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Re: hyperemesisFrom: ainsron (ainsron@sbcglobal.net)Tue Jun 19 14:02:38 2007
No sense reinventing the wheel. I have a monograph from the APOGO educational series, it was released in 2001. It gives a great algorithm, that they adapted from Levichek et al, 2000, it's also referenced in Motherisk: http://www.motherisk.org/prof/updatesDetail.jsp?content_id=348 The monograph also has a good reference table on nutritional support of the hyperemesis patient, adapted from Hamaoui and Hamaoui, Gastroenterology Clin N Am., 1998; 27:89-121. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Henry Gregor Sent: Tuesday, June 19, 2007 10:23 AM To: Multiple recipients of list OB-GYN-L Subject: Re: hyperemesis Listers, I have been asked by our hospital clinical coordinator to contribute re a protocol/guideline for in hospitalhyperemesis gravidarum evaluation and management. Rather than just submitting something that sums up local custom among staff ob/fp's as exists now, or reinvent the wheel, I'd be grateful if anyone would care to email offlist with suggestions or existent protocols. Thanks Hank "Meenan, Anna" <annam@uic.edu> wrote: Would need a lot more info to say. My first line for N/V is pyridoxine and doxylamine, but if she has hyperemesis, that may have been tried already. Also, she needs to have someone discuss the pros and cons of using category C meds during 1st trimester, as most of the meds for N/V are category C. She should call her OB back and tell him or her the same thing you just told us. Anna Meenan, MD Friend of a friend's wife was prescribed Zofran for hyperemesis -she's in her first trimester. It's prohibitively expensive and they can't afford it because they have a new insurance plan with a huge deductible. He said 24 pills is several hundred dollars that they don't have. Costco's cash price for 30 tabs is $1,256.44 !!! Can you suggest something cheaper? Gail Neuman RNC CPHW student midwife and student nurse practitioner certified high risk OB Perinatal Nurse Associates 801 N. Tustin Ave., Suite 305 Santa Ana, CA 92705 (714) 314-7070 (714) 838-1479 fax _____ See what's free at AOL.com <http://www.aol.com/?ncid=AOLAOF00020000000503> . _____ Choose the right car based on your needs. Check out Yahoo! <http://us.rd.yahoo.com/evtH518/*http:/autos.yahoo.com/carfinder/;_ylc=X3o DMTE3NWsyMDd2BF9TAzk3MTA3MDc2BHNlYwNtYWlsdGFncwRzbGsDY2FyLWZpbmRlcg-- > Autos new Car Finder tool.
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