There are different treatments for nausea and vomiting in pregnancy. According to the ACOG recommendations, promethazine is the first line of parenteral treatment after oral treatment had failed. Thiamine is given to prevent wernicke encephalopathy. This research try to find out whether thiamine helps the vomiting and nausea as well, by comparing the response to thiamine and promethazine in women who suffer from nausea and vomiting in pregnancy.
* Research groups: pregnant women eho visit the emergency room for nausea and vomiting in pregnancy, pregnancy age 12 weeks or less * After basic examinations and hydration, the women will randomized to thiamine or promethazine treatment. * If no improvement is shown, the patient will be treated with the other drug * The patients will be interviewed on their current visit and every two weeks until 14th week of gestation * The interview includes medical history and details about their illness, other treatments, hospitalization etc.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
50
thiamine 100 mg IV promethazine 25 mg IV
Gynecologic department, Haemek medical center
Afula, Israel
the improvement in nausea and/or vomiting after treatment
Time frame: 2 months after first visit in ER (until 14 week of pregnancy)
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