Re Hyperemesis

[cjknight]

Dear listers What is current research based evidence for the management of hyperemesis. I am currently caring for a 9/40 gestation G2 P1 for whom the main thrust of treatment seems to fluid replacement. The only thing that settles her protracted episodes of vomiting seems to be IV Maxalon which lasts about 4hrs plus oral pyridoxine 25mg BD. She is eating very small amounts. In her last pregnancy this lasted until 16 weeks. I have expressed concerns for long term vitamin and mineral intake but the GP seems unable to find out about any other treatment modalities. He has spoken to obs people at our tertiary hospital with no luck. Some time ago someone on the list wrote in regard to this suggesting a Blackmores product that is practitioner use only. I lost my references to this when my computer was changed over. If someone has access to this could they let me know what it was. Cheers Jane