Outpatient models of care for pregnant women with hyperemesis gravidarum: a scoping review

Abstract

Abstract Background/Aims Hyperemesis gravidarum can significantly impact physical and mental health and adversely affect quality of life. The aim of this review was to describe current literature regarding outpatient services for women experiencing hyperemesis gravidarum. Methods This scoping review searched a range of databases for studies conducted between January 2010 and October 2024. Results Overall, 18 papers were included. Descriptions of investigations, treatments and medications varied and were poorly reported. Outpatient care decreased inpatient admissions and length of stay without negatively impacting women's health. Women receiving outpatient care were as satisfied as those receiving inpatient care. Conclusions There is significant variation in outpatient models of care for hyperemesis gravidarum. Further research is needed to address the large evidence gaps in optimising models of care. Implications for practice Outpatient services should be considered as an alternative to inpatient care. Development of standardised, evidence-based protocols for outpatient management is required including consistent approaches to investigations, treatments and education.