Priority 22 from the Hyperemesis Gravidarum PSP

UNCERTAINTY: What healthcare services exist and how can they collaborate and be organised to better identify, treat and support women with hyperemesis gravidarum? For example, do services such as outpatient clinics or IV at home, improve outcomes and reduce the physical/mental burden of the condition? (JLA PSP Priority 22)
Overall ranking	22
JLA question ID	0090/22
Explanatory note	Not available for this PSP
Evidence	Some audits, case-control studies and RCTs identify services such as Home Healthcare and outpatient services in specific areas of individular countries. SR of outpatient verse inpatient outcomes may be possible.
Health Research Classification System category	Reproductive health and childbirth

Extra information provided by this PSP
Original uncertainty examples	How could the healthcare system be better equipped to identify and treat hg? ~ which reproducible model of management (inpatient day unit/ via a&e) has the best outcomes? ~ How can consultant-led hyperemesis specialty clinics in maternity services improve co-ordination of care and outcomes for women? ~ Do you think there is better scope for community treatment of Hyperemisis Gravidarum to improve women's lifestyles and mental health? ~ Do women prefer inpatient or outpatient care for hyperemesis? ~ What is the cost/impact of HG management in acute settings vs a community based model?
Submitted by	Patients x 78 ~ Healthcare professional x 21 ~ Carer x 4 ~ Offspring x 12 ~ Organisational representatives x 3 ~ Unknown x 2

Extra information provided by this PSP

Original uncertainty examples

How could the healthcare system be better equipped to identify and treat hg? ~ which reproducible model of management (inpatient day unit/ via a&e) has the best outcomes? ~ How can consultant-led hyperemesis specialty clinics in maternity services improve co-ordination of care and outcomes for women? ~ Do you think there is better scope for community treatment of Hyperemisis Gravidarum to improve women's lifestyles and mental health? ~ Do women prefer inpatient or outpatient care for hyperemesis? ~ What is the cost/impact of HG management in acute settings vs a community based model?

Submitted by

Patients x 78 ~ Healthcare professional x 21 ~ Carer x 4 ~ Offspring x 12 ~ Organisational representatives x 3 ~ Unknown x 2

PSP information
PSP unique ID	0090
PSP name	Hyperemesis Gravidarum
Total number of uncertainties identified by this PSP.	65 (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)
Date of priority setting workshop	9 October 2019