists’ guidance sets out the diagnosis, severity and classification of nausea and vomiting in pregnancy (NVP), clinical assessment, management including antiemetics, monitoring, adverse effects, and follow up. It also considers aspects including the effect of NVP and hyperemesis gravidum on the mother’s quality of life and in the post-natal period.

‘Morning sickness’ affects up to 80% of pregnant women and is one of the most common reasons for pregnant women to be admitted to hospital. The more severe form, hyperemesis gravidum, affects 1-3% of pregnant women, and may be associated with a weight loss of more than 5% of pre-pregnancy weight, said the RCOG.

Its new ‘Green-top Guideline’ is the first national guideline to cover the condition. “The aim of this guideline is to provide evidence-based or best clinical practice information regarding the diagnosis and subsequent management of NVP and hyperemesis gravidum across community, ambulatory daycare and inpatient settings,” said the RCOG.

“It gives advice for multidisciplinary professionals involved in the care of women with these conditions, including how to counsel and support women before, during and after their pregnancies.” The guidance includes evidence, including a Cochrane review, which has reported on the safety and efficacy of the various drugs used for treating these conditions. It also makes recommendations about complementary remedies, including analysis of the usefulness of ginger, acupressure and hypnotherapy.

Professor Alan Cameron, RCOG Vice President, Clinical Quality, commented: “This is the first edition of this guideline on this important topic, which affects many women at a crucial time in their lives. Women suffering severely may need input from a multi-disciplinary team including midwives, nurses, dieticians and a mental health team. This will ensure they receive the best possible care and support.”

A information leaflet for women about pregnancy sickness has also been published covering:

  • what nausea and vomiting of pregnancy is and what hyperemesis gravidarum is
  • how it feels to have pregnancy sickness
  • what it means for the baby
  • what women can do to help if they have pregnancy sickness
  • when to seek medical help and what will happen if you do
  • anti-emetic medications

The RCGP issued a statement saying that the national media had picked up on the RCOG announcement but had focused on GPs. However, “the RCOG has made it clear that this applies to the multi-disciplinary team and healthcare professionals in general. Despite this, some national newspapers have focused on GPs specifically,” said the RCGP.

“‘Morning sickness’ can have a severe impact on a woman’s wellbeing, so while it is important our patients are given the care they need during this stage of pregnancy, this falls on a range of healthcare professionals, not just GPs.”

Links:

RCOG announcement

RCOG: ‘The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum’ (Green-top Guideline No.69)

RCOG patient information on pregnancy sickness

RCGP comment

Professional News

September 21 2017 A new study has identified a wide variation in referral practice for suspected cancers by GPs.
December 10 2015 A doctor may find themselves the subject of an investigation at any time in their career, from medical students to trainee doctors, GPs or consultants. Whether it’s an issue...