🤢 PUQE-24 Pregnancy Nausea Score
UseAntenatal follow-up of NVP. Does not by itself diagnose hyperemesis gravidarum.
StrataUse serially. Hyperemesis also needs dehydration, ketones, weight loss and electrolytes.
LimitsDoes not replace examination and labs. · Recall bias affects 24-hour counts. · Treat the patient, not the score alone.
SourceKoren G, Boskovic R, Hard M, Maltepe C, Navioz Y, Einarson A. Motherisk-PUQE (pregnancy-unique quan…
This-shift next steps
After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.
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Methodology · worked example, guidelines & full notes
Three items 1–5, total 3–15.
When to use
Antenatal follow-up of NVP. Does not by itself diagnose hyperemesis gravidarum.
How it works
Total = nausea + vomiting + retching (each 1–5). Mild 3–6, moderate 7–12, severe 13–15.
Key points
- Three items 1–5, total 3–15.
- Cuts at 6 and 12.
- Hyperemesis needs hydration/metabolic review.
References
- Koren G, Boskovic R, Hard M, Maltepe C, Navioz Y, Einarson A. Motherisk-PUQE (pregnancy-unique quantification of emesis and nausea) scoring system for nausea and vomiting of pregnancy. Am J Obstet Gynecol 2002;186:S228-S231
- Ebrahimi N, Maltepe C, Bournissen FG, Koren G. Nausea and vomiting of pregnancy: using the 24-hour Pregnancy-Unique Quantification of Emesis (PUQE-24) scale. J Obstet Gynaecol Can 2009;31:803-807
Worked calculation
The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.
| Hours of nausea in the past 24 h | 3 2–3 h |
|---|---|
| Vomiting episodes in the past 24 h | 3 3–4 |
| Retching/dry heaves in the past 24 h | 3 3–4 |
→PUQE-249
- Band：Moderate (7–12)
| Hours of nausea in the past 24 h | 1 none |
|---|---|
| Vomiting episodes in the past 24 h | 1 none |
| Retching/dry heaves in the past 24 h | 1 none |
→PUQE-243
- Band：Mild (3–6)
Verification & sources · governance
FAQ
Frequently asked questions
- Does PUQE-24 Pregnancy Nausea Score upload patient data? Where is it calculated?
- Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
- How is PUQE-24 Pregnancy Nausea Score calculated in practice? Can you show a worked example?
- Inputs: Hours of nausea in the past 24 h 3 2–3 h, Vomiting episodes in the past 24 h 3 3–4, Retching/dry heaves in the past 24 h 3 3–4 → Result: PUQE-24 9（Band: Moderate (7–12)） Inputs: Hours of nausea in the past 24 h 1 none, Vomiting episodes in the past 24 h 1 none, Retching/dry heaves in the past 24 h 1 none → Result: PUQE-24 3（Band: Mild (3–6)）