There are guidelines on management of Hyperemesis Gravidarum in Clinical Knowledge Summaries.
There is a one stop hyperemesis clinic on Ward 78 at St Michaels for patients in UBHT catchment and referrals can be made via ICE or the via the on call team. Patients will be given fluids and anti-emetics and sent home the same day if possible.
For other hospitals please contact the appropriate on call team.
CKS list the following red flags:
Consider admitting to hospital if the woman has one of:
Continued nausea and vomiting and is unable to keep down liquids or oral antiemetics.
Continued nausea and vomiting with ketonuria and/or weight loss (greater than 5% of body weight), despite treatment with oral antiemetics.
A confirmed or suspected comorbidity (for example she is unable to tolerate oral antibiotics for a urinary tract infection).
Have a lower threshold for admitting to hospital or seeking specialist advice if the woman has a co-existing condition (for example diabetes) which may be adversely affected by nausea and vomiting.