First-Line Treatment of Late Vomiting of Pregnancy
Late vomiting of pregnancy (ICD-11 JA60.2 / ICD-10 O21.2) refers to persistent nausea and vomiting occurring after the first trimester. Initial management centres on dietary and lifestyle modifications before escalating to further intervention.
Treatment Approach
First-line management focuses on dietary and lifestyle changes — including adjustments to fluid intake, meal pattern, and identification of personal nausea triggers. The complete protocol specifies the full range of recommended measures and when to escalate.
References
- It is important to stay hydrated and try to have small meals regularly.
- Avoid fatty and spicy foods.
- Have small sips of fluids throughout the day – icy poles, diluted juice, sports drinks, flat lemonade, smoothies, soups, broths, oral rehydration solution (ORS).
- Try and identify nausea triggers and avoid them (e.g. perfumes, smoke).
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