Refereed journal article or data article (A1)
Recalling the severity of nausea and vomiting of pregnancy - a study using Pregnancy-Unique Quantification of Emesis Questionnaire
List of Authors: Laitinen Linda, Nurmi Miina, Koivisto Mari, Rautava Päivi, Polo-Kantola Päivi
Publisher: TAYLOR & FRANCIS INC
Publication year: 2023
Journal: Journal of Obstetrics and Gynaecology
Journal name in source: JOURNAL OF OBSTETRICS AND GYNAECOLOGY
Journal acronym: J OBSTET GYNAECOL
Article number: 2153025
Volume number: 43
Issue number: 1
Number of pages: 6
ISSN: 0144-3615
DOI: http://dx.doi.org/10.1080/01443615.2022.2153025
URL: https://doi.org/10.1080/01443615.2022.2153025
Self-archived copy’s web address: https://research.utu.fi/converis/portal/detail/Publication/178142000
The accuracy of the recall of the severity of nausea and vomiting of pregnancy (NVP) with Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire has been questioned. We aimed to compare PUQE scores of women recalling the worst episode of NVP of their current pregnancy in different gestational weeks (gwks). Total of 2343 pregnant women (gwks 7-40) were recruited. Four groups were formed according to the gwks at reply: <= 16 gwks (n = 554), <= 20 gwks (n = 1209), >20 gwks (n = 1134) and >= 24 gwks (n = 495). PUQE scores were similar between the groups. Consequently, consistency of PUQE scores across the groups endorses the useability of the PUQE questionnaire in retrospective assessment of the overall severity of NVP in different gwks, regardless of passing of the peak NVP symptoms.Impact statementWhat is already known on this subject? Retrospective evaluation of the severity of nausea and vomiting of pregnancy (NVP) has been argued to be disposed to recall bias. Structured Pregnancy-Unique Quantification of Emesis (PUQE) questionnaire is a validated tool for assessing the severity of NVP.What do the results of this study add? When the women recalled the most severe NVP symptoms of their current pregnancy, no differences in the PUQE scores were found despite different gestational weeks at reply. Of distinct PUQE questions, women answering in early pregnancy reported longer duration of nausea than women answering in late pregnancy, but other questions were rated similarly.What the implications are of these findings for clinical practice and/or further research? Our aim was to compare the PUQE scores between the women who filled in the PUQE questionnaire in early or in late pregnancy, instructed to recall their worst symptoms in their current pregnancy. As there were no differences between the groups in total PUQE scores, our results support the application of PUQE questionnaire to assess the severity of NVP during pregnancy not only concurrent to the peak symptoms but also retrospectively.
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