PUQE-24 score (nausea and vomiting of pregnancy)
Severity of nausea and vomiting in pregnancy over 24 hours.
Inputs
CompleteHours of nausea in the last 24 h
Vomiting episodes in the last 24 h
Retching episodes in the last 24 h
Worked calculation
Your values are highlighted.
- Points
Hours of nausea in the last 24 h +1, Vomiting episodes in the last 24 h +1, Retching episodes in the last 24 h +1= 3
When to use
- Nausea and vomiting of pregnancy.
Pearls and pitfalls
- First line: doxylamine-pyridoxine (ACOG); severe scores warrant hydration and evaluation for hyperemesis.
Why use
Tracks severity and treatment response.
| Criterion | Points |
|---|---|
| Hours of nausea in the last 24 h: None | +1 |
| 1 hour or less | +2 |
| 2–3 hours | +3 |
| 4–6 hours | +4 |
| More than 6 hours | +5 |
| Vomiting episodes in the last 24 h: None | +1 |
| 1–2 | +2 |
| 3–4 | +3 |
| 5–6 | +4 |
| 7 or more | +5 |
| Retching episodes in the last 24 h: None | +1 |
| 1–2 | +2 |
| 3–4 | +3 |
| 5–6 | +4 |
| 7 or more | +5 |