Skip to main content

Main menu

  • HOME
  • LATEST ARTICLES
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • RESOURCES
    • About BJGP Open
    • BJGP Open Accessibility Statement
    • Editorial Board
    • Editorial Fellowships
    • Audio Abstracts
    • eLetters
    • Alerts
    • Outreach
    • BJGP Life
    • Research into Publication Science
    • Advertising
    • CONFERENCE
    • Contact
    • Top 10 Research Articles of the Year
  • SPECIAL ISSUES
    • Special issue: Telehealth
    • Special issue: Race and Racism in Primary Care
    • Special issue: COVID-19 and Primary Care
    • Past research calls
  • RCGP
    • British Journal of General Practice
    • BJGP for RCGP members
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers

User menu

  • Alerts

Search

  • Advanced search
Intended for Healthcare Professionals
BJGP Open
  • RCGP
    • British Journal of General Practice
    • BJGP for RCGP members
    • RCGP eLearning
    • InnovAIT Journal
    • Jobs and careers
  • Subscriptions
  • Alerts
  • Log in
  • Follow bjgp on Twitter
  • Visit bjgp on Facebook
  • Blog
Intended for Healthcare Professionals
BJGP Open

Advanced Search

  • HOME
  • LATEST ARTICLES
  • ALL ISSUES
  • AUTHORS & REVIEWERS
  • RESOURCES
    • About BJGP Open
    • BJGP Open Accessibility Statement
    • Editorial Board
    • Editorial Fellowships
    • Audio Abstracts
    • eLetters
    • Alerts
    • Outreach
    • BJGP Life
    • Research into Publication Science
    • Advertising
    • CONFERENCE
    • Contact
    • Top 10 Research Articles of the Year
  • SPECIAL ISSUES
    • Special issue: Telehealth
    • Special issue: Race and Racism in Primary Care
    • Special issue: COVID-19 and Primary Care
    • Past research calls
Research

Hyperemesis gravidarum in the primary care setting: cross-sectional study of GPs

Melanie Nana, Holly Morgan, Haroon Ahmed and Catherine Williamson
BJGP Open 2022; 6 (1): BJGPO.2021.0119. DOI: https://doi.org/10.3399/BJGPO.2021.0119
Melanie Nana
1 Department of Obstetric Medicine, St Thomas’ Hospital, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Holly Morgan
2 Department of Cardiology, King’s College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Haroon Ahmed
3 Division of Population Medicine, Cardiff University School of Medicine, Cardiff, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Catherine Williamson
4 Department of Life Course Sciences, King’s College London, London, UK
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: catherine.williamson@kcl.ac.uk
  • Article
  • Figures & Data
  • Info
  • eLetters
  • PDF
Loading

Article Figures & Data

Figures

  • Tables
  • Figure 1.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 1. Heat map demonstrating geographical distribution of participants
  • Figure 2.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 2. Breakdown of where participant would access further information on HG. ‘Other’ included the British Medical Journal resources, the British National Formulary, GP notebook, National Institute for Health and Care Excellence resources, patient information websites, and the website of a widely used GP educational resource (the ‘Red Whale’ website).
  • Figure 3.
    • Download figure
    • Open in new tab
    • Download powerpoint
    Figure 3. Participants confidence levels with regards to managing women with HG

Tables

  • Figures
    • View popup
    Table 1. Relationship between additional qualifications or training and confidence levels and likelihood of screening for mental health consequences in HG.
    Confidence in managing HG (score/4)Routinely screen for mental health problems
    Additional qualifications or prior clinical experience related to O&G
     Yes3.019% (27/145)
     No2.619% (12/64)
     P value0.0001a 1.0
    Attendance or access to community/ GP teaching
     Yes2.918% (35/192)
     No3.124% (4/17)
     P value0.210.59
    Routine attendance at regional or national conferences
     Yes3.022% (11/49)
     No2.918% (28/160)
     P value0.350.44
    Previous teaching on HG
     Yes3.117% (13/78)
     No2.820% (26/131)
     P value0.0002a 0.31
    • aStatistically significant.

    • View popup
    Table 2. Participant knowledge and comfort in prescribing first line anti-emetics and all drugs recommended in guidelines
    Safety of medications in pregnancyComfort of physician in prescribing in primary care
    Participants reporting first line anti-emetics being safe throughoutpregnancy, %Participants reporting all guideline-recommended drugs being safe inpregnancy, %Participants reporting first line anti-emetics not being safe in pregnancy, %Participants reporting that guideline-recommended medications should not be prescribed in pregnancy, %
    Confidence levels
     Not at all/not so confident27%28%7%30%
     Somewhat confident52%50%5%17%
     Very confident55%57%5%17%
     P value0.090.04a 0.490.04a
    Additional qualifications/additional clinical experience
     Yes52%50%5%19%
     No37%37%7%21%
     P value0.240.110.230.38
    Previous teaching on hyperemesis gravidarum (HG)
     HG teaching52%49%5%16%
     No HG teaching43%43%6%21%
     P value0.340.290.270.18
    • aStatistically significant. HG = hyperemesis gravidarum.

    • View popup
    Table 3. List of recommended resources for healthcare professionals.
    Recommended resources
    RCOG The Management of Nausea and Vomiting of Pregnancy and Hyperemesis Gravidarum - Green-top Guideline
    National Institute for Health and Care Excellence Nausea/vomiting in pregnancy- Clinical Knowledge Summary
    UK Teratology Information Service Treatment of Nausea and Vomiting in Pregnancy
    UpToDate Nausea and vomiting of pregnancy: Treatment and outcomes
    Red Whale https://www.gp-update.co.uk/Latest-Updates/Nausea-and-vomiting-in-pregnancy
    Pregnancy Sickness Support charity Section for Healthcare Professionals
    HER Foundation Section for Healthcare Providers

Supplementary Data

  • BJGPO.2021.0119_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

Back to top
Previous ArticleNext Article

In this issue

BJGP Open
Vol. 6, Issue 1
March 2022
  • Table of Contents
  • Index by author
Download PDF
Download PowerPoint
Email Article

Thank you for recommending BJGP Open.

NOTE: We only request your email address so that the person to whom you are recommending the page knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Hyperemesis gravidarum in the primary care setting: cross-sectional study of GPs
(Your Name) has forwarded a page to you from BJGP Open
(Your Name) thought you would like to see this page from BJGP Open.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Hyperemesis gravidarum in the primary care setting: cross-sectional study of GPs
Melanie Nana, Holly Morgan, Haroon Ahmed, Catherine Williamson
BJGP Open 2022; 6 (1): BJGPO.2021.0119. DOI: 10.3399/BJGPO.2021.0119

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Hyperemesis gravidarum in the primary care setting: cross-sectional study of GPs
Melanie Nana, Holly Morgan, Haroon Ahmed, Catherine Williamson
BJGP Open 2022; 6 (1): BJGPO.2021.0119. DOI: 10.3399/BJGPO.2021.0119
del.icio.us logo Digg logo Reddit logo Twitter logo CiteULike logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
  • Mendeley logo Mendeley

Jump to section

  • Top
  • Article
    • Abstract
    • How this fits in
    • Introduction
    • Method
    • Results
    • Discussion
    • Notes
    • References
  • Figures & Data
  • Info
  • eLetters
  • PDF

Keywords

  • hyperemesis gravidarum
  • education
  • pregnancy
  • antiemetics
  • primary health care
  • general practice

More in this TOC Section

  • Impact of the COVID-19 pandemic on antimicrobial stewardship support for general practices in England: a qualitative interview study.
  • What features are considered important for electronic safety-netting tools to UK general practice staff? An interview and Delphi consensus study
  • Ideas, Concerns, Expectations and Effects on life (ICEE) in GP consultations: an observational study using video-recorded UK consultations
Show more Research

Related Articles

Cited By...

Intended for Healthcare Professionals

@BJGPOpen's Likes on Twitter

 
 

British Journal of General Practice

NAVIGATE

  • Home
  • Latest articles
  • Authors & reviewers
  • Accessibility statement

RCGP

  • British Journal of General Practice
  • BJGP for RCGP members
  • RCGP eLearning
  • InnovAiT Journal
  • Jobs and careers

MY ACCOUNT

  • RCGP members' login
  • Terms and conditions

NEWS AND UPDATES

  • About BJGP Open
  • Alerts
  • RSS feeds
  • Facebook
  • Twitter

AUTHORS & REVIEWERS

  • Submit an article
  • Writing for BJGP Open: research
  • Writing for BJGP Open: practice & policy
  • BJGP Open editorial process & policies
  • BJGP Open ethical guidelines
  • Peer review for BJGP Open

CUSTOMER SERVICES

  • Advertising
  • Open access licence

CONTRIBUTE

  • BJGP Life
  • eLetters
  • Feedback

CONTACT US

BJGP Open Journal Office
RCGP
30 Euston Square
London NW1 2FB
Tel: +44 (0)20 3188 7400
Email: bjgpopen@rcgp.org.uk

BJGP Open is an editorially-independent publication of the Royal College of General Practitioners

© 2023 BJGP Open

Online ISSN: 2398-3795