Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light)
IntroductionNausea and vomiting in pregnancy (NVP) affect approximately 70–85% of pregnant women, starting between weeks 6 and 8 and often subsiding by week 20. This study evaluates the therapeutic approaches of Italian gynecologists in the treatment of NVP. In the Italian healthcare system, gynecol...
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Frontiers Media S.A.
2025-01-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2025.1462860/full |
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| author | Romolo Di Iorio Paola Bianchi Elena Casolati Elena Piccolo Mario Mangrella |
| author_facet | Romolo Di Iorio Paola Bianchi Elena Casolati Elena Piccolo Mario Mangrella |
| author_sort | Romolo Di Iorio |
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| description | IntroductionNausea and vomiting in pregnancy (NVP) affect approximately 70–85% of pregnant women, starting between weeks 6 and 8 and often subsiding by week 20. This study evaluates the therapeutic approaches of Italian gynecologists in the treatment of NVP. In the Italian healthcare system, gynecologists play a central role in prenatal care and are the primary healthcare providers for pregnant women, unlike in other countries where midwives may have a more prominent role.MethodsFrom June to September 2022, a survey of Italian gynecologists was conducted during 15 scientific conferences. The questionnaire collected demographic data and information on clinical practices to support the management of NVP. Statistical analysis assessed the effect of demographic characteristics on clinical behavior.ResultsData from 157 participants, mainly women (72.61%) and professionals from the Public Health System (63.69%), were analyzed. 77.71% always checked NVP during the first visit, based on patients’ reports (84.71%). 54.78% prescribed medication in mild cases, mainly the doxylamine/pyridoxine combination (64.97%).DiscussionThe results show varied practices influenced by demographic and professional factors. Many physicians treat only severe cases of NVP, perceiving it as a transient discomfort, which may lead to poor management. Balanced care is needed to improve the quality of life for pregnant women with NVP. |
| format | Article |
| id | doaj-art-f5c20672d0814634a5b745689ccfd880 |
| institution | Kabale University |
| issn | 2296-858X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Medicine |
| spelling | doaj-art-f5c20672d0814634a5b745689ccfd8802025-01-27T11:26:45ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-01-011210.3389/fmed.2025.14628601462860Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light)Romolo Di Iorio0Paola Bianchi1Elena Casolati2Elena Piccolo3Mario Mangrella4Department of Surgical and Medical Sciences and Translational Medicine, Sapienza University, Rome, ItalyDepartment of Surgical and Medical Sciences and Translational Medicine, Sapienza University, Rome, ItalyPrivate Practice of Obstetrics and Gynecology, Milan, ItalyDepartment of Medical Affair, Italfarmaco SpA, Milan, ItalyDepartment of Medical Affair, Italfarmaco SpA, Milan, ItalyIntroductionNausea and vomiting in pregnancy (NVP) affect approximately 70–85% of pregnant women, starting between weeks 6 and 8 and often subsiding by week 20. This study evaluates the therapeutic approaches of Italian gynecologists in the treatment of NVP. In the Italian healthcare system, gynecologists play a central role in prenatal care and are the primary healthcare providers for pregnant women, unlike in other countries where midwives may have a more prominent role.MethodsFrom June to September 2022, a survey of Italian gynecologists was conducted during 15 scientific conferences. The questionnaire collected demographic data and information on clinical practices to support the management of NVP. Statistical analysis assessed the effect of demographic characteristics on clinical behavior.ResultsData from 157 participants, mainly women (72.61%) and professionals from the Public Health System (63.69%), were analyzed. 77.71% always checked NVP during the first visit, based on patients’ reports (84.71%). 54.78% prescribed medication in mild cases, mainly the doxylamine/pyridoxine combination (64.97%).DiscussionThe results show varied practices influenced by demographic and professional factors. Many physicians treat only severe cases of NVP, perceiving it as a transient discomfort, which may lead to poor management. Balanced care is needed to improve the quality of life for pregnant women with NVP.https://www.frontiersin.org/articles/10.3389/fmed.2025.1462860/fullnauseavomitingpregnancygynecologistspharmacotherapyhyperemesis gravidarum |
| spellingShingle | Romolo Di Iorio Paola Bianchi Elena Casolati Elena Piccolo Mario Mangrella Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light) Frontiers in Medicine nausea vomiting pregnancy gynecologists pharmacotherapy hyperemesis gravidarum |
| title | Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light) |
| title_full | Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light) |
| title_fullStr | Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light) |
| title_full_unstemmed | Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light) |
| title_short | Assessing the approaches to nausea and vomiting in pregnancy: insights from a nationwide survey of Italian gynecologists (PURITY light) |
| title_sort | assessing the approaches to nausea and vomiting in pregnancy insights from a nationwide survey of italian gynecologists purity light |
| topic | nausea vomiting pregnancy gynecologists pharmacotherapy hyperemesis gravidarum |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2025.1462860/full |
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