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Discordance between physical symptoms versus perception of severity by women with nausea and vomiting in pregnancy (NVP).

Chandra K MSC, Magee L MD, Koren G MD - BMC Pregnancy Childbirth (2002)

Bottom Line: Presently physicians evaluate mostly physical symptoms of NVP in trying to assess the severity of the condition.CONCLUSIONS: Physical symptoms weakly correlate with self-assessment of NVP severity.Other aspects of this condition, most probably psychosocial, influence women's perception of NVP severity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Motherisk Program, Division of Clinical Pharmacology and Toxicology, Department of Pediatrics and Research Institute, The Hospital for Sick Children, Toronto, Department of Pediatrics, Pharmacology, Pharmacy and Medicine, The University of Toronto, Ontario, Canada. gkoren@sickkids.ca

ABSTRACT
BACKGROUND: Nausea and vomiting in pregnancy (NVP) is a multifaceted condition that affects more than half of pregnant women and can range in severity from mild nausea to severe dehydration. Presently physicians evaluate mostly physical symptoms of NVP in trying to assess the severity of the condition. The objective of this study was to investigate how factors, other than the physical morbidity of nausea and vomiting, influence self-perception of NVP by affected women. METHODS: Five hundred women with NVP calling a 1-800 NVP Healthline were asked to rate their NVP severity and report their nausea duration and number of vomiting/retching episodes. RESULTS: Nausea and vomiting/retching correlated significantly but very poorly with self-assessment of NVP severity. There was also a correlation between nausea duration and vomiting/retching frequency however the correlations were weak and overall physical symptoms could only explain 14% of the variability of women's feelings and perceptions through multivariate analysis. CONCLUSIONS: Physical symptoms weakly correlate with self-assessment of NVP severity. Other aspects of this condition, most probably psychosocial, influence women's perception of NVP severity.

No MeSH data available.


Related in: MedlinePlus

Vomiting/retching frequency of 500 women Five hundred women reported their daily frequency of vomiting/retching in pregnancy during the past week on the following scale: having vomiting/retching greater than 5 episodes per day, 2–5 episodes per day, one episode per day or no episode of vomiting/retching.
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Figure 3: Vomiting/retching frequency of 500 women Five hundred women reported their daily frequency of vomiting/retching in pregnancy during the past week on the following scale: having vomiting/retching greater than 5 episodes per day, 2–5 episodes per day, one episode per day or no episode of vomiting/retching.

Mentions: Forty five percent (225) of women rated themselves as experiencing severe NVP, while 49% (244) classified themselves as suffering from moderate and 6.2% (31) suffering from mild NVP (figure 1). Figures 2 and 3 show the distribution of severity of nausea duration and vomiting/retching frequency. As illustrated the majority of women reported having nausea 'always' and vomiting/retching '2–5 times a day'. The proportions of women who rated their NVP severity and reported their duration of nausea and frequency of vomiting/retching are shown in table 1.


Discordance between physical symptoms versus perception of severity by women with nausea and vomiting in pregnancy (NVP).

Chandra K MSC, Magee L MD, Koren G MD - BMC Pregnancy Childbirth (2002)

Vomiting/retching frequency of 500 women Five hundred women reported their daily frequency of vomiting/retching in pregnancy during the past week on the following scale: having vomiting/retching greater than 5 episodes per day, 2–5 episodes per day, one episode per day or no episode of vomiting/retching.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC117801&req=5

Figure 3: Vomiting/retching frequency of 500 women Five hundred women reported their daily frequency of vomiting/retching in pregnancy during the past week on the following scale: having vomiting/retching greater than 5 episodes per day, 2–5 episodes per day, one episode per day or no episode of vomiting/retching.
Mentions: Forty five percent (225) of women rated themselves as experiencing severe NVP, while 49% (244) classified themselves as suffering from moderate and 6.2% (31) suffering from mild NVP (figure 1). Figures 2 and 3 show the distribution of severity of nausea duration and vomiting/retching frequency. As illustrated the majority of women reported having nausea 'always' and vomiting/retching '2–5 times a day'. The proportions of women who rated their NVP severity and reported their duration of nausea and frequency of vomiting/retching are shown in table 1.

Bottom Line: Presently physicians evaluate mostly physical symptoms of NVP in trying to assess the severity of the condition.CONCLUSIONS: Physical symptoms weakly correlate with self-assessment of NVP severity.Other aspects of this condition, most probably psychosocial, influence women's perception of NVP severity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Motherisk Program, Division of Clinical Pharmacology and Toxicology, Department of Pediatrics and Research Institute, The Hospital for Sick Children, Toronto, Department of Pediatrics, Pharmacology, Pharmacy and Medicine, The University of Toronto, Ontario, Canada. gkoren@sickkids.ca

ABSTRACT
BACKGROUND: Nausea and vomiting in pregnancy (NVP) is a multifaceted condition that affects more than half of pregnant women and can range in severity from mild nausea to severe dehydration. Presently physicians evaluate mostly physical symptoms of NVP in trying to assess the severity of the condition. The objective of this study was to investigate how factors, other than the physical morbidity of nausea and vomiting, influence self-perception of NVP by affected women. METHODS: Five hundred women with NVP calling a 1-800 NVP Healthline were asked to rate their NVP severity and report their nausea duration and number of vomiting/retching episodes. RESULTS: Nausea and vomiting/retching correlated significantly but very poorly with self-assessment of NVP severity. There was also a correlation between nausea duration and vomiting/retching frequency however the correlations were weak and overall physical symptoms could only explain 14% of the variability of women's feelings and perceptions through multivariate analysis. CONCLUSIONS: Physical symptoms weakly correlate with self-assessment of NVP severity. Other aspects of this condition, most probably psychosocial, influence women's perception of NVP severity.

No MeSH data available.


Related in: MedlinePlus