Modern Approaches to the Treatment of Vomiting in Pregnant Women: Review of Clinical Recommendations

Aim. To evaluate current approaches to the treatment of vomiting in pregnant based on modern clinical guidelines. Key points. Nausea, vomiting, decreased appetite and changes in taste sensations are frequent companions of pregnancy. Such disorders occur in 80–90% of women. In most cases, they do not require medical intervention. However, some patients develop severe vomiting (hyperemesis gravidarum). This condition is dangerous for both the mother and the fetus, so it requires active treatment. Conclusion. The analysis of Russian and international approaches to the treatment of vomiting in pregnant women shows adherence to uniform principles of therapy and good consistency in the recommendations for choosing treatment based on the principle of safety, stepby- step and individualization. Keywords: vomiting, nausea, hyperemesis gravidarum, pregnancy complications, clinical recommendations, combination of doxylamine and pyridoxine.