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Research ArticleOriginal Research

Effects of Ginger for Nausea and Vomiting in Early Pregnancy: A Meta-Analysis

Maggie Thomson, Renee Corbin and Lawrence Leung
The Journal of the American Board of Family Medicine January 2014, 27 (1) 115-122; DOI: https://doi.org/10.3122/jabfm.2014.01.130167
Maggie Thomson
From the Department of Family Medicine (MT, LL) and the Centre of Studies in Primary Care (RC, LL), Queen's University, Kingston, Ontario, Canada.
MD
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Renee Corbin
From the Department of Family Medicine (MT, LL) and the Centre of Studies in Primary Care (RC, LL), Queen's University, Kingston, Ontario, Canada.
MSc
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Lawrence Leung
From the Department of Family Medicine (MT, LL) and the Centre of Studies in Primary Care (RC, LL), Queen's University, Kingston, Ontario, Canada.
MBBChir, MFM(Clin)
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    Figure 1.

    Forest plot for 6 studies using a random effects model. CI, confidence interval.

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    Figure 2.

    Funnel plot displaying the heterogeneity of studies. OR, odds ratio.

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    Table 1. Brief Description of the 6 Studies Included in the Meta-Analysis
    StudyInterventionPlaceboDuration of StudyGestation StageOutcome Measure (Nausea and Vomiting)
    Basirat et al.31500-mg ginger powder in biscuit, 5 biscuits/dayPlacebo biscuit4 days<17 weeksNausea scale (VAS) + frequency of vomiting
    Ozgoli et al.35250-mg ginger capsules QIDLactose capsules4 days<20 weeksNausea scale (VAS) + frequency of vomiting
    Smith et al.26350-mg ginger capsules TIDVitamin B6 (25-mg capsules)3 weeks<16 weeksNausea and vomiting scales (Rhodes Index)
    Keating et al.32250-mg ginger syrup QIDPlain syrup2 weeks<12 weeks4-point nausea scale + frequency of vomiting
    Vutyavanich et al.34250-mg ginger capsules QIDPlacebo capsules4 days<17 weeksVAS + Likert scale
    Fischer-Rasmussen et al.33250-mg ginger capsules QIDLactose capsules4 days<20 weeksUnique scoring system
    • QID, four times per day; TID, three times per day; VAS, visual analogue scale.

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    Table 2. Results from Meta-Analysis Comparing Ginger to Placebo in Improvement of Nausea and Vomiting in Early Pregnancy
    StudyIntervention GroupControl GroupOdds Ratio95% CI
    Basirat et al.3128/3221/303.000.81–11.1
    Fischer-Rasmussen et al.3319/274/2713.663.56–52.43
    Keating et al.3210/132/1013.331.78–100.14
    Vutyavanich et al.3428/3210/3517.504.87–62.87
    Ozgoli et al.3527/3220/354.051.26–12.99
    Smith et al.2668/12069/1150.870.52–1.47
    Total (random effects)180/256126/2524.891.88–12.73
    • CI, confidence interval.

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    Table 3. Test for Heterogeneity of Studies
    Q-statistic33.72
    Degree of freedom5
    Significance levelP < .0001
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The Journal of the American Board of Family     Medicine: 27 (1)
The Journal of the American Board of Family Medicine
Vol. 27, Issue 1
January-February 2014
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Effects of Ginger for Nausea and Vomiting in Early Pregnancy: A Meta-Analysis
Maggie Thomson, Renee Corbin, Lawrence Leung
The Journal of the American Board of Family Medicine Jan 2014, 27 (1) 115-122; DOI: 10.3122/jabfm.2014.01.130167

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Effects of Ginger for Nausea and Vomiting in Early Pregnancy: A Meta-Analysis
Maggie Thomson, Renee Corbin, Lawrence Leung
The Journal of the American Board of Family Medicine Jan 2014, 27 (1) 115-122; DOI: 10.3122/jabfm.2014.01.130167
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  • Article
    • Abstract
    • Epidemiology, Risk Factors, and Pathogenesis of NVEP
    • Diagnosis and Treatment of NVEP
    • Ginger and Its Medicinal Effects
    • Methods
    • Results
    • Discussion
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    • Appendix: PRISMA Flow Diagram
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