twitter

Monday 14 August 2017

French family physician experience concerning the outpatient care for women suffering from nausea and vomiting in pregnancy.

J Gynecol Obstet Hum Reprod. 2017 Apr;46(4):367-371. doi: 10.1016/j.jogoh.2017.02.010. Epub 2017 Feb 22. Dochez V1, Dimet J2, David-Gruselle A3, Le Thuaut A2, Ducarme G4. Author information 1 Department of obstetrics and gynecology, centre hospitalier departemental, Les Oudairies, 85000 La-Roche-sur-Yon, France; Department of obstetrics and gynecology, centre hospitalier universitaire, 44000 Nantes, France. 2 Clinical research center, centre hospitalier departemental, Les Oudairies, La-Roche-sur-Yon, France. 3 Family physician, 73240 Saint-Genix-sur-Guiers, France. 4 Department of obstetrics and gynecology, centre hospitalier departemental, Les Oudairies, 85000 La-Roche-sur-Yon, France. Electronic address: g.ducarme@gmail.com. Abstract OBJECTIVE: To explore thoughts and attitudes among French family physicians on the outpatient care for women suffering from nausea and vomiting in pregnancy (NVP). DESIGN AND SETTING: A retrospective study was conducted among family physicians who had taken care of pregnant women who gave birth in our hospital in 1 year. PATIENTS AND METHODS: Fifty-nine French family physicians responded to a questionnaire assessing their experience about outpatient care for women suffering from NVP. Analysis were done according to the physicians' age, as the annual demographics data analysis from the French Medical Council. RESULTS: More than 89% of family physicians asked systematically the question concerning NVP (53/59), which were estimated as a frequent symptom (n=44, 74.6%). The intensity of NVP was assessed as mild in 28.8% (n=17), moderate in 62.7% (n=37), severe in 6.8% (n=4) and unbearable in 1.7% (n=1). Physicians younger than 40 years questionned less frequently about NVP compared to those older than 40 or older than 60 years (66.7% vs. 90.5% vs. 95.5%, respectively; P=0.04). Severe and unbearable NVP were significantly estimated more frequent among younger physicians (33.3% vs. 6.8%; P=0.03). Treatments (sick leave, diet, drugs, homeopathy, acupuncture or psychotherapy) did not differ between groups. DISCUSSION AND CONCLUSION: Outpatient care for women suffering from NVP may vary according to the physician. French family physicians played a key role in NVP. Younger family physician considered NVP as a frequent symptom which needed active management in severe forms. Copyright © 2017 Elsevier Masson SAS. All rights reserved. KEYWORDS: Dietary; Family physician; Nausea and vomiting of pregnancy (NVP); Outpatient care; Treatment PMID: 28643666 DOI: 10.1016/j.jogoh.2017.02.010