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Metoclopramide versus prochlorperazine for hyperemesis gravidarum

Completed
Conditions
Hyperemesis gravidarum
Pregnancy and Childbirth
Excessive vomiting in pregnancy
Registration Number
ISRCTN52681225
Lead Sponsor
niversity of Malaya (Malaysia)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Female
Target Recruitment
128
Inclusion Criteria

1. Females aged over 16 years
2. First hospitalisation for hypermesis gravidarum in current pregnancy
3. Gestation less than 20 weeks
4. Clinically dehydrated with ketonuria

Exclusion Criteria

1. Multiple gestation
2. Proven non viable pregnancy
3. Pre-existing medical condition that can cause nausea and vomiting, e.g.:
3.1. Concomitant confounders of severity of nausea and vomiting, e.g., culture proven symptomatic urinary tract infection, dengue fever
3.2. Gastrointestinal causes of vomiting, e.g., gastro-enteritis
3.3. Medical causes of vomiting e.g. diabetic ketoacidosis
3.4. Allergies to metoclopramide or prochlorperazine

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. Satisfaction score at 24 hours using a self-administered 10 point visual numerical rating scale (VNRS)<br>2. Frequency of vomiting during the 24 hours study period
Secondary Outcome Measures
NameTimeMethod
1. Nausea scores measured using a 10 point VNRS at enrolment, 8 hours, 16 hours and 24 hours <br>2. Ketonuria status at the end of study period<br>3. Addition or change of anti-emetic required during the study period <br>4. Admission to discharge interval<br>5. Time to discontinuation of IV fluids<br>6. Time to discontinuation of IV anti-emetics<br>7. Any adverse events<br>8. Self administered side effects profile at end of study period - symptoms of:<br>8.1. Drowsiness<br>8.2. Inability to sleep<br>8.3. Dry mouth<br>8.4. Dizziness<br>8.5. Diarrhoea<br>8.6. Headache<br>8.7. Palpitations<br>8.8. Uncontrollable movements or muscle spasms<br>8.9. Rash
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