Non-medical midwifery prescribing of an antiemetic for a glucose tolerance test: a case study

Abstract

This is a case study of a 26-week pregnant woman requiring an antiemetic before a glucose tolerance test and the prescribing decision that a non-medical midwifery prescriber needed to make in the outpatient setting. The case study demonstrates how the prescriber demonstrated the Royal Pharmaceutical Society competencies. The Calgary-Cambridge model was used to assess the patient. There are no local or national guidelines for this situation with very limited evidence available to assess the effectiveness of the different antiemetics. The consultant's advice in the local setting is to prescribe a cyclizine 50mg tablet. This case study evaluates the available evidence and guidelines and concludes that prescribing cyclizine in this scenario is reasonable in the absence of any good evidence.