NICE Recommends Remedy Choices for Critical Being pregnant Illnesses in New Draft Coverage information
In many cases, home remedies like ginger can help relieve symptoms, but the condition can be more severe in a small percentage of pregnant women. Between 0.3% and 3.6% of pregnant women experience excessive nausea and vomiting, known as hyperemesis gravidarum, which can sometimes lead to hospitalization.
In the draft guidelines published today, NICE recommends treatment options for hyperemesis gravidarum for the first time.
New recommendations recommend the use of pharmacological antiemetics (known as anti-disease drugs), acupressure, and intravenous fluids to treat these extreme cases of nausea and vomiting during pregnancy, as directed by the Royal College of Obstetricians and Gynecologists.
Dr. Paul Chrisp, Director of the Center for Guidelines at NICE, said: “While non-pharmacological treatments can help the majority of women who experience nausea and vomiting during pregnancy, hyperemesis gravidarum can be extremely serious and it is important that effective treatment options are available.
“We hope this guide will help educate doctors about the value of treatments such as antiemetics and acupressure, and provide them with care that will keep women safe and healthy during pregnancy.”
Dr. Edward Morris, President of the Royal College of Obstetricians and Gynecologists, said: “We are very pleased that NICE has updated its prenatal care guidelines to include the debilitating hyperemesis gravidarum. These new guidelines now reflect and are in line with the guidelines drawn up by the RCOG in 2016.
“We encourage all hospitals to implement and follow these guidelines so that women receive quality care throughout their pregnancy. It is important that pregnant women feel heard and are regularly checked, informed and supported. We know the pandemic has added anxiety to many women navigating difficult constraints in pregnancy, and we support a unified approach to care across trusts. “
The new draft guideline replaces the recommendations from the 2008 NICE guidelines on prenatal care and aims to improve the consistency of care across the country. The recommendations are based on evidence gathered prior to the COVID-19 pandemic.
The update offers practical advice on caring for healthy women and their babies during pregnancy. It is designed to ensure that women are regularly screened, informed, and supported, and makes recommendations on a number of topics, from monitoring fetal growth to sleeping positions to avoid during pregnancy.
Although the evidence shows the benefits of new draft recommendations, such as involving partners in prenatal appointments, the committee recognizes that alternative precautions may need to be taken throughout the COVID-19 pandemic. The guidelines suggest that doctors consider virtual appointments and classes, which can be especially useful when government restrictions exist.
Dr. Chrisp added: “We are aware that due to the sensitivity of the pandemic, not all of the new recommendations can be supported in this update at this time. However, we hope that alternatives can be considered if necessary.”
The draft directive can be publicly consulted until March 24, 2021. You can find the draft here and take part in the consultation.