• Stephen H Raymond.
• Department of Obstetrics and Gynaecology, Royal Hobart Hospital, Hobart, Tasmania, Australia. stephen.raymond@dhhs.tas.gov.au
• Aust N Z J Obstet Gynaecol. 2013 Aug 1;53(4):358-62.

BackgroundThere is an impression of poor management of pregnancy sickness in Australia, specifically an apparent total reliance on metoclopramide, as a first-line choice.AimsTo determine what management options are commonly used in by distributing a survey to Fellows and Diplomates of RANZCOG.MethodsA web-based survey questionnaire distributed using an email list obtained from RANZCOG.ResultsA total of 495 responses were received (23%). For morning sickness, 89% of those replying give dietary advice frequently or always, and 70% prescribe metoclopramide frequently or always, whereas 59% advise pyridoxine and 10% prescribe doxylamine. For hyperemesis gravidarum, 86% prescribe metoclopramide and 75% ondansetron.ConclusionsDespite guidelines suggesting the use of antihistamines and dopamine agonists (phenothiazines), very few practitioners in this region make use of these in any numbers.© 2013 The Author ANZJOG © 2013 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

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